Establishing a Clinical Laboratory in a Tertiary/Quaternary Care Greenfield Hospital in the Middle East: Recounting the Cleveland Clinic Abu Dhabi Experience

Abstract

- To deliver on the promise of quality healthcare in a culturally appropriate setting close to home, Cleveland Clinic Abu Dhabi proved to be an unprecedented and ambitious project, jointly carried out by Mubadala Investment Corporation and the Cleveland Clinic Foundation. Cognizant of the scale of this task, hospital leadership engaged closely with staff and stakeholders through motivational techniques and effective communication. Excellent project planning and execution of complex tasks were required for initiation of services. Establishing the clinical laboratory served as an instructive model in fostering multidisciplinary teamwork by highlighting ways to manage operational roadblocks and opportunities in the planning, commissioning, and activation phases. Throughout the activation process, all efforts were directed to create a patient-safety culture within an intentional-learning organization.

The implementation process of the Workload Indicators Staffing Need (WISN) method by WHO in determining midwifery staff requirements in Greek Hospitals

“…Although the direct comparison of our findings with those from international literature is not possible due to the heterogeneity of the staff category, sample size, setting, (hospitals vs health centers), etc., nonetheless, all studies have succeeded in highlighting the importance of the implementation of such a tool as well as its usefulness in policy-making decisions regarding recruitment, distribution, training and education, and job burnout issues. In addition, the above case studies from countries that differ in terms of economic development and health systems, indicated the WISN methods' flexibility and ability to adapt to each country's individual conditions and circumstances and also the ability to use WISN not only for health workforce planning and staffing in health facilities that already exist and are in operation, but also in the establishment of new departments or clinics within health facilities 39 .…”

“…On the contrary, there is a substantial number of studies concerning the WISN implementation and adoption, though mainly in developing countries. More specifically, the WISN method has been used in Papua New Guinea, Kenya, the United Republic of Tanzania, Sri Lanka, Bahrain, Egypt, Hong Kong, Oman, Sudan, Turkey, Uganda, Indonesia and Mozambique, Iran, Abu Dhabi, among others 13 , 19 - 39 .…”

Setting up the functional pathology laboratory in a hospital attached to a medical institute: An insight from soup to nuts

“…Equipment selection must be phased to provide basic services and cover the intended test menu. 7 As a part of installation, it is the vendor's responsibility to carry out assembly of items, whether a complex modular build or a simple "plug-and-play" device, and perform electrical safety tests. Support of a good biomedical department is essential.…”

Establishing an Anatomic Pathology Laboratory at Cleveland Clinic Abu Dhabi

“…CCAD was the result of an agreement between Mubadala Investment Company (Abu Dhabi, UAE), and US-based Cleveland Clinic (Cleveland, Ohio) signed in 2006. 1 The hospital was the keystone in the Abu Dhabi government's Economic Vision 2030 to develop a robust, world-class health care sector in the UAE. This pioneering, multispecialty hospital was inaugurated in 2015 to reduce the need for UAE residents and citizens to travel abroad for treatment.…”

“…Critical to CCAD's mission, the Department of Anatomic Pathology (AP) of the Pathology & Laboratory Medicine Institute (PLMI) at CCAD was established to fulfill the diagnostic needs of a very surgery-intensive organization. For details of the scope of CCAD and its various institutes, including PLMI, the reader should refer to the article by Mirza et al 1 in this special section. In this article, we describe our efforts in establishing an AP laboratory in a greenfield American hospital, 7000 miles away from its parent organization.…”