Does Dublin need a Centralised Pathology Service?
Review the current pathology service in Dublin. Examine the challenges involved in creating a centralised laboratory. Determine if centralisation has improved TAT and quality. Does Dublin need a centralised service?
Inductive approach. Direct non-disguised qualitative research, using semi-structured In-depth interviews(IDI). The data collected was divided into codes. The primary IDI’s reviewed the centralisation process. The secondary IDI’s provided a snap-shot of the current pathology service in Dublin.
Centralisation has resulted in improved patient care and better TAT. Dublin pathology laboratories are providing an excellent service. Sample volume is increasing. Staffing is a huge problem. Insufficient space is an issue for many laboratories. Modernisation and LEAN initiatives need to be increased. 66% felt centralisation would help the service, via a Hub and Spoke model. Stakeholder agreement was seen as the greatest challenge.
DISCUSSION & CONCLUSION
Within the HSE there is little or no demand management. Staff skill-mix needs to be explored. Space and the locations of these laboratories in hospitals have restricted the potential for expansion & greater modernisation.
Examination of two centralised laboratories has shown improved patient care through standardisation, improved TAT and greater efficiencies. Proving that centralisation if well designed, does work.
- Aisling O’Connor Senior Biomedical Scientist Histology - Mater Private Hospital