Clinical laboratories provide a wide range of laboratory procedures that aid healthcare providers in the diagnosis, treatment, and management of patients. A laboratory environment that maximizes support for this mission is critical. The laboratory environment is composed of the people, the culture, the organization, the space, and the relationship with the providers it serves. When the laboratory environment is a positive one, people want to contribute and be productive. When the culture respects every worker's viewpoint and concerns, supports their work and provides positive feedback along with respectful criticism when needed, work is done more efficiently and effectively. Meeting the laboratory demands requires a sufficiently qualified workforce as well as excellent communication and training.
A key to a productive work environment is good organizational structure so all workers are clear about their responsibilities - and with whom they are responsible to report. The organizational structure is a map that defines who works where, what they do, and how they do the tasks assigned. It identifies the chain of command from top management to phlebotomists and lab secretaries. It also defines the workflow process from the initial test order to the final report to the provider. Every worker is trained and well-informed of all processes and has access to appropriate communication channels for answers to any questions they have throughout the process.
The environment also includes the workspace. Workers need a well-ventilated temperature-controlled spacious work area that maximizes their ability to accomplish their tasks. This requires planning and organization. Several key factors contribute to a productive workspace:
- Proximity to equipment and materials: Placing your materials and equipment near your work area adds to better efficiency. Avoid having reagents and supplies far from your work area and make them easily accessible.
- Organization: By organizing the lab equipment in a space that promotes easy workflow and does not disrupt workflow from other areas of the laboratory greater efficiency can be achieved.
- Avoid Clutter: Clutter will slow down productivity and workflow. Clutter can include anything from unused lab material and supplies, packaged supplies not inventoried, folders and manuals not put away, trash, etc. The only items that should be in the workspace are the ones needed for the current activity. Policies around avoiding clutter and keeping the space clean and organized can add to lab efficiency.
- Provide plenty of counter space: Counter space is a valuable commodity in the diagnostic laboratory. It is needed to organize materials and supplies for testing or other lab activities. Crowded spaces lead to stress and potential errors. If sinks are needed, make sure they are in proximity to locations where they are most needed.
- Ergonomics: Paying attention to laboratory ergonomics is important for the lab layout. Lab workers often repeat the same motions and postures for significant periods. Thus, workers need benchtops at the proper height, proper stools or chairs, comfortable shoes, and the proper clothing. Breaks are necessary so workers have time to relax and retool for the tasks they are doing.
10. CDC/Bishop. Image #23260. Caption: "...a Centers for Disease Control and Prevention (CDC) laboratory technician working with electronic cigarettes, referred to as e-cigarettes, or e-cigs, and vaping pens, while inside a laboratory environment." PHIL public domain. Created 2019. Accessed December 28, 2022. https://phil.cdc.gov/Details.aspx?pid=23260
