Innovative strategies for a successful SLMTA country programme: The Rwanda story.
Innovative strategies for a successful SLMTA country programme: The Rwanda story.
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DOI：
10.4102/ajlm.v3i2.217
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发表时间：
2014
影响因子：
1.1
通讯作者：
Muvunyi CM
中科院分区：
文献类型：
--
作者：
Nzabahimana I;Sebasirimu S;Gatabazi JB;Ruzindana E;Kayobotsi C;Linde MK;Mazarati JB;Ntagwabira E;Serumondo J;Dahourou GA;Gatei W;Muvunyi CM
2009年，为了提高实验室的绩效并加强医疗保健系统，世界卫生组织非洲区域办事处（世卫组织非洲办事处）和合作伙伴发起了两项倡议：一项名为“加强实验室管理迈向认证”（SLMTA）的实验室质量改进计划，以及现在称为“迈向认证的逐步实验室质量改进进程”（SLIPTA）的计划。本研究描述了卢旺达实验室的成就四年后，在该国引入SLMTA，使用SLIPTA评分系统来衡量实验室的进展。2010年、2011年和2013年，三个队列各有五个实验室参加了SLMTA方案。这些队列使用SLMTA研讨会，改进项目，导师制和季度绩效融资激励措施，以加快实验室质量的提高。基线、退出和后续审计在入组后的两年期间内进行。审计分数用于将实验室质量分类为0（< 55%）至5（95% - 100%）星。在基线时，15个实验室中有14个获得了零星级，其余实验室获得了二星级。在出口处，五个实验室获得一颗星星，六个获得两颗星星，四个获得三星。在退出后约一年对前两个队列进行的后续审计中，一个实验室获得二星，五个实验室获得三星，包括国家参考实验室在内的四个实验室获得四星。加入塞拉利昂实验室管理局的卢旺达实验室在质量管理系统方面有所改进。要保持取得的成果并进一步扩大可持续土地管理援助方案，以实现国家目标，就需要继续加强方案。
In 2009, to improve the performance of laboratories and strengthen healthcare systems, the World Health Organization Regional Office for Africa