{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:11:54Z","timestamp":1791587514746,"version":"4.3.4"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Asociaci\u00f3n para el Estudio de la Biolog\u00eda de la Reproducci\u00f3n"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>STUDY QUESTION<\/jats:title>\n                    <jats:p>What number of staff is sufficient to perform increasingly complicated processes in today\u2019s modern ART laboratories?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SUMMARY ANSWER<\/jats:title>\n                    <jats:p>The adequate number of personnel required for the efficient and safe operation of modern ART laboratories needs to be calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT IS KNOWN ALREADY<\/jats:title>\n                    <jats:p>In today\u2019s modern ART laboratories, the amount of time required to perform increasingly complicated processes has more than doubled, with a downward trend in the amount of work an embryologist can do. Different workload unit values have been used to evaluate each workload task and efficiency in a particular ART laboratory, as well as to occasionally compare one laboratory with another.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STUDY DESIGN, SIZE, DURATION<\/jats:title>\n                    <jats:p>Seven senior embryologists working at different IVF centers, three public and four private centers, participated in this multicenter study conducted between 2019 and 2020. We prepared a survey to create a calculator for staff using the average (of three attempts) time spent in every laboratory by each embryologist of the center to perform any ART process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS\/MATERIALS, SETTING, METHODS<\/jats:title>\n                    <jats:p>Different laboratory processes and activities related to quality control, time spent and conventional human double witnessing were included in the survey. To calculate the number of processes that each embryologist can perform per year, an embryologist was considered to be having a full-time contract and working 7 or 8\u2009h\/day. The times included in the calculation of each task were those corresponding to the 95th percentile. For the calculations, Microsoft\u00ae Office Excel\u00ae Professional Plus 2019 was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MAIN RESULTS AND THE ROLE OF CHANCE<\/jats:title>\n                    <jats:p>The survey showed that the time needed per embryologist to perform the different processes necessary for a classic IVF cycle without time lapse (TL) was 8.11\u2009h, and with TL, it was 10.27\u2009h. The calculated time also considered the time spent in documentation handling, cycle preparation, database management and conventional human double witnessing verification. An ICSI without TL needed 8.55\u2009h, and with TL, it needed 10.71\u2009h. An ICSI-PGT without a TL cycle needed 11.75\u2009h, and with TL, it needed 13.91\u2009h. Furthermore, 1.81\u2009h should be added for every vitrification support needed. The time needed to control more than 200 critical steps, including equipment control and culture parameters, was 30\u2009min per day plus 3.9\u2009min per device to control.<\/jats:p>\n                    <jats:p>The time spent in semen analysis (including documentation handling, cycle preparation and database management) or intrauterine insemination with a partner sperm was 2.7\u2009h. For donor sperm, an additional hour was required for the management involved. The time required to perform a testicular biopsy and cryopreserve the sample was 4\u2009h. Similarly, the time required to perform seminal cryopreservation was 3.7\u2009h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LIMITATIONS, REASONS FOR CAUTION<\/jats:title>\n                    <jats:p>The study was conducted considering a full-time contract embryologist working 7 or 8\u2009h\/day, 5\u2009days a week, with days off according to the Spanish regulations. However, our findings can be adapted to foreign regulations using the developed online calculation platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WIDER IMPLICATIONS OF THE FINDINGS<\/jats:title>\n                    <jats:p>A new advanced staff calculator allows any IVF laboratory to estimate the minimum number of embryologists necessary without compromising the security or success of the results. Nevertheless, we recommend a minimum of two qualified embryologists in every laboratory, regardless of the workload.