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<strong>The</strong> <strong>Paperless</strong> <strong>Lab</strong><br />

Andreas Schild and Dr. Ulf Fuchslueger<br />

<strong>Vialis</strong> AG, Liestal, Switzerland<br />

Pharm. Ind. 73, Nr. 12, 1 – 4 (2011)<br />

© ECV • Editio Cantor Verlag, Aulendorf (Germany)<br />

Arzneimittelwesen • Gesundheitspolitik • Industrie und Gesellschaft<br />

Fachthemen<br />

<strong>Lab</strong>oratories working in the pharmaceutical industry in the areas of<br />

R&D and quality control find themselves increasingly having to cope<br />

with conflicting demands – tougher regulatory requirements and<br />

harsher economic realities. In order to meet these demands, new<br />

ways of dealing with process-, data- and system management are<br />

necessary. This article shows how the paperless lab (as an integrated<br />

process, not as a system implementation) can meet these challenges<br />

and boost efficiency.<br />

Why new concepts for<br />

laboratory data management?<br />

<strong>Lab</strong>oratories working in the pharmaceutical<br />

industry in the areas of<br />

R&D and quality control find themselves<br />

increasingly having to cope<br />

with conflicting demands – tougher<br />

regulatory requirements and harsher<br />

economic realities. On the one hand,<br />

the authorities require more data<br />

with more quality, such as with the<br />

new EU GMP Annex 11 and the more<br />

intensive FDA inspections regarding<br />

21 CFR Part 11. On the other hand,<br />

there are the commercial pressures<br />

requiring more data in less time,<br />

typically with the same level of staff<br />

or less. On top of that, advances in<br />

technology and laboratory equipment<br />

mean that ever more data is being<br />

generated faster – which creates<br />

almost insurmountable obstacles for<br />

conventional documentation- and<br />

data-management processes in regulated<br />

laboratories, in turn causing<br />

bottlenecks for the development and<br />

approval processes.<br />

<strong>The</strong> root of all evil: hybrid<br />

systems<br />

When you look at data management<br />

in the lab, what you usually see is a<br />

mixture of various independent, nonintegrated<br />

data-processing systems<br />

on paper and in electronic form.<br />

Often paper is the preferred documentation<br />

medium when you have<br />

a mix of countless computerized<br />

systems such as analyzers, office applications<br />

and upper-level systems,<br />

for example, laboratory-information<br />

management or enterprise-resourceplanning<br />

(ERP) systems. Such a scenario<br />

results in producing a hybrid<br />

system with numerous media gaps<br />

– this is the real root of all evil, leading<br />

to inefficiencies, quality and compliance<br />

risks and unnecessarily long<br />

throughput times which prevent<br />

businesses from hitting their targets.<br />

Table 1 shows the typical key performance<br />

indicators of such a laboratory.<br />

<strong>The</strong> high level of quality risk (due<br />

to the high number of manual data<br />

transcription steps) is countered<br />

with extensive control steps – but<br />

that results in less efficiency and<br />

longer throughput times. <strong>The</strong> use of<br />

isolated systems prevents the timely<br />

transfer of information, which leads<br />

to further unforeseeable delays and<br />

additional costs.<br />

And last, but not least, it can result<br />

in a considerable amount of the<br />

enterprise’s intellectual capital being<br />

wasted. <strong>The</strong> cost of using various isolated<br />

systems to collect data for modern<br />

knowledge-management systems<br />

(statistics, data mining, reporting, exception<br />

handling, etc) is simply too<br />

high. So much knowledge that could<br />

be extracted from the data collected<br />

remains untapped.<br />

In the industry, there are three different<br />

approaches to addressing this<br />

root problem. <strong>The</strong> first – and actually<br />

no real solution – is the optimization<br />

of the existing hybrid system<br />

by adapting the existing processes<br />

and systems. It goes without saying<br />

that such an approach only brings<br />

selective and slight improvements.<br />

<strong>The</strong> second is the introduction of<br />

electronic documentation systems<br />

(often described as electronic lab<br />

notebooks) that show the paper data<br />

in electronic format. While the introduction<br />

of such a system brings<br />

certain benefits for quality and compliance<br />

purposes, the real problem is<br />

simply transferred from paper to an<br />

electronic format (“paper on glass”)<br />

■■Table 1<br />

English reprint of the<br />

German original publication<br />

Typical key performance indicators<br />

(KPI) for quality control and<br />

development laboratories.<br />

KPI Value<br />

Effort documentation 45 %<br />

and control<br />

Number of quality- 100<br />

relevant transfers<br />

(per approved batch)<br />

Number of redundant 250<br />

data transfers<br />

Process time up to 20 days<br />

Systems in operation 10<br />

(paper and electronic)<br />

With the exception of the documentation and<br />

control effort, all numbers refer to the approval or<br />

analysis of one batch. Quality-relevant transfers<br />

have a direct impact on the result; redundant data<br />

transfers provide references and cross-references.<br />

Schild and Fuchslueger • <strong>The</strong> <strong>Paperless</strong> <strong>Lab</strong> 1<br />

