การพัฒนาระบบการให้บริการเจาะเลือด เก็บตัวอย่าง และการนำส่งตัวอย่าง สำหรับหน่วยบริการนอกโรงพยาบาล เครือข่ายบริการสุขภาพ อำเภอตาพระยา จังหวัดสระแก้ว

Kornmaneethana  Punnasirimangmee

Authors

Kornmaneethana Punnasirimangmee Medical Technology and Radiology Department, Ta Phraya Hospital, Sa Kaeo Province, Thailand

Keywords:

Blood collection service unit, Collect samples outside hospitals, Health service networks, ADDIE Model

Abstract

The Ministry of Public Health has arranged for registration of blood collection service units outside hospitals to support congestion reduction and to ensure that specimens meet quality standards. This research aimed to develop a model for blood collection, specimen collection, and specimen transportation, and to evaluate its effectiveness in out-of-hospital service units in the health service network of Ta Phraya District, Sa Kaeo Province. Action research was applied in combination with systematic teaching based on the “ADDIE Model” with a multidisciplinary team of 60 personnel. Knowledge provision and workshops were conducted through five steps: (1) analysis of context and problems, (2) design and process development, (3) development, (4) implementation, and (5) evaluation of processes and outcomes. Data was collected by questionnaires and performance evaluation forms. Results showed that the average knowledge and practice scores of the multidisciplinary team after development were significantly higher than before development by 3.27 points (SD = 3.03) (p < 0.001). The specimen rejection rate was 0% (goal ≤1%), meeting the standard indicator, and the accuracy rate in specimen transportation for analysis was 100% (goal 100%), also meeting the indicator. The improved model reduced patient waiting time by two hours, with service satisfaction reaching 95% (goal ≥85%). All 15 out-of-hospital service units met the required standards. This workshop-based development model using the ADDIE framework can serve as a prototype for improving other services in the future.

References

Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. Government Action Plan 5-Year Period (B.E. 2566-2570) of the Ministry of Public Health and the Office of the Permanent Secretary [Internet]. 2023 [cited 2023 Oct 31]; [1 page]. Available from: https://spd.moph.go.th/government-action-plan/.

Department of Medical Sciences. Guidelines for Blood Collection, Sample Storage, and Transportation for Out-of-Hospital Service Units to Support the Ministry of Public Health’s Overcrowding Reduction Project. Nonthaburi: Planning and Academic Division, Department of Medical Sciences; 2023.

Bhatt RD, Shrestha C, Risal P. Factors affecting turnaround time in the clinical laboratory of the Kathmandu University Hospital, Nepal. EJIFCC 2019; 30: 14-24.

Chaisong S, Makchaeng K, Nasueb S. A study on the development of a monitoring and evaluation system for the provincial alcohol control strategic project: A study from 25 provinces. Report submitted to the Subcommittee on Technical Considerations for Alcohol Control Policy; 2017.

Shier ML, Turpin A. An evaluative approach to identify social innovations within human service organizations: Case examples of a performative stage of developmental evaluation. Hum Serv Organ Manag Leadersh Gov 2019; 43: 171-87.

Blachet-Cohen N, Geoffroy P, Hoyos LM. Seeking culturally safe developmental evaluation: Supporting the shift in services for Indigenous children. J Multidiscip Eval 2018; 14: 19-31.

Landers G, Price K, Minyard K. Developmental evaluation of a collective impact initiative: insights for foundations. Found Rev 2018; 10: 114-27.

Quality Development and Academic Division, Ta Phraya Hospital. 2023 Annual Report: Executive Committee and Quality Steering Team Meetings. Sa Kaeo: Ta Phraya Hospital; 2023. (in Thai).

Kruse K. Introduction to instructional design and the ADDIE model [Internet]. 2008 [cited 2024 Sep 13]. Available from: http://www.elearningguru.com/articles/art2.

Ratanatewanet C, Somnuek A, Inhongsa A, Prasomrak P. The result of using the operating manual for staff at sub-district health promoting hospitals, Amnat Charoen province in 2019. JKKPHO 2019; 1: 107-20 (in Thai).

Supasiri Z, Phutthapitakphon S, Plianbamrung D. Effects of an outpatient service model for diabetic patients on waiting time and service satisfaction. J Cardiovasc Thorac Nurs 2017; 28: 44-56. (in Thai).

Aphasat S. Factors affecting the development of service systems in Sub-district Health Promoting Hospitals in Suphan Buri Province. Academic J Community Public Health 2020; 6: 86-95. (in Thai).

Shier ML, Turpin A. An evaluative approach to identify social innovations within human service organizations: Case examples of a performative stage of developmental evaluation. Hum Serv Organ Manag Leadersh Gov 2019; 43: 171-87.

Jinakiew S. Development of an outpatient service model based on logistics concepts at Phop Phra Hospital, Tak Province [Master’s thesis]. Nonthaburi: Sukhothai Thammathirat Open University; 2017. (in Thai).