Table 3. University Hospital Juan Ramón Jiménez participants’ opinions.
(AN, assistant nurse; LT, laboratory technician; CAP, clinical analysis physician; ED, emergency doctor)
| Professional | Dates | ||
|---|---|---|---|
| Weaknesses | |||
| Loss of urine samples, empty tube awaiting sample | Nurse | 1 | |
| Tests transport through pneumatic tubes, weight, blood cultures | All | 7 | |
| Network system when the connection fails | Nurse | 1 | |
| Vacuum failure in coagulation tube | Nurse | 1 | |
| Sample loss when pneumatic tube failure | AN | 1 | |
| The arrival of all tubes to the emergency department when there is a failure | AN | 1 | |
| Samples are returned by not being properly linked (several times) | AN, LT, Physician | 3 | |
| Errors caused by new staff, staff changes, and high tests requests demand | Physician | 2 | |
| Difficulties in extending tests requests | Physician | 2 | |
| Inadequate conditions for sample collection (ammonium, biological fluids, coagulated samples, gasometries with air bubbles) | LT, Physician | 3 | |
| Illegible requests | LT | 1 | |
| Sample sending delay | LT, Physician | 2 | |
| Non-persistent training and information | Physician | 1 | |
| Outcomes sending delay | Physician | 1 | |
| Threats | |||
| Wrong delivery of samples through a pneumatic tube | Nurse, LT | 2 | |
| System failures, Software failures with requests linking, wrongly linked or not linked | All | 7 | |
| Excess of testing requests, errors by the excess of requests | Nurse, Physician, AN | 4 | |
| Scarce staff resources (ward staff) | Physician | 1 | |
| Not possible extension of requests due to excess of time since the sample was taken | LT | 1 | |
| Unjustified samples | Physician | 1 | |
| Strengths | |||
| Ease of sample identification | Nurse | 1 | |
| Analytical tests linking system | Nurse | 1 | |
| Quick and safe when the network system is properly working | Nurse, Physician | 2 | |
| Improvement in outcomes delays | Nurse, Physician | 2 | |
| Improvement in communication between professionals | LT | 1 | |
| Better sample traceability when network is properly working | Physician | 1 | |
| Opportunities | |||
| Direct pneumatic tube communication between the emergency department and laboratory | All | 3 | |
| Resident guidance | Physician | 1 | |
| Improvement of a communication system (Clinic history software, hospital network) | All | 7 | |
| Pneumatic tube | All | 7 | |