One laboratory's progress toward accreditation in Tanzania.
One laboratory's progress toward accreditation in Tanzania.
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DOI：
10.4102/ajlm.v3i2.202
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发表时间：
2014
影响因子：
1.1
通讯作者：
Massambu CG
中科院分区：
文献类型：
--
作者：
Andiric LR;Massambu CG
坦桑尼亚的阿马纳地区医院化验室与其他11个区域和地区化验室一起被选中参加一个利用“加强实验室管理以获得认可”培训方案改进实验室质量的试点方案。SLMTA方案包括实践学习、三个系列讲习班之间和之后的改进项目、监督小组的监督访问和实验室专家导师的监督访问，以促进和指导这一过程。使用逐步实验室质量改进过程认证（SLIPTA）检查表，在基线、退出（基线后约一年）和随访（退出后7个月）进行审核。质量星级（0 - 5）是根据审核分数授予的。在实验室管理人员的敬业和强有力的领导下，Amana实验室实施了被推荐为最佳实验室实践要素的流程、政策和程序。实验室从基线时的0颗星（36%）提高到退出时的3颗星（81%）。这是该计划中12个实验室取得的最高分（其他实验室的退出分数中位数为58%）。项目完成7个月后，实验室的评分降至一星（62%）。随着SLMTA改进方案的进展，Amana实验室的积极态度和努力工作占了上风。在一位导师的协助和设施管理部门的支持下，建立了良好做法的坚实基础。虽然在项目结束后，并不是所有的改进都得到了保持，实验室的评级也降到了一星，但该实验室的水平仍然高于项目中大多数实验室的水平。
The Amana Regional Hospital Laboratory in Tanzania was selected, along with 11 other regional and district laboratories, to participate in a pilot programme for laboratory quality improvement using the Strengthening Laboratory Management Toward Accreditation (SLMTA) training programme. The SLMTA programme entailed hands-on learning, improvement projects between and after a three-workshop series, supervisory visits from an oversight team and an expert laboratory mentor to facilitate and coach the process. Audits were conducted at baseline, exit (approximately one year after baseline) and follow-up (seven months after exit) using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist. Quality stars (zero to five) were awarded based on audit scores. With a dedicated staff and strong leadership from laboratory management, Amana Laboratory implemented processes, policies and procedures recommended as elements of best laboratory practices. The laboratory improved from zero stars (36%) at baseline to successfully achieving three stars (81%) at exit. This was the highest score achieved by the 12 laboratories in the programme (the median exit score amongst the other laboratories was 58%). Seven months after completion of the programme, the laboratory regressed to one star (62%). As the SLMTA improvement programme progressed, Amana Laboratory’s positive attitude and hard work prevailed. With the assistance of a mentor and the support of the facility’s management a strong foundation of good practices was established. Although not all improvements were maintained after the conclusion of the programme and the laboratory dropped to a one-star rating, the laboratory remained at a higher level than most laboratories in the programme.