Automation of the Hemostasis Laboratory: Implementation and Future Directions

linked as modular systems or by a conveyor track, and check-in, sorting, decapping, centrifugation, aliquoting, sealing, and storage are all performed under middleware control [2, 3].According to surveys performed in Europe and the United States, more than half of laboratories use partial or total automation; however, the consolidation of coagulation testing onto these lines has remained the exception rather than the rule [3, 4].A similar pattern has been observed in Korea.A national survey performed two decades ago reported that hematology and clinical chemistry were almost fully automated, whereas approximately half of the responding laboratories still performed hemostasis testing semi-automatically or manually [5].A survey of 81 Korean laboratories in 2022 showed what has and has not changed since then: prothrombin time (PT) and activated partial thromboplastin time (aPTT) are now directly performed in all laboratories, whereas mixing studies and lupus anticoagulant testing remain unstandardized and vary according to hospital size [6].In addition, Korean studies on laboratory design regard TLA as the organizing principle of the automated clinical chemistry, diagnostic immunology, and diagnostic hematology sections of the core lab-