Improving Efficiency and Effectiveness of Clinical Chemistry Laboratory Reporting with Autoverification System in Uttaradit Hospital

suwipar Deebukkham — Sun, 28 Jun 2026 00:00:00 +0700

ABSTRACT
Background: Laboratory result reporting is a critical function for patient diagnosis and clinical management. However, relying on medical technologists to manually verify each result can cause delays and negatively impact both the efficiency (processing time and staff workload) and effectiveness (accuracy and patient safety) of result reporting. Implementation of an autoverification system is a promising approach to improve laboratory result reporting.
Objectives: 1) To compare the efficiency of result verification and reporting in clinical chemistry laboratory between manual verification (MV) and autoverification (AV) systems in terms of turnaround time and staff workload, 2) To assess the effectiveness of both systems regarding accuracy and error detection capability.
Methods: A before-and-after study was conducted in the Division of Medical Technology and Clinical Pathology at Uttaradit Hospital over 12 months (6 months before and 6 months after AV system implementation). Twenty-two tests from clinical chemistry and immunology were included, with a total of 152,347 test results collected retrospectively. Data were analyzed using descriptive statistics
(mean, standard deviation, frequency, percentage) and Levene’s Test for Equality of Variances with SPSS software.
Results: The AV system successfully reported 123,546 results (81.10%), while MV reported 28,801 results (18.90%). The AV system significantly reduced verification time (p < 0.05), saving approximately 1,245.02 hours per month (~50% reduction) and decreased staff workload by 70-85%. Additionally, AV improved error detection from specimen collection and preparation, and achieved 100% critical value detection with zero missed results.
Conclusion: The autoverification system demonstrated high efficiency and effectiveness by accelerating result reporting, reducing errors, enhancing patient safety, and decreasing staff workload. This model can be implemented in other laboratory departments and expanded to other healthcare network units.

A Case Study of Full-Mouth Rehabilitation Using Crowns, Fixed Partial Dentures, and Metal-Based Removable Partial Dentures

Thaksiya Thaksin — Wed, 29 Apr 2026 00:00:00 +0700

Full-mouth rehabilitation is indicated for patients with severe tooth wear and extensive posterior tooth loss, resulting in a compromised oral condition and loss of vertical dimension (VD). This condition often leads to unstable and nonfunctional centric occlusion (CO). Therefore, comprehensive reconstruction is required to restore the dentition and re-establish an occlusal scheme that closely approximates the patient’s original physiological condition.

This article presents the principles for diagnosing loss of vertical dimension in conjunction with edentulous ridges, as well as the corresponding treatment approaches. A case report of a 67-year-old male patient is described, who exhibited loss of vertical dimension due to multiple posterior tooth loss and prolonged improper occlusion. These conditions resulted in generalized tooth wear and multiple edentulous areas. In this case, rehabilitation was carried out all-ceramic crowns, bridges and metal-based removable partial dentures to restore proper tooth length, morphology, and esthetics, improve phonetics, and re-establish a functional and appropriate occlusal relationship.

The patient was followed up at 1 week, 2 weeks, and 3 months post-treatment. The outcomes demonstrated satisfactory esthetics and occlusal stability, and the patient expressed satisfaction with the treatment results. However, full-mouth rehabilitation using this approach requires a high level of patient compliance and careful consideration of additional factors, including treatment cost, extended treatment duration, and the patient’s general health condition, in order to achieve optimal treatment success.

Medical Social Science Journal

Improving Efficiency and Effectiveness of Clinical Chemistry Laboratory Reporting with Autoverification System in Uttaradit Hospital

A Case Study of Full-Mouth Rehabilitation Using Crowns, Fixed Partial Dentures, and Metal-Based Removable Partial Dentures