Situation Analysis and Safety Barriers: Stakeholder Perspectives in the Operational Network of Medical Laboratories in Satun Province
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Abstract
The complexity of laboratory work contributes to a high level of safety hazards. Therefore, this study aimed to assess the situation and obstacles related to medical laboratory safety in Satun Province. This was a descriptive research using secondary data from the safety assessment results based on the 50-item standard assessment form of the Medical Technology Council, covering 6 issues, from the network of all hospital laboratories in Satun Province (7 laboratories). Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis. The results showed that the safety situation in fiscal year 2024, assessed in all laboratories, had an average score of good (85.92%) across all issues. The issue with the highest score was safe practices (98.05%), while the issue with the lowest score was risk management (75.00%). Five items requiring urgent improvement and related obstacles included personnel, work systems and processes, resources and technology. policy and management, environment and structure, and external factors. Conclusion and recommendations: This research reflects the current state of safety and the major obstacles that need to be improved. Collaboration at the network level and policy support will be key mechanisms for enhancing the safety of the healthcare system.
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References
Jayamani J, Janardan CC, Appan SV, Kathamuthu K, Ahmed ME. A Practical Tool for Risk Management in Clinical Laboratories. Cureus 2022;14:e32774.
Liu Y, Guo Y, Li S, Liu B, Wen J, Zhao C. Investigation and analysis of the biosafety awareness of laboratory staff involved in the detection of pathogens in seven provincial Centers for Disease Control and Prevention in China. Biosafety and Health 2021;3:224-9.
The Medical Technology Council. Thailand Medical Technology Standard : 2022. 1 ed. Nonthaburi, Thailand: The Medical Technology Council; 2022. p.80. (In Thai).
Singh G, Jahan A, Kalra R, Joshi A, Sukhwinder, Sarin N, et al. Risk management in a clinical pathology laboratory: Application of brainstorming and probability analysis for risk reduction. Indian Journal of Pathology and Microbiology 2024;67:607-10.
Cornish NE, Anderson NL, Arambula DG, Arduino MJ, Bryan A, Burton NC, et al. Clinical Laboratory Biosafety Gaps: Lessons Learned from Past Outbreaks Reveal a Path to a Safer Future. Clin Microbiol Rev 2021;34:e0012618.
Bureau of Laboratory Standards. Manual for the Assessment of Medical Laboratory Standards, Ministry of Public Health, 2019. Nonthaburi, Thailand: Ministry of Public Health; 2019 [Available from: https://blqs.dmsc.moph.go.th/th/download/3468/km/2110 (In Thai).
Ngo A, Gandhi P, Miller WG. Frequency that Laboratory Tests Influence Medical Decisions. The Journal of Applied Laboratory Medicine 2017;1:410-4.
He G, Chen Y, Wang D, Wang H. Influencing factors of work stress of medical workers in clinical laboratory during COVID-19 pandemic: Working hours, compensatory leave, job satisfaction. Front Public Health 2023;11:1078540.
Lv J, Yang J, Xue J, Zhu P, Liu L, Li S. Investigation of potential safety hazards during medical waste disposal in SARS-CoV-2 testing laboratory. Environ Sci Pollut Res Int 2021;28:35822-9.
Saleh N, Gamal O, Eldosoky MAA, Shaaban AR. An integrative approach to medical laboratory equipment risk management. Sci Rep 2024;14:4045.
Lestari F, Kadir A, Miswary T, Maharani CF, Bowolaksono A, Paramitasari D. Implementation of Bio-Risk Management System in a National Clinical and Medical Referral Centre Laboratories. International Journal of Environmental Research and Public Health 2021;18:2308.
The Medical Technology Council. Medical laboratory safety Manual. 1 ed. Nonthaburi, Thailand: The Medical Technology Council; 2022. p.111. (In Thai).
Quality and Service Development Group. Results of medical laboratory quality improvement efforts.; Satun Provincial Public Health Office 2024. p. 1-10 (In Thai).
Quality and Service Development Group, editor Implementing the quality improvement of medical laboratory services according to the Medical Technology Standards : 2022. 2024 January 8, 2024; Satun Provincial Public Health Office. (In Thai).
Quality and Service Development Group, editor Implementing quality improvement measures for medical laboratories. 2024: Satun Provincial Public Health Office. (In Thai).
Callihan DR, Downing M, Meyer E, Ochoa LA, Petuch B, Tranchell P, White D. Considerations for Laboratory Biosafety and Biosecurity During the Coronavirus Disease 2019 Pandemic: Applying the ISO 35001:2019 Standard and High-Reliability Organizations Principles. Applied Biosafety 2021;26:113-22.
Handayani W, Bowolaksono A, Lestari F, Kadir A, Satyawardhani SA, Liana D, et al. Bio-Risk Management Systems: Biosafety Assessment in COVID-19 Referral Hospitals in Indonesia. Safety [Internet]. 2024; 10(2):[1-13 pp.]. Available from: https://www.mdpi.com/2313-576X/10/2/36.
Janshine Kraisin. Risk Management in Laboratory Safety. Journal of Medical Technology 2023;50:8157-73. (In Thai).