lFor use with permission of the publisher l


lFor use with permission of the publisher l<br />

Arzneimittelwesen • Gesundheitspolitik • Industrie und Gesellschaft<br />

Fachthemen<br />

and the hoped for gains in efficiency<br />

are only very small. And the practicality<br />

of introducing electronic documentation<br />

into the laboratory (using<br />

tablet-PCs or other mobile devices)<br />

is highly questionable. <strong>The</strong> third approach,<br />

which we discuss in more<br />

detail below, is the optimization and<br />

simultaneous electronic support of<br />

the actual laboratory processes – the<br />

introduction of the paperless lab.<br />

<strong>The</strong> way to a paperless<br />

laboratory<br />

Since introducing a paperless laboratory<br />

involves more than simply implementing<br />

another IT application,<br />

the procedure model we use here<br />

takes into account other perspectives<br />

in order to build a sustainable<br />

overall concept. <strong>The</strong>se perspectives<br />

fall into three main areas – the business<br />

needs, the user’s needs and the<br />

technical perspective.<br />

<strong>The</strong> business point of view defines<br />

the project’s goals and vision and<br />

ensures that the introduction of the<br />

paperless laboratory complements<br />

the company’s overall business objectives.<br />

Typical goals for producers<br />

are increasing net cash flow, reducing<br />

development time and thereby<br />

generating additional sales or reducing<br />

warehousing and stock costs<br />

to free up more capital. Naturally,<br />

various other goals or combinations<br />

of targets are possible – but what is<br />

decisive is that a quantitative connection<br />

can be made between laboratory<br />

activities and business objectives.<br />

This is achieved by defining a<br />

business-specific cause-effect model<br />

and implementing it into a corresponding<br />

financial model [1]. That is<br />

the only way that you can ensure that<br />

the implementation project meets<br />

the company’s targets and that the<br />

cost-benefit analysis accounts for all<br />

relevant factors.<br />

<strong>The</strong> user’s point of view is the<br />

central element to developing the<br />

paperless laboratory concept. Based<br />

on a thorough process- and system<br />

analysis, the user’s perspective will<br />

be summarized in the form of process<br />

descriptions and data-streams.<br />

Apart from the actual laboratory pro-<br />

2 Schild and Fuchslueger • <strong>The</strong> <strong>Paperless</strong> <strong>Lab</strong><br />

cedures – such as sample flow and<br />

processing – supporting processes<br />

will also be mapped (such as apparatus<br />

maintenance, reference substance<br />

management and reagents in<br />

actual state). For every process step,<br />

information will be collected from<br />

any systems used, any responsibility<br />

changes and any data inputting and<br />

outputting. Key performance indicators<br />

will be collected from the process<br />

analysis for later integration into<br />

the financial model. Vital interfaces<br />

with upper-level processes will be analyzed<br />

and documented. <strong>The</strong> analysis<br />

process is also the foundation for the<br />