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STUDY FUNDING\/COMPETING INTEREST(S)<\/jats:title>\n                    <jats:p>This work was funded by the Asociaci\u00f3n para el Estudio de la Biolog\u00eda de la Reproducci\u00f3n (ASEBIR). None of the authors has any conflict of interest to declare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>TRIAL REGISTRATION NUMBER<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/humrep\/deac121","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T03:27:49Z","timestamp":1654140469000},"page":"1774-1785","source":"Crossref","is-referenced-by-count":31,"title":["Recalculating the staff required to run a modern assisted reproductive technology laboratory"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0883-2448","authenticated-orcid":false,"given":"E","family":"Veiga","sequence":"first","affiliation":[{"name":"Central Laboratory\/Assisted Human Reproduction Unit, Complexo Hospitalario Universitario de Santiago de Compostela (CHUS), SERGAS , Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6177-717X","authenticated-orcid":false,"given":"C","family":"Olmedo","sequence":"additional","affiliation":[{"name":"Reproductive Medicine Unit, Consorcio Hospital General Universitario de Valencia , Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8321-9926","authenticated-orcid":false,"given":"L","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Assisted Human Reproduction Unit, Hospital Universitario Central de Asturias (HUCA) , Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9667-8080","authenticated-orcid":false,"given":"M","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica ERGO , Gij\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2811-3248","authenticated-orcid":false,"given":"A","family":"Mauri","sequence":"additional","affiliation":[{"name":"Centro Procrear , Reus (Tarragona), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6755-8645","authenticated-orcid":false,"given":"E","family":"Ferrer","sequence":"additional","affiliation":[{"name":"CREA, Centro M\u00e9dico de Reproducci\u00f3n Asistida , Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1336-5642","authenticated-orcid":false,"given":"N","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Instituto Europeo de Fertilidad , Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"2022080105590139300_deac121-B1001","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1016\/j.fertnstert.2014.07.1246","article-title":"Comprehensive evaluation of contemporary assisted reproduction technology laboratory operations to determine staffing levels that promote patient safety and quality care","volume":"102","author":"Alikani","year":"2014","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B2","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.rbmo.2015.01.016","article-title":"The Alpha Consensus Meeting on the professional status of the clinical embryologist: proceedings of an expert meeting","volume":"30","author":"Alpha Scientists in Reproductive Medicine","year":"2015","journal-title":"Reprod Biomed Online"},{"key":"2022080105590139300_deac121-B3","author":"Asociaci\u00f3n Espa\u00f1ola de Normalizaci\u00f3n y Certificaci\u00f3n (AENOR)","year":"2013"},{"key":"2022080105590139300_deac121-B4","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1080\/1464727002000198941","article-title":"Accreditation standards and guidelines for IVF laboratories","volume":"3","author":"Association of Clinical Embryologists","year":"2000","journal-title":"Hum Fertil (Camb)"},{"key":"2022080105590139300_deac121-B5","first-page":"43","article-title":"Aproximaci\u00f3n al c\u00e1lculo del coste est\u00e1ndar por determinaci\u00f3n: Unidades Relativas de Valor (URV)","volume":"107","author":"Ballesta","year":"1994","journal-title":"Todo Hospital"},{"key":"2022080105590139300_deac121-B41","author":"BOE"},{"key":"2022080105590139300_deac121-B6","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.fertnstert.2005.03.038","article-title":"Defining the typical work environment for assisted reproductive technology laboratories in the United States","volume":"84","author":"Boone","year":"2005","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B7","first-page":"34","article-title":"Recomendaciones para la evaluaci\u00f3n de la gesti\u00f3n en el laboratorio cl\u00ednico: Indicadores de gesti\u00f3n","volume":"21","author":"Caball\u00e9 Mart\u00edn","year":"2002","journal-title":"Qu\u00edmica Cl\u00ednica"},{"key":"2022080105590139300_deac121-B8","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s43043-021-00061-8","article-title":"The value of the modern embryologist to a successful IVF system: revisiting an age-old question","volume":"26","author":"Choucair","year":"2021","journal-title":"Middle East Fertil Soc J"},{"key":"2022080105590139300_deac121-B9","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/978-3-319-29373-8_7","volume-title":"Organization