การจัดการสภาพแวดล้อมทางกายภาพเพื่อพัฒนาห้องปฏิบัติการเวชศาสตร์ชันสูตรตามหลักการสถานที่ทำงานส่งเสริมสุขภาพ : กรณีศึกษาโรงพยาบาลพระมงกุฎเกล้า / ภิญญ์นรี สิริสาลี = The management of physical environment for developing of clinical laboratory through the healthy workplace concept : case study of Phramongkutklao Hospital / Pinnaree Sirisali
Clinical laboratory is recognized as a place to serve clinician in the patient care process. Laboratory personnel works daily under a great physical and psychological pressure caused by high volume and speedy of work, as well as in an unpleasant environment. A safe work place is one factor of leading to both laboratory personnel and patients’ safety. The purpose of this study was an intense identification of the unpleasant condition in the work place, and formulating a standard guideline for the management of physical environment through the concept of healthy work place. Clinical laboratory of Phramongkutklao Hospital is selected as a study site. Both direct observation and interview of clinical laboratory personnel were used as a study tool. Results showed that Phramongkutklao Hospital laboratory was the high potential service workplace, but it was not a true healthy workplace. Both potential and problems of being a healthy workplace could be classified into 2 categories; 1) management: clinical laboratory strictly followed the Royal Thai Army policy to place health promotion as the top goal. Unfortunately, the own health promotion practice guideline did not exist. The appropriate laboratory work-shift schedule and the right man on the right job were established. For the risk management, the near-miss, and accident prevention was based on the hospital guideline. 2) environment: they paid emphasis on the concept of healthy workplace; the location, circulation, physical environment and safe work area were all concerned. However, there were some minor deficit and some mis-used area that need to be corrected. In addition, the limited space for future expansion was also found. Finally, recommendation and a better design for Phramongkutklao Hospital laboratory was proposed for her to become a healthy workplace.
