Design and implementation of a knowledge-based application in specimen collection

This paper introduces ATOMS (advanced test order management system), a focused test order and sample collection system. ATOMS enables complete automation of the laboratory ordering process, from the point of physician-patient contact until sample (or specimen) delivery to the laboratory, through the integration of a novel software solution and physical output devices consisting of wireless hand-held devices and remote mobile printers. With physicians performing tests orders on the order entry system, ATOMS results in a unique blend of technology which ensures that laboratories receive complete electronic laboratory orders and pre-labeled sample tubes which are ready for direct analyzer placement. A pilot trial of ATOMS was conducted at a local government hospital for three months. The results of the pilot trial indicated that the application of ATOMS increased patient safety by significantly reducing the opportunity for mistakes and the actual number of errors in sample collection.