The SLMTA programme: Transforming the laboratory landscape in developing countries
The SLMTA programme: Transforming the laboratory landscape in developing countries
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DOI：
10.4102/ajlm.v3i2.194
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发表时间：
2014-01-01
影响因子：
1.1
通讯作者：
Nkengasong, John N.
中科院分区：
文献类型：
--
作者：
Yao, Katy;Maruta, Talkmore;Nkengasong, John N.
背景：高效和可靠的实验室服务对于有效和运作良好的卫生系统至关重要。实验室管理人员在确保这些服务的质量和及时性方面发挥着关键作用。然而，很少有实验室管理方案侧重于在资源有限的情况下实验室日常运作所需的能力。本报告详细介绍了一种创新的实验室管理培训工具，即“加强实验室认证管理”（SLMTA），并强调了在实施的头五年中遇到的一些挑战、取得的成就和吸取的经验教训（2009 - 2013年）在发展中国家的执行情况。SLMTA是一个以能力为基础的方案，它使用一系列短期课程和以工作为基础的学习项目来实现即时和可衡量的实验室改进，同时授权实验室管理人员实施实用的质量管理系统，以确保更好的病人护理。一个SLMTA培训方案为期12至18个月;每次讲习班后，参加者在定期监督访问或现场辅导的支持下实施改进项目。为了评估该实验室的优势、劣势和取得的进展，使用世界卫生组织非洲区域办事处（世卫组织非洲区域办事处）的实验室质量逐步改进认证程序清单进行了审计，该清单以国际标准化组织（ISO）15189要求为基础。结论：在五年内，SLMTA已在47个国家的617个实验室实施，改变了发展中国家的实验室景观。据我们所知，SLMTA是第一个将特定管理行为和惯例的绩效与ISO 15189要求明确联系起来的计划。由于这种密切的关系，SLMTA在帮助实验室寻求ISO 15189认证方面具有独特的优势。
Background: Efficient and reliable laboratory services are essential to effective and well-functioning health systems. Laboratory managers play a critical role in ensuring the quality and timeliness of these services. However, few laboratory management programmes focus on the competencies required for the daily operations of a laboratory in resource-limited settings. This report provides a detailed description of an innovative laboratory management training tool called Strengthening Laboratory Management Toward Accreditation (SLMTA) and highlights some challenges, achievements and lessons learned during the first five years of implementation (20092013) in developing countries.Programme: SLMTA is a competency-based programme that uses a series of short courses and work-based learning projects to effect immediate and measurable laboratory improvement, while empowering laboratory managers to implement practical quality management systems to ensure better patient care. A SLMTA training programme spans from 12 to 18 months; after each workshop, participants implement improvement projects supported by regular supervisory visits or on-site mentoring. In order to assess strengths, weaknesses and progress made by the laboratory, audits are conducted using the World Health Organizations Regional Office for Africa (WHO AFRO) Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist, which is based on International Organization for Standardization (ISO) 15189 requirements. These internal audits are conducted at the beginning and end of the SLMTA training programme.Conclusion: Within five years, SLMTA had been implemented in 617 laboratories in 47 countries, transforming the laboratory landscape in developing countries. To our knowledge, SLMTA is the first programme that makes an explicit connection between the performance of specific management behaviours and routines and ISO 15189 requirements. Because of this close relationship, SLMTA is uniquely positioned to help laboratories seek accreditation to ISO 15189.