Automating the reviews of Covid-19 lateral flow tests
Reducing the result waiting time from 12 hours to 2 seconds, with no risk to customer service.
Release Strategy

Role

  • Product Management
  • Service Design

Problem

At Prenetics, we had a team of people reviewing the photos of Lateral Flow Test Cassettes uploaded through the app to verify the Positive, Negative or Inconclusive result.

The guaranteed review turnaround time was 12 hours - a duration that dissatisfied customers but ensured accuracy at scale.

Opportunity

We believed we could get the review time down to seconds using Image Recognition, so we engaged with a third party who built an API that could receive images and respond with a review code immediately. The Image Recognition service had been trained on 10,000 images of Lateral Flow Tests provided by NHS England. We gave them an additional 10,000 of our images to enhance the system and then embarked on a rollout process.

Release strategy

Despite the promising credentials of the Image Recognition service, I emphasised to the business that we need to integrate the system safely. Providing an inaccurate response to a customer would be costly, so I designed a phased rollout.

Don't be a Daily Mail headline.

UAT Phase

Goal

Test the image recognition at scale without risking incorrect result release.

Solution

Compare MagnifEye reviews with Prenetics manual reviews

Approach

Run the below for one week.

  1. Pass all negative and inconclusive result uploads through MagnifEye.
  2. Receive the analysis response from MagnifEye without automatically releasing the result.
  3. Assign a "yes" against an "automatic review "column in the LFA review data.
  4. Manually review the negative and inconclusive result uploads through EP.
  5. At the end of the week, query the number of matches between the MagnifEye and human analyses.

KPI

Result match % between human and automated reviews. If 99% match is achieved, we could progress to Rollout Phase.

Rollout phase

Goal

Test the auto-release process without service failure.

Solution

Gradually ramp-up use of MagnifEye for auto-releasing negative and inconclusive results

Approach

  1. Expose uploads to MagnifEye to 5% of uploads (or activations) and auto-release results for three days.
  2. Manually spot-check x50 per day
  3. Report any issues
  4. If there are no issues, increase the exposure
  5. If issues are found, decrease exposure to 0%

Ramp-up progression

5%, 10%, 30%, 50%, 100%

Outcome

  • Reduced review time to 2 seconds from 12 hours.
  • Safely transitioned to the automated service with no risk to service.