subsequently conducted multi-moment<br />

analysis – a methodology that<br />

allows quantitative information to be<br />

derived from and for processes.<br />

Multi-moment analysis [2, 3] provides<br />

statistically sound and accurate<br />

information about the use of resources<br />

per process step or sub-step – and<br />

for all processes. To collect data,<br />

every laboratory worker is equipped<br />

with a mobile device or PDA (configured<br />

for their particular tasks) that<br />

requires them periodically, but randomly<br />

(on average every 20 minutes)<br />

to select the task they are currently<br />

performing from a list. <strong>The</strong> impact of<br />

multi-moment analysis on the workflow<br />

is minimal because just a simple<br />

click suffices – no recording of times<br />

or other parameters is required. Over<br />

a typical period of two weeks, sufficient<br />

data is collected to enable<br />

highly detailed statistic analyses to<br />

■■Figure 1<br />

be made on costs, time and clustering<br />

for processes, process steps and<br />

task categories. Figs. 1 – 3 show examples<br />

of various evaluations from<br />

a multi-moment analysis. <strong>The</strong> multimoment<br />

analysis not only allows<br />

processes (independent of whether<br />

a new system is introduced or not)<br />

to be optimized where the greatest<br />

need or benefit lies, but also permits<br />

the work stages to be categorized –<br />

thereby enabling a quantitative assessment<br />

of the potential benefits<br />

that the implementation of a paperless<br />

lab would bring (see Fig. 3). That,<br />

in turn, provides the foundation for a<br />

fact-based business case and for the<br />

comparison of various implementation<br />

scenarios and their economic<br />

benefits. <strong>The</strong> qualitative process description<br />

(together with the key performance<br />

indicators and quantitative<br />

statements from the multi-moment<br />

analysis) thus provides the crucial<br />

information for the paperless laboratory<br />

concept development.<br />

Taking the technological (i. e. IT<br />

and equipment) point of view – and<br />

looking at the existing infrastructure,<br />

company standards and long-term<br />

strategy – enables a comprehensive<br />

concept to be developed for the automation<br />

of the laboratory data-flow<br />

process. Only then will such a concept<br />

be in line with the company’s<br />

commercial targets.<br />

To develop the paperless lab concept<br />

– as well as considering the<br />

three perspectives outlined above –<br />

Distribution of tasks for a specific laboratory process as a percentage of work hours.<br />

<strong>The</strong> colors display the categorization in 4 categories; the documentation and control<br />

categories could be substantially reduced by the introduction of a paperless laboratory.<br />

Pharm. Ind. 73, Nr. 12, 1 – 4 (2011)<br />

© ECV • Editio Cantor Verlag, Aulendorf (Germany)


■■Figure 2<br />

Distribution of non-process activities per department as a percentage of work hours.<br />

■■Figure 3<br />

Aggregate values for all process and non-process activities for five different categories<br />

per department and as a total amount. <strong>The</strong> documentation and control categories<br />

