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Custom software development for use in a clinical laboratory.

John H Sinard¹, Peter Gershkovich

¹Department of Pathology, Yale University School of Medicine, New Haven, CT, USA.

Journal of Pathology Informatics

|February 2, 2013

Summary

Developing custom clinical laboratory software offers significant workflow benefits, contrary to common objections. This approach enhances efficiency and patient care through adaptable, user-involved solutions.

Keywords:

Buy versus build clinical use custom software in-house development open source

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Area of Science:

Clinical Informatics
Software Engineering
Laboratory Management

Background:

In-house software development for clinical labs is often debated.
Objections frequently stem from outdated practices and risk underestimation.
Buy vs. build analyses often neglect total cost of ownership.

Purpose of the Study:

To present a decade-long perspective on in-house clinical software development.
To analyze the benefits of custom software in clinical laboratory workflows.
To address common concerns and highlight advantages of in-house solutions.

Main Methods:

Review of a decade of experience in custom clinical software development.
Analysis of buy vs. build decisions, considering total cost of ownership and workflow integration.
Emphasis on end-user involvement in functional specification and agile development.

Main Results:

Custom software can significantly improve laboratory efficiency and productivity.
Involving end-users is crucial for successful development.
Risks can be mitigated through structured processes, open-source tools, and agile methodologies.

Conclusions:

In-house software development can yield substantial benefits for clinical laboratories.
Custom solutions offer greater adaptability to evolving departmental needs.
Prioritizing workflow integration and end-user input leads to more efficient and higher quality patient care.