and Management of IVF Units: A Practical Guide for the Clinician","author":"Cooke","year":"2016"},{"key":"2022080105590139300_deac121-B10","author":"Cort\u00e9s Sanz","year":"1996"},{"key":"2022080105590139300_deac121-B11","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1093\/humrep\/dew016","article-title":"Revised guidelines for good practice in IVF laboratories (2015)","volume":"31","author":"ESHRE Guideline Group on Good Practice in IVF Labs","year":"2016","journal-title":"Hum Reprod"},{"key":"2022080105590139300_deac121-B12","author":"European Parliament and of the Council","year":"2004"},{"key":"2022080105590139300_deac121-B13","author":"Ferrer","year":"2021"},{"key":"2022080105590139300_deac121-B14","author":"Fertility Society of Australia and New Zealand","year":"2020"},{"key":"2022080105590139300_deac121-B15","volume-title":"Textbook of Assisted Reproductive Techniques: Volume 1: Laboratory Perspectives","author":"Gardner","year":"2014"},{"key":"2022080105590139300_deac121-B16","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.rbmo.2015.07.006","article-title":"\u2018By the work, one knows the workman\u2019: the practice and profession of the embryologist and its translation to quality in the embryology laboratory","volume":"31","author":"Go","year":"2015","journal-title":"Reprod Biomed Online"},{"key":"2022080105590139300_deac121-B17","author":"Government of Canada PS and PC","year":"2002"},{"key":"2022080105590139300_deac121-B18","volume-title":"WELCAN UK Workload Measurement System for Pathology: manual with Schedule of Unit Values","author":"Great Britain and Welsh Office","year":"1990"},{"key":"2022080105590139300_deac121-B19","first-page":"1","author":"Hardarson","year":"2014"},{"key":"2022080105590139300_deac121-B20","doi-asserted-by":"crossref","first-page":"174","DOI":"10.3109\/14647273.2012.747891","article-title":"Association of clinical embryologists\u2014guidelines on good practice in clinical embryology laboratories 2012","volume":"15","author":"Hughes","year":"2012","journal-title":"Hum Fertil (Camb)"},{"key":"2022080105590139300_deac121-B21","author":"International Organization for Standardization","year":"2012"},{"key":"2022080105590139300_deac121-B22","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1093\/humrep\/dev118","article-title":"The educational and professional status of clinical embryology and clinical embryologists in Europe","volume":"30","author":"Kova\u010di\u010d","year":"2015","journal-title":"Hum Reprod"},{"key":"2022080105590139300_deac121-B23","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1016\/S1472-6483(16)30171-7","article-title":"PP-036\u2014the changing role of the embryologist\u2014data management in an electronic age","volume":"32","author":"Mackenzie","year":"2016","journal-title":"Reprod Biomed Online"},{"key":"2022080105590139300_deac121-B24","first-page":"90","article-title":"Update on the redevelopment of the MIS standards for clinical laboratory services","volume":"69","author":"McAllister","year":"2007","journal-title":"Can J Med Lab Sci"},{"key":"2022080105590139300_deac121-B25","first-page":"401","article-title":"Consideraciones generales sobre los m\u00e9todos de medici\u00f3n de la actividad laboral normalizada de los laboratorios cl\u00ednicos","volume":"16","author":"Mir\u00f3 Balagu\u00e9","year":"1997","journal-title":"Qu\u00edmica Cl\u00ednica"},{"key":"2022080105590139300_deac121-B26","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9781139680936","volume-title":"Quality and Risk Management in the IVF Laboratory [Internet]","author":"Mortimer","year":"2015"},{"key":"2022080105590139300_deac121-B27","author":"N\u00fa\u00f1ez","year":"2016"},{"key":"2022080105590139300_deac121-B28","author":"Palmer","year":"2020"},{"key":"2022080105590139300_deac121-B29","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1016\/j.fertnstert.2008.08.099","article-title":"Revised guidelines for human embryology and andrology laboratories","volume":"90","author":"Practice Committee of American Society for Reproductive Medicine and Practice Committee of Society for Assisted Reproductive Technology","year":"2008","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B30","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.fertnstert.2020.12.036","article-title":"Minimum standards for practices offering assisted reproductive technologies: a committee opinion","volume":"115","author":"Practice Committee of the American Society for Reproductive Medicine, Practice Committee of the Society for Assisted Reproductive Technology, and Practice Committee of the Society of Reproductive Biologists and