show the potential of the introduction of a paperless laboratory.<br />

you also need a set of principles that<br />

allow for a definition of process targets<br />

based on the process description<br />

of the actual-state processes.<br />

<strong>The</strong> key principle and the vision of<br />

the paperless lab is the self-documenting<br />

process – a process that<br />

produces GxP-compliant documentation<br />

and eliminates unnecessary<br />

tasks from the workflow. That naturally<br />

means that manual data collection<br />

and transfer are eliminated<br />

wherever possible by interfacing to<br />

and from devices and systems – and<br />

where that is not feasible, by using<br />

barcodes for fast, error-free data<br />

collection. That also means that<br />

redundant or fragmented data is<br />

eliminated, that the “single-sourceof-truth”<br />

principle is implemented<br />

and that data is available to every<br />

authorized user in real-time. That,<br />

in turn, leads to improved process-<br />

es, faster decision-making and better<br />

teamwork.<br />

<strong>The</strong> application of these principles<br />

to the actual-state processes enables<br />

target-processes to be defined and<br />

functional requirements to be established.<br />

As part of the paperless lab<br />

concept, the delta between the current<br />

functionality and the required<br />

functionality will be generated in the<br />

gap-analysis. This is the only way the<br />

filling of such gaps may be conceptually<br />

approached – naturally always<br />

considering the underlying business<br />

targets. Possible scenarios also include<br />

the modification of existing<br />

IT systems by adapting existing applications<br />

to close functional gaps<br />

and multiple scenarios to close the<br />

remaining gaps with other applications.<br />

Once the only kind of application<br />

specifically aimed at laboratory<br />

use was a laboratory-information-<br />

management system (LIMS), but<br />

today there are many types of applications<br />

providing overlapping functionality.<br />

For example, electronic laboratory<br />

journals (ELN), sometimes<br />

for quality control referred to as laboratory<br />

execution systems or LES (derived<br />

from manufacturing execution<br />

systems or MES); archiving or rawdata<br />

management systems (scientific<br />

data management system or SDMS);<br />

specialized applications for device<br />

and system integration, increasingly<br />

also software that was not originally<br />

laboratory-specific, such as productlifecycle-management<br />

(PLM) systems<br />

or ERP systems. Some software<br />

firms also offer combinations of the<br />

above-named applications and there<br />

is generally a trend towards an extension<br />

and overlapping of functions<br />

or convergence of applications.<br />

<strong>The</strong>re is no quick answer as to which<br />

application combination is the best<br />

for a company. But by using SWOT<br />

analysis (strengths, weaknesses, opportunities<br />

and threats) to compare<br />

the various possible combinations<br />

– naturally accounting for the overall<br />

business targets and not just the<br />

needs of the laboratory – the selection<br />

can be reduced to one or two<br />

scenarios.<br />

<strong>The</strong> next step is to select suitable<br />

products to fit the desired application<br />

combination for the developed<br />

scenario. With a sound concept, defined<br />

target processes and their functional<br />

requirements, that is a relatively<br />

easy undertaking. As well as the<br />

functional considerations, it is also<br />

necessary to consider the complexity<br />

of the IT landscape and soft factors,<br />

such as the readiness of the software<br />

suppliers to cooperate.<br />

Before making any final selection<br />

– and to clear up any technical issues<br />

and to get prospective users involved<br />

at an early stage – it is recommended<br />

piloting the whole solution in small,<br />

well defined stages. Such a pilot<br />

scheme – which costs little in terms<br />

of money and risk – should cover as<br />

many areas of the paperless laboratory<br />

as possible and helps fine-tune<br />

the final implementation planning.<br />

<strong>The</strong> implementation of the final solution<br />

is made in accordance with<br />

Pharm. Ind. 73, Nr. 12, 1 – 4 (2011)<br />

© ECV • Editio Cantor Verlag, Aulendorf (Germany) Schild and Fuchslueger • <strong>The</strong> <strong>Paperless</strong> <strong>Lab</strong> 3<br />

