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NABH 认证的神经精神病医院患者对静脉穿刺服务的满意度分析:改进的有效工具

Analysis of Patient's Satisfaction with Phlebotomy Services in NABH Accredited Neuropsychiatric Hospital: An Effective Tool for Improvement.

作者信息

Gupta Anshu, Dwivedi Tanima, Chaudhary Raju

机构信息

Associate Professor and In-charge, Department of Pathology and Sample Collection, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi, India.

Senior Resident, Department of Emergency Lab and Sample Collection, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi, India.

出版信息

J Clin Diagn Res. 2017 Sep;11(9):EC05-EC08. doi: 10.7860/JCDR/2017/26190.10562. Epub 2017 Sep 1.

Abstract

INTRODUCTION

Patient's satisfaction is the need of the hour and one of the most important quality indicators in the laboratory medicine.

AIM

To assess the patient's satisfaction with phlebotomy services in a neuropsychiatric hospital by a structured questionnaire with grading scale. Also, identify the problems causing dissatisfactions and to undertake necessary Corrective and Preventative Action (CAPA).

MATERIALS AND METHODS

Total 1200 patients were randomly selected over a period of two months (June and July 2016). A structured self designed questionnaire (feedback form) was devised in both Hindi and English languages containing ten questions with a grading scale for each question. It also included suggestions from the users. All the selected patients or their attendants filled up this questionnaire. At the same time, they were also interviewed by phlebotomy staff. A statistical analysis was conducted using SPSS version 16.0 software and Likert scale.

RESULTS

A total of 94% of the patients were satisfied with the phlebotomy services. Almost 30.0% patients found the phlebotomy services to be very good, but the majority of them (40.5%) found it to be good and another 23.5% found it to be satisfactory while, 4% found the services to be poor and 2% found it to be very poor. The highest rate of satisfaction (4.21) was noted in case of parameter-ease to find collection sample room and lowest rate of satisfaction (3.92) was scored by the parameter-staff's wearing proper uniform. Depending upon the deficient areas some corrective actions were suggested such as strict compliance of personal protective equipments, regular training to improve technical skill, knowledge and behaviour with emphasis on cleanliness of work area.

CONCLUSION

Even though the overall patient's satisfaction was high, there were areas which needed our attention such as waiting time for phlebotomy procedure, lack of proper sitting arrangement, techniques of sample collection, knowledge of universal precautions etc. Appropriate corrective and preventive actions were taken to solve the problems. Thereby, feedback proved effective in maintenance and improvement of phlebotomy services.

摘要

引言

患者满意度是当下的需求,也是检验医学中最重要的质量指标之一。

目的

通过带有分级量表的结构化问卷,评估一家神经精神病医院患者对静脉采血服务的满意度。同时,找出导致不满的问题,并采取必要的纠正和预防措施(CAPA)。

材料与方法

在两个月(2016年6月和7月)的时间里随机选取了1200名患者。设计了一份结构化的自设问卷(反馈表),问卷有印地语和英语两种语言版本,包含十个问题,每个问题都有一个分级量表。问卷还包括用户的建议。所有选定患者或其陪护人员填写了这份问卷。与此同时,采血工作人员也对他们进行了访谈。使用SPSS 16.0版软件和李克特量表进行了统计分析。

结果

共有94%的患者对静脉采血服务感到满意。近30.0%的患者认为静脉采血服务非常好,但大多数患者(40.5%)认为服务良好,另有23.5%的患者认为服务令人满意,而4%的患者认为服务较差,2%的患者认为服务非常差。在“易于找到采血样本室”这一参数方面满意度最高(4.21),而在“工作人员穿着合适制服”这一参数方面满意度最低(3.92)。根据不足之处提出了一些纠正措施,如严格遵守个人防护设备规定、定期培训以提高技术技能、知识和行为水平,重点是工作区域的清洁。

结论

尽管患者总体满意度较高,但仍有一些方面需要我们关注,如静脉采血程序的等待时间、缺乏合适的座位安排、样本采集技术、通用预防措施知识等。采取了适当的纠正和预防措施来解决这些问题。因此,反馈在维持和改善静脉采血服务方面被证明是有效的。

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