Gebretsadik, Alem (2013) Reducing Turnaround Time for CD4 Laboratory Test Results in Wukro Hospital. Masters thesis, Addis Ababa University.
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Abstract
Laboratory turnaround time is defined as the length of time from when a test is ordered to the time the result is reported. Various factors such as the type of test, level of urgency, and varying operational procedures have an impact on the turnaround time of laboratory investigations, with longer turnaround times having a negative impact on patient and staff satisfaction. The standard operational procedure for Wukro Hospital is to collect samples from 8:00am to 12:00pm and begin processing at 2:00pm. Under this process patients wait up to 6 hours for tests results which negatively satisfaction. In order to improve the quality of service delivery and increase patient and staff satisfaction the overall efficiency of the laboratory needs to be addressed. This project focuses on the impact of immediate processing of CD4 tests in reducing turnaround time and increasing patient and staff satisfaction at Wukro Hospital. Objective: To reduce turnaround time of CD4 tests from 3-6 hours to an average of 2 hours in Wukro Hospital by the end of August 2013. Methodology: A pre-post study was conducted in wukro hospital From January to March 2013 baseline data was collected on CD4 result turnaround times for 586 patients under the batch processing method and Follow-up data was collected on the turnaround time for receiving CD4 tests results from 640 patients after immediate processing was introduced during June to August 2013. Results: Before the intervention, the average TAT for CD4 test results was 4.38 hours (4.27-4.49 95% CI). The mean TAT decreased to 2.01 hours (2.00-2.04 95% CI) after the intervention (P<0.0001). After introducing the immediate processing method the maximum TAT was 2.5 hours, with the majority of patients 556/640 86.9 % receiving their results in 2 hours or less. Work Plan and Budget: The study was conducted from January - August 2013, with a total required cost of 6,050ETB. Conclusion: Processing CD4 tests immediately after sample collection was effective in reducing turnaround time and increasing patient, staff, and community satisfaction. With a more efficient system of laboratory service the hospital can communicate to the community its commitment to service quality by setting the expectation standard for Wukro Hospital at 2 hours for CD4 exam results. Recommendations Acceptance TAT of CD4 test is important for health facilities. It is important to assess the turnaround time of the other laboratory tests.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 01 Nov 2018 09:03 |
| Last Modified: | 01 Nov 2018 09:03 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7240 |
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