Development of a Rational Laboratory Analysis Framework at Chaturakphakphiman Hospital, Roi Et Province

Abstract

Purpose : To develop a rational laboratory analysis framework at Chaturakphakphiman Hospital in Roi Et Province.

Study design : This study employs action research based on the concepts of Kemmis & McTaggart, consisting of four steps: Planning, Action, Observation, and Reflection.

Materials and Methods : The implementation took place from September 2022 to October 2023. The data collection tools included interview recording forms, focus group discussion notes, and a satisfaction questionnaire regarding the guidelines for reducing overutilization and underutilization. Data analysis was conducted using descriptive statistics and content analysis.

Main findings : The research findings indicate that the rational laboratory analysis framework at Chaturakphakphiman Hospital in Roi Et Province consists of nine steps: 1) Analyzing the situation and context across three dimensions; 2) Developing an action plan; 3) Establishing a Rational Laboratory Utilization (RLU) committee; 4) Announcing policies to reduce overutilization and underutilization; 5) Developing the IT Support Pop-up system; 6) Monitoring, supervising, and evaluating activities through proactive on-site assessment; 7) Assessing outcomes post-implementation; 8) Organizing knowledge exchange forums; and 9) Documenting lessons learned.

Conclusion and recommendations : After the implementation, physicians reported a significantly increased level of satisfaction with the IT Support Pop-up system. The rate of repeat HbA1C tests decreased by 33.19%, while the quality of care showed a positive trend. This approach helps reduce unnecessary laboratory orders and enhances the efficient use of medical resources. The goal is to ensure that patients receive targeted and cost-effective analyses, thereby reducing unnecessary testing costs.