Browsing by Author "Fatuma Hassen"
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Item Assessment of Patient Satisfaction and Turnaround time while using Electronic Laboratory Information Management System Along with Associated Factors in Selected Public Hospitals in Addis Ababa, Ethiopia(Addis Ababa University, 2025-06-07) Mecca Yesuf; Fatuma HassenBackground: It is crucial and well documented to evaluate patient perception of laboratory service and turnaround time in order to provide high quality service. Although laboratory information management system is crucial for enhancing patient care and turnaround time, variables pertaining to LIMS that impact them must be investigated because there is lack of res Objective: To assess Patient satisfaction and Turnaround time while using Electronic laboratory information management system along with associated factors in selected public hospitals in Addis Ab Methods: A Hospital-based cross-sectional study was conducted at selected public hospitals by using both quantitative and qualitative data collection methods. The hospitals were selected using a simple random sampling method from a list of 13 public hospitals. Data was collected from 422 patient interviews and TAT recording for hematology and clinical chemistry tests as well as purposive selection of laboratory staffs with a total of 30 participants for structured questionnaire and in-depth interview. The collected data was coded and entered into excel and transferred to SPSS version 25 for further analysis. Both binary and multiple logistic regression analysis was used to see the association between dependent and independent variables. The findings were taken as significant with a p value of ≤ 0.05 at 95% confidence interval and results were presented with text, graph and tables. Aba, Ethiopia. Arch in Ethiopia that focus on this area. Result: The study’s response rate was 100%. 52.8% of respondents were male. The three hospitals’ overall mean scores for patient satisfaction were 3.3. Lab price and the courtesy and respect of staff were main sources of satisfaction; cleanliness of the latrines and seating arrangements, which were a major issue in all hospitals, were the main sources of dissatisfaction. Hematology tests that achieve target TAT was TASH 40.7%, SPMHMC 34.7% and ALERT 23%, also TAT achieved for clinical chemistry was TASH 52.7%, SPMHMC 56.7% and ALERT 39.3%. Turnaround time and patient care are impacted by issues like equipment failure, power outages, system outages, and unstable networks. Conclusion: Patient satisfaction and TAT in laboratory services is mostly dependent on effective laboratory management and infrastructure. Even though LIMS adoption has had a positive impact on operational efficiency; technical issues must be resolved, staff must be well trained, and a steady power and network supply must be ensured.Item Critical laboratory Test Result Management Practice and Associated Factors at Selected Public Health Facilities of Addis Ababa, Ethiopia(Addis Ababa University, 2025-06-01) Arsemawit Teferedegne; Fatuma Hassen; Abay SisayBackground: Critical Result Is a Result That Requires Immediate Medical Attention and Action Because It Indicate a High Risk of Imminent Death or Major Patient Harm. In Ethiopian Public Hospitals Where High Patient Volume, Limited Resources and Varying Infrastructure Exists Managing This Result Makes More Difficult. Besides, There Is Very Limited Research Information in This Regard. Thus, This Study Aimed to Assess the Management Practice of Critical Results and Its Associated Factors at Selected Hospitals. Methods: A Descriptive Cross-Sectional Study Was Conducted Across Four Public Hospitals Found in Addis Ababa, Using Both Quantitative and Qualitative Aspects, Different Data Collection Tools Are Used Like Staff Questionnaire, Document Review and Key Informant Interview Then Entered in to Microsoft Excel for Accuracy. Analysis Was Performed Using SPSS Version 23. Result: We Assessed Critical Laboratory Result Management Practice Across Four Public Hospitals, Among Laboratory Staff Respondents 96.6% Were Laboratory Technologists with Varying Years of Experience. 95.7% Reported No Training in Critical Result Management. Among The 422 Critical Results 46.6% Were Hematological Tests Followed by Carbohydrate (13.7%), Liver Function (11.8%), Electrolytes (10.19%), Renal Function Test (9.7%), Cardiac Marker 4.2% And Coagulation Tests (3.56%) From The 422 Critical Results Only 34(8.1%) Recognized and Managed as Critical Results, 38.6% Communicated in the Given Time Interval. St. Paul’s Hospital Millennium Medical College (SPHMMC) Achieved A 93% Rate of Timely Communication, While Yekatit 12 Hospital Managed Only 4%. Communication Of Laboratory Results Was Mainly with Electronic Health Record (EHR) And Most of the Critical Results Were Communicated with Electronic Health Record Like Every Other (Non-Critical) Test (91.9%), Which Makes Only 34(8.1%) Of the Results Communicated as Critical Results, The Communication Methods Used Inconsistently, Methods Were In-Person/Verbal, Phone Call, And Paper-Based Methods Are Used. And Only 17.6% Of the Tests Are Confirmed in Readback. There Was 0% Of Documentation of Critical Results in All Hospitals. Although Standard Operating Procedures (Sops) Existed, Stakeholders Were Not Involved in the Preparation of Standard Operating Procedures. Most Of the Staffs Reported High Workload and Resource Limitation as a Major Factor for Poor Critical Result Management. Physicians Expressed Dissatisfaction with the Current Practice 90%, By Stating the Consequence of Poor Management in Increasing Hospital Stay and Delayed Treatment, Emphasizing the Need for Faster Communication, Standardized Protocols and Improved Documentation for Better Patient Treatment. Conclusion: There Is a Significant Gap in Management of Critical Results, The Findings Indicate the Urgent Need for Standardize Protocol, Enhancing Training, And Improved Communication Systems to Ensure Effective and Prompt Management of Critical Results in Hospital Settings.Item Sexual Violence and the Risk of HIV Infection among VCT Users in South Wollo Zone, ANRS.(2009-12) Fatuma Hassen; Ngussie DeyassaIntroduction: sexual violence is one form of gender based violence which is the most silent epidemic; affect the health and life of women in the world. Because women have much less control over decision making, as a result of low status, and have less access to health and social services they are more vulnerable for violence and the risk of HIV infection. As a result of this gander based violence and HIV infection are the two most important factors which affect the health and wellbeing of women globally. Objective: The objective of this study is to assess the relationship between sexual violence and HIV infection among VCT user women in South Wollo Zone. Methods and Materials: A facility based cross sectional study was conducted using quantitative methods on a sample of 800 people living in seven selected districts of VCT centers of the south Wollo. Result: The quantitative study revealed that the prevalence of life time sexual violence, lifetime partner violence, and last 12 month partner violence was 34.6%. 32.3 And 10.5 %respectively. The prevalence of HIV among VCT users is 21.5%. Violence is significantly associated with the risk of HIV infection (life time sexual violence OR= 1.95, 95% CI =1.33-2.86), last 12 month intimate partner violence (OR= 2.55, 95% CI=1.5- 4.33). Conclusion: The prevalence of sexual violence and the risk of HIV infection is higher among illiterate women. Therefore, women empowerment is an important tool to reduce both sexual violence and HIV/AIDS, which are the major public health problem.