Technologists","year":"2021","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B31","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1016\/j.fertnstert.2014.06.036","article-title":"Recommended practices for the management of embryology, andrology, and endocrinology laboratories: a committee opinion","volume":"102","author":"Practice Committee of the American Society for Reproductive Medicine, Practice Committee of the Society for Assisted Reproductive Technology, and Practice Committee of the Society of Reproductive Biologists and Technologists","year":"2014","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B32","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.fertnstert.2019.11.024","article-title":"Minimum standards for practices offering assisted reproductive technologies: a committee opinion","volume":"113","author":"Practice Committee of the American Society for Reproductive Medicine, Practice Committee of the Society for Assisted Reproductive Technology, and Practice Committee of the Society of Reproductive Biologists and Technologists","year":"2020","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B33","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.fertnstert.2014.05.035","article-title":"Revised minimum standards for practices offering assisted reproductive technologies: a committee opinion","volume":"102","author":"Practice Committee of the American Society for Reproductive Medicine, Practice Committee of the Society for Assisted Reproductive Technology, and Practice Committee of the Society of Reproductive Biologists and Technologists","year":"2014","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B34","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1093\/humrep\/dex144","article-title":"Comprehensive protocol of traceability during IVF: the result of a multicentre failure mode and effect analysis","volume":"32","author":"Rienzi","year":"2017","journal-title":"Hum Reprod"},{"key":"2022080105590139300_deac121-B35","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.rbmo.2015.08.006","article-title":"Analyzing IVF laboratory error rates: highlight or hide?","volume":"31","author":"Sakkas","year":"2015","journal-title":"Reprod Biomed Online"},{"key":"2022080105590139300_deac121-B36","doi-asserted-by":"crossref","first-page":"368","DOI":"10.5114\/aoms.2012.28569","article-title":"Do weekend oocyte retrievals have an impact on the intracytoplasmic sperm injection cycles outcome?","volume":"8","author":"Souza Setti","year":"2012","journal-title":"Arch Med Sci"},{"key":"2022080105590139300_deac121-B37","doi-asserted-by":"crossref","first-page":"1S","DOI":"10.1016\/S0015-0282(16)55368-0","article-title":"Guidelines for human embryology laboratories. The American Fertility Society","volume":"58","author":"The American Fertility Society","year":"1992","journal-title":"Fertil Steril"},{"key":"2022080105590139300_deac121-B38","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1093\/humrep\/deq059","article-title":"Avoidance of weekend oocyte retrievals during GnRH antagonist treatment by simple advancement or delay of hCG administration does not adversely affect IVF live birth outcomes","volume":"25","author":"Tremellen","year":"2010","journal-title":"Hum Reprod"},{"key":"2022080105590139300_deac121-B85333850","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.5858\/2001-125-1153-SYTIPA","article-title":"Six-Year Trends in Productivity and Utilization of 73 Clinical Laboratories","volume":"125","author":"Valenstein","year":"2001","journal-title":"Archives of Pathology & Laboratory Medicine"},{"key":"2022080105590139300_deac121-B39","author":"Wagar","year":"2019"},{"key":"2022080105590139300_deac121-B40","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1017\/9781316569238.015","volume-title":"Principles of IVF Laboratory Practice: Optimizing Performance and Outcomes","author":"Wiemer","year":"2017"}],"container-title":["Human Reproduction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/humrep\/article-pdf\/37\/8\/1774\/45197673\/deac121.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/humrep\/article-pdf\/37\/8\/1774\/45197673\/deac121.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T01:59:45Z","timestamp":1659319185000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/humrep\/article\/37\/8\/1774\/6597082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,2]]},"references-count":42,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2022,6,2]]},"published-print":{"date-parts":[[2022,7,30]]}},"URL":"https:\/\/doi.org\/10.1093\/humrep\/deac121","relation":{},"ISSN":["0268-1161","1460-2350"],"issn-type":[{"value":"0268-1161","type":"print"},{"value":"1460-2350","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,1]]},"published":{"date-parts":[[2022,6,2]]}}}