Total Value of Ownership and Overall Equipment Effectiveness analysis to evaluate the impact of automation on time and costs of therapeutic drug monitoring

Automated LC-MS/MS: Ready for the clinical routine Laboratory?

Background

Liquid chromatography-tandem mass spectrometry (LC-MS/MS) is a sensitive method with high specificity. However, its routine use in the clinical laboratory is hampered by its high complexity and lack of automation. Studies demonstrate excellent analytical performance using the first fully automated LC-MS/MS for 25-hydroxy vitamin D and immunosuppressant drugs (ISD) in hospital routine laboratories.

Objectives

Our objectives were (1) to verify the suitability of an automated LC-MS/MS in a commercial laboratory, which differs from the needs of hospital laboratories, and (2) examine its usability among operators with various professional backgrounds.

Methods

We assessed the analytical assay performance for vitamin D and the ISDs cyclosporine A and tacrolimus over five months. The assays were compared to an identical analyzer in a hospital laboratory, to in-house LC-MS/MS methods, and to chemiluminescent microparticle immunoassays (CMIA). Nine operators evaluated the usability of the fully automated LC-MS/MS system by means of a structured questionnaire.

Results

The automated system exhibited a high precision (CV < 8%), accuracy (bias < 7%) and good agreement with concentrations of external quality assessment (EQA) samples. Comparable results were obtained with an identical analyzer in a hospital routine laboratory. Acceptable median deviations of results versus an in-house LC-MS/MS were observed for 25-OH vitamin D3 (-10.6%), cyclosporine A (-4.3%) and tacrolimus (-6.6%). The median bias between the automated system and immunoassays was only acceptable for 25-OH vitamin D3 (6.6%). All users stated that they had had a good experience with the fully automated LC-MS/MS system.

Conclusions

A fully automated LC-MS/MS can be easily integrated for routine diagnostics in a commercial laboratory.

Potential Routes to the Sustainability of the Food Packaging Industry

Plastic packaging of food products has a significant impact on the sustainability of the food industry and trade. The article presents selected problems surrounding the production of plastic packaging for food storage and distribution that might cause disruptions in the implementation of sustainable production. An important question regards the extent to which the industry that produces this packaging complies with the sustainability requirements. The present work consists in an investigation of the problems observed in a plastic packaging manufacturing company located in Poland, which is part of a global corporation. Plastic waste management was analyzed and compared with the requirements of a closed loop economy. The quantities of raw material processed and the quantities of waste in the defined period were analyzed. During the analyzed period, 0.05% of the monthly production was non-recyclable waste. The quality of raw material seems to be responsible for the majority of wastes. Therefore, the important role of SAP (Systems Applications and Products) in the use of lower quality batches of raw material is indicated. On the other hand, a possibility of converting the wastes into liquid or gaseous fuels is suggested. In addition, the paper investigates the efficiency of machine use in a film bag production line in a three-shift system. Process losses were analyzed and reliability indicators such as overall equipment efficiency (OEE) and its components, mean time between failures (MTBF), and mean failure repair time (MTTR) were determined. The monthly OEE values for each change individually exceeded 80%.