lFor use with permission of the publisher l


lFor use with permission of the publisher l<br />

Arzneimittelwesen • Gesundheitspolitik • Industrie und Gesellschaft<br />

Fachthemen<br />

widely accepted standards, such as<br />

GAMP ® [4]. Because the pharmaceutical<br />

industry is so highly regulated,<br />

the whole system must be validated<br />

to meet strict requirements [5, 6]. <strong>The</strong><br />

work invested in the procedure model<br />

(e. g. process analysis, concept development,<br />

setting target processes and<br />

piloting) pays off here, contributing<br />

towards the necessary documentation.<br />

It should not be forgotten at this<br />

point that the paperless laboratory is<br />

not just the introduction of a system,<br />

but is also – above all else – process<br />

re-engineering. It is therefore necessary<br />

to support the new optimized<br />

process landscape with all necessary<br />

standard operating procedures<br />

(SOPs) and guidelines to maximize<br />

the benefits of the paperless laboratory.<br />

Faster, more precise<br />

and more economic<br />

Because of its integrated and process-oriented<br />

approach, the benefits<br />

of the paperless laboratory compared<br />

to using a specific application<br />

(such as an ELN) are several factors<br />

higher. <strong>The</strong> automation of the data<br />

flow and the continued elimination<br />

of documenting and related control<br />

activities significantly boost efficiency<br />

for laboratory staff and management.<br />

Already through these effects<br />

4 Schild and Fuchslueger • <strong>The</strong> <strong>Paperless</strong> <strong>Lab</strong><br />

alone, efficiency gains of 20 – 30 % are<br />

feasible (depending on a company’s<br />

situation). Additionally, the virtual<br />

elimination of manual tasks substantially<br />

reduces processing times<br />

and quality risk. System-specific automatic<br />

checks ensure compliance<br />

and data consistency reduce control<br />

activities to atypical results (“review<br />

by exception”), thereby accelerating<br />

processes and improving resource<br />

allocation. Since automatic documentation<br />

also automatically generates<br />

numerous process-relevant<br />

parameters – such as throughput<br />

times for certain tasks, equipment<br />

utilization or sample logistics – there<br />

is an excellent source of data for laboratory<br />

management. <strong>The</strong> paperless<br />

laboratory delivers key performance<br />

indicators for its own continual<br />

improvement, free of charge – and<br />

enables the comparison of organizational<br />

units using high quality<br />

data. And the availability of real-time<br />

data benefits other areas outside the<br />

laboratory – by simplifying interdepartmental<br />

cooperation, supporting<br />

knowledge management and improving<br />

follow-up processes. From<br />

the users’ point of view, the paperless<br />

lab substantially simplifies the workflow<br />

and reduces the number of systems<br />

implemented. It also supports<br />

user-specific portals and sharpens<br />

focus on what is important.<br />

It is clear that the sum of the paperless<br />

lab’s benefits is enormous. As<br />

with all investment projects of this<br />

size, after implementation, evidence<br />

should be presented to show that the<br />

estimated business case and reality<br />

correspond. This can be done at any<br />

time with the help of multi-moment<br />

analysis, which can also be used to<br />

quantify the impact of any process<br />

change on the workflow.<br />

■■ REFERENCES<br />

[1] Ritter J. Reducing Cost by Automating<br />

<strong>Lab</strong>oratory Workflow. G.I.T. <strong>Lab</strong>oratory<br />

Journal. 2009;13(7 – 8):32 – 34.<br />

[2] Haller-Wedel E. Das Multimomentverfahren<br />

in <strong>The</strong>orie und Praxis. Munich<br />

(Germany): Carl Hanser Verlag; 1969.<br />

[3] Simons B. Das Multimomentzeitverfahren,<br />

Grundlagen und Anwendung. Kologne<br />

(Germany): Verlag TÜV Rheinland<br />

GmbH; 1987.<br />

[4] ISPE: GAMP ® 5, a risk-based approach for<br />

GxP compliant computer systems; 2008.<br />

[5] Food and Drug Administration: 21 CFR<br />

Part 11.<br />

[6] EU-GMP Annex 11.<br />

Correspondence:<br />

Andreas Schild,<br />

<strong>Vialis</strong> AG,<br />

Kesselweg 40,<br />

4410 Liestal (Switzerland),<br />

e-mail: andreas.schild@vialis.ch<br />

Editor-in-chief: Claudius Arndt. Secretary’s office: Gudrun Geppert. Publisher: ECV ·Editio Cantor Verlag für Medizin und Naturwissenschaften GmbH, Baendelstockweg<br />

20, 88326 Aulendorf (Gemany). Phone: +49 (0) 75 25 94 00, Fax: +49 (0) 75 25 94 01 80. e-mail: redaktion@ecv.de. http://www.ecv.de. Production: stm media GmbH /<br />

druckhaus koethen GmbH, 06366 Koethen (Germany). All rights reserved.<br />

Pharm. Ind. 73, Nr. 12, 1 – 4 (2011)<br />

© ECV • Editio Cantor Verlag, Aulendorf (Germany)

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