Cultura

Investigating the Relationship between Laboratory Information System User Satisfaction and the Quality of Laboratory Services in Saudi Arabian Hospitals: A Review

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

Sultan Hussain Bin Shannan Alghamdi, Nasser Mareeh M Aldhafeeri, Saud Quayman Wabri Aldhafeeri, Abdulaziz Ramadan Dughayyim Aldhafeeri, Tahani Thujayl Otaysh Aldhafeeri, Nawaf Fahad Aftan Alanazi

Abstract

Laboratory Information Systems (LIS) have become foundational to modern clinical laboratory operations, influencing workflow efficiency, diagnostic accuracy, turnaround time, and overall service quality. In Saudi Arabian hospitals, rapid digital transformation aligned with national health reform initiatives has increased reliance on integrated health information technologies. However, the relationship between LIS user satisfaction and measurable laboratory service quality outcomes remains insufficiently synthesized in the regional context. This review examines the association between LIS user satisfaction and laboratory service quality in Saudi hospitals through systematic analysis of peer-reviewed literature. A structured search following PRISMA 2020 guidance was conducted using PubMed, Scopus, and Web of Science. Findings indicate that user satisfaction is strongly associated with system usability, perceived usefulness, training adequacy, technical support, and interoperability. High LIS satisfaction correlates with improved turnaround time, reduced transcription errors, enhanced reporting accuracy, and improved clinician-laboratory communication. Conversely, dissatisfaction is associated with workflow disruption, delayed reporting, and increased risk of pre-analytical and post-analytical errors. Organizational culture, leadership engagement, and continuous quality improvement programs mediate the strength of this relationship. Although regional empirical studies remain limited, available evidence supports a positive and bidirectional association between LIS satisfaction and laboratory service quality. Future Saudi-based studies should employ validated measurement models to quantify this relationship within public and private hospital settings.

Keywords : laboratory information systems, user satisfaction, service quality, laboratory services, Saudi Arabia.
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