Development of a web application for use in the quality control process of POC hematocrit testing at Phukhieo Chalermprakiat hospital, Chaiyaphum province
Keywords:
web application, point-of-care hematocrit testing, quality control processAbstract
Hematocrit testing is a laboratory test to assess anemia or polycythemia. It is a test that is simple, convenient, and rapid. Therefore, it is used as a point-of-care test for patients which requires speed, accuracy and competing against time, especially patients who are in critical stages. Point-of-care hematocrit testing without a good quality control management system can affect patient care safety. To create convenient and efficient operation, the researcher therefore developed a web application for use in the quality control process. The objectives are to: 1) develop a web application for use in the quality control process of point-of-care hematocrit testing and 2) develop a quality management system for point-of-care hematocrit testing. The study method was to develop and evaluate the performance of a web application used to control the quality of hematocrit testing which is divided into 3 phases: 1) the phase before using web application; 2) the phase of using web application; and 3) the phase of web application development. The study used quality and test efficiency data as well as satisfaction questionnaires, executive interviews, nurse interviews, medical technologist and laboratory staff interviews. The results at the web application development phase showed that the satisfaction levels regarding the quality control of hematocrit measurement and the use of the web application have increased. Coefficient of variation (%CV) was within the specified criteria (%CV Limit < 4%) and the period for returning results tends to improve. Executives agreed that using web applications can save time, reduce workload, and benefit the organization. In conclusion, the developed web application will be used as in-house information technology in the quality control management system for point-of-care hematocrit testing at Phukhieo Chalermprakiat Hospital, Chaiyaphum Province which is able to effective respond to user needs and save costs.
References
Sakaew P, Kongros K, Wongsri P, Apiratmateekul N, Treebuphachatsakul W. Performance of a hematocrit determination in health promotion hospitals when using different assigned values. Int J Pharma Bio Sci. 2020;11(4):77-82.
Luenee P, Napatsornweerawong N, Tientadakul P, Wongkrajang P, Kiartivich S, Opartkiattikul N. Point-of-care Glucose Testing: thirteen-year experience of quality improvement at the 2,000 bed medical school hospital. J Med Tech Assoc Thailand. 2021;49(1):7676-95.
Altura MJ, Kim R, Binghay CJ, Smith K, Hashim IA. Correlation between blood hemoglobin measured by point of care instrument and hematocrit measured by the central laboratory. Clinical Pathology Laboratory Week (2023); A-028.
Khan AI, Pratumvinit B, Jacobs E, Kost GJ, Kary H, Balla J, et al. Point-of-care testing performed by healthcare professionals outside the hospital setting: consensus-based recommendations from the IFCC Committee on Point-of-Care Testing (IFCC C-POCT). Clin Chem Lab Med. 2023;61(9):1572-9.
Pai S, Frater JL. Quality management and accreditation in laboratory hematology: Perspectives from India. Int J Lab Hematology. 2019;41(Suppl 1):177-83.
McKenzie SB. Clinical Laboratory Hematology. New Jersey, Pearson Prentice Hall; 2004.
Billett HH. Hemoglobin and Hematocrit. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Butterworths; Boston: 1990.
The recommended method for the determination of packed cell volume by centrifugation. In:. World Health Organization; 2000. Diagnostic imaging and laboratory technology [Internet] [cited Jun 9 2024]. Available from: https://apps.who.int/iris/handle/10665/66240
Linko-Parvinen AM, Keranen K, Kurvinen K ,Tienhaara A, HemoScreen hematology analyzer compared to Sysmex XN for complete blood count, white blood cell differential, and detection of leukocyte abnormalities. E J Haem. 2022;3(4):1126-34.
Singh A, Dubey A, Sonker A, Chaudhary R. Evaluation of various methods of point-of-care testing of haemoglobin concentration in blood donors. Blood Transfus. 2015;13(2):233-9.
HemataStat II Hematocrit Analyzer. EKF diagnostics. Point of care . Hematology, [internet] [cited Dec 3 2023]. Available from: https://www.ekfdiagnostics.com/hematastat-II.html
St John A, Price CP. Existing and Emerging Technologies for Point-of-Care Testing. Clin Biochem Rev. 2014;35(3):155-67.
Shaw JLV. Practical challenges related to point of care testing. Pract. Lab. Med. 2016;4:22-9.
National Guidelines of Point-of-Care Testing for Thailand. Yawongwiroj B. J Ministry of Public Health, editor Thailand Press; 2015.
ISO 15189:2022. Medical laboratories requirements for quality and competence. International Organization for Standardization; 2022.
Phumeechanya N, Teamsriratchaneekorn P. The development of m-learning with self-directed learning on basic python programming language for computer education students nakhon pathom rajabhat university. Khru Pibul Journal, Volume 8, Issue 1 (January–June). 2021; 2586-8969.
New CLIA proposed rules for acceptance limits for proficiency testing [internet]; 2019. Westgard QC [cited Mar 11 2024]. Available from: https://www.westgard.com/2019-clia-changes.htm.
Jerdsermanan S, Manorom W, Rattanachaipornpun P. editors. Medical Technology Standards 2022. The Medical Technology Council; 2022. Vol. 1: p. 36-52.
Palavisut C. Development of a Web Application to Enhance Information Technology Skills for Level 2 Students at Anuban Ratchaburi School. Silpakorn University Library; 2019.
Prasomsab R, Suwantheeraangkoon S. Web Application for Program Education and Examination. King Mongkut's Institute of Technology Ladkrabang; 2020.
Naknarin T. Wongruekdee J, Pongviritthon K, Wongwilairat S. Development of a Web Application Prototype to Enhance the Marketing Potential of Tak Cattle Entrepreneurs in Tak Province. Journal of Administration and Local Innovation; 2021.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of the Medical Technologist Association of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
