Stavovi laboratorijskog osoblja Kliničkog bolničkog centra Zagreb prema akreditaciji

master's thesis

• Title (english): Attitudes toward accreditation among laboratory staff of University Hospital Centre Zagreb
• Author: Katarina Krešo
• Mentor: Dunja Rogić (mentor)
• Committee member: Dunja Rogić (predsjednik povjerenstva)
• Committee member: Anita Somborac Bačura (član povjerenstva)
• Committee member: Lidija Bach-Rojecky (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Department of medical biochemistry and haematology); Zagreb
• Defense date and country: 2021-09-30, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Medical Biochemistry

Abstract

Akreditaciju medicinskih laboratorija u Hrvatskoj provodi Hrvatska akreditacijska agencija prema međunarodnoj normi ISO 15189. U Hrvatskoj se akreditacija provodi na dobrovoljnoj bazi te je samo 8 laboratorija trenutno akreditirano za ispitivanja u području kliničke kemije i laboratorijske hematologije. Cilj ovog rada bio je istražiti stavove laboratorijskog osoblja Kliničkog bolničkog centra Zagreb o akreditaciji laboratorija, ispitati koje su percipirane prednosti i mane akreditacije te utvrditi postoje li razlike u stavovima osoblja prema akreditaciji i njihovoj upoznatosti s akreditacijskim zahtjevima s obzirom na stečenu razinu obrazovanja i dob. Anketa je provedena pred godišnji akreditacijski nadzor krajem 2020. godine, djelomice pomoću online anketnog softwarea SurveyMonkey i djelomice u papirnatom obliku. Anketni upitnik sadržavao je 34 pitanja; prvi dio upitnika odnosio se na demografske karakteristike ispitanika, a u drugom dijelu ispitivani su njihovi stavovi o akreditaciji i sustavu kvalitete. Prikupljeno je ukupno 118 odgovora. Većina ispitanika ima pozitivan stav o akreditaciji te preferira raditi u akreditiranom laboratoriju. Kao glavnu prednost akreditacije navode bolje dokumentiranje radnih procesa, dok s druge strane kao glavnu manu navode preveliku količinu dokumentacije. Većina ispitanika smatra da je akreditacija povećala njihovo radno opterećenje, ali vođenje akreditacijske dokumentacije smatraju primjereno zahtjevnim. Godišnje akreditacijske nadzore osoblje doživljava kao dodatan stres. Ispitanici s visokom stručnom spremom češće imaju pozitivan stav o akreditaciji, češće smatraju da se akreditacijom postiže povećana pouzdanost rezultata i bolje su upoznati sa zahtjevima norme ISO 15189 u odnosu na one sa srednjom i višom stručnom spremom. Stoga bi se za potonje trebalo osigurati kontinuirani program edukacije te uvažiti njihove prijedloge za poboljšanje sustava kvalitete kako bi osigurali pridržavanje propisanih protokola, unaprijedili motivaciju i iskoristili puni potencijal sveg osoblja. Dob ispitanika ne utječe na njihove stavove o akreditaciji. Ovo je prvo istraživanje koje je ispitalo stavove laboratorijskog osoblja u Hrvatskoj prema akreditaciji, a analizom rezultata otkrivene su nove spoznaje koje se mogu primijeniti kako bi nastavili poboljšavati kvalitetu laboratorijske usluge i unaprjeđivati sustav osiguranja kvalitete.

Abstract (english)

Accreditation of medical laboratories in Croatia is carried out by the Croatian Accreditation Agency according to the international standard ISO 15189. In Croatia, accreditation is carried out on a voluntary basis and only 8 laboratories are currently accredited for clinical chemistry and laboratory hematology testing. The aim of this study was to investigate the attitudes of laboratory staff of the University Hospital Centre Zagreb on laboratory accreditation, to examine the perceived advantages and disadvantages of accreditation and to determine whether there are differences in staff attitudes towards accreditation and their familiarity with accreditation requirements depending on education level and age. The survey was conducted prior to the annual accreditation review at the end of 2020, partly using the online survey software SurveyMonkey and partly in paper form. The survey questionnaire contained 34 questions; the first part of the questionnaire referred to the demographic characteristics of the respondents, and the second part of the survey contained their views on accreditation and the quality system. A total of 118 responses were collected. Most respondents have a positive attitude towards accreditation and prefer to work in an accredited laboratory. They cite better documentation of work processes as the main advantage of accreditation, while on the other hand they cite too much documentation as the main disadvantage. Most respondents believe that accreditation has increased their workload, but they consider keeping accreditation documentation to be appropriately demanding. Annual accreditation inspections are perceived by staff as additional stress. Respondents with a master’s degree (at least) are more likely to have a positive attitude towards accreditation, more often believe that accreditation achieves increased reliability of results and are better acquainted with the requirements of ISO 15189 compared to those who completed secondary school and those with a bachelor’s degree. Therefore, a continuous training program should be provided for the latter and their suggestions for improving the quality system should be taken into account in order to ensure adherence to the prescribed protocols, improve motivation and use the full potential of all staff. The age of the respondents does not affect their attitudes about accreditation. This is the first study to examine the attitudes of laboratory staff in Croatia towards accreditation, and the analysis of the results revealed new insights that can be applied to continue to improve the quality of laboratory services and improve the quality assurance system.

• Keywords: akreditacija; medicinski laboratorij; sustav osiguranja kvalitete; laboratorijsko osoblje; ISO 15189
• Keywords (english): accreditation; medical laboratory; quality assurance system; laboratory staff; ISO 15189
• Language: croatian
• URN:NBN: urn:nbn:hr:163:023481
• Study programme: Title: Medical biochemistry; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: magistar/magistra medicinske biokemije i laboratorijske medicine (magistar/magistra medicinske biokemije i laboratorijske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-11-03 14:25:01