An Assessment of Ability of Laboratory Service of the Primary Care Units under the Networking of Yala Hospital

Ranee Tadae-in

Abstract


This is a research assessing on basis of cross sectional studies survey during the period of 24 May - 1 June 2010 with an objective to assess the ability of the analytical laboratory in providing services and referring to laboratory at Yala Hospital of samples from 23 primary care unit : PCU. Particular samples were selected by responsible 23 providers of the laboratory, collecting data by observation of operations and using an interview form covering 4 aspects, namely general information, input, service providing process, and practical problems within operation. This study uses statistical analysis in percentage. The finding showed that all PCU have sufficient number of staff to serve laboratory services such as dextrostix, pregnancy test, hematocrit, urine analysis while other examinations must be referred to Yala Hospital laboratory. The study showed that the laboratory staff have gone through laboratory training course is 60.9 percent, equipments and materials with standard and not expired is 82.6 percent, hematocrit is calibrated is 21.7 percent, dextrostix is within standard is 69.6 percent, availability of microscope is 26.1 percent, availability of centrifuge is 34.7 percent, availability of laboratory manual is 73.9 percent, availability of introductory document to prepare for collection of samples is 43.5 percent, installation of LIS to follow up with the results of the analysis is 26.1 percent and the use of laboratory consulting service is 87.0 percent. In term of service and referring process, it is found that the techniques in collecting samplings, indicators, double checking prior to referring, result recording, disposal of referred items after testing is precisely 95-100 percent. In term of service, maintenance of referred items for testing before referring is precisely 52.2 percent, referring in an appropriate timing is 73.9 percent, confidentiality of the results from the analysis is 73.9 percent and awareness of reporting the crisis is 60.9 percent. It is found that the problems encountered are a failure to refer the specimens at an immediate timing, insuf- ficiency of quality control (IQC) and the calibration has not been analyzed consistently. The assessment can be concluded that the laboratory services of the primary care unit : PCU should be developed in accordance with professional standards, particularly the quality control so that the people can be determined with reliable accuracy.

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