Cultura

Evaluating The Effect Of Turnaround Time On Clinician Satisfaction In Clinical Laboratory Testing At Makkah Region Hospitals

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Saleh Ahmed Bin Abdullah Almuntashiri, Ageel Rashed Ageel Alzahrani, Shadi Ibrahim Misky, Abdulrahman Ali A Alsobhi, Amal Ahmad Ali Al Thobaiti
Samirah Raddad Alfahmi, Nadia Habbab Alhassani, Haifa Mohammad Bugis, Amal Salem Alharthi, Alaa Nuwayfi Alsaedi

Abstract

Laboratory turnaround time (TAT) is one of the cornerstones of optimal clinical decision-making, with its immediate impact on patient quality of care in busy healthcare environments. This research explores the effect of TAT on clinician satisfaction in three Makkah region, hospitals. A questionnaire was administered to 160 clinicians, comprising physicians, nurse practitioners, and physician assistants, to elicit their experiences of TAT delays, their level of satisfaction with the quality of the provided laboratory services, and the effect of delays on their clinical practice. Delays in routine tests, notably biochemistry panels and hematology, were widespread and primary reasons for general clinician discontent. This resulted in delayed patient diagnosis and prolonged patient waiting time, leading to clinician frustration and wastage of resources. Suggested solutions were automated result reporting systems and enhanced laboratory staffing. The findings attest that hospitals must render their laboratory processes efficient to enhance TAT and their clinicians' ability to provide quality care. Recommended recommendations include the use of real-time tracking of results with electronic tools, as well as staff education for enhanced efficiency of the laboratory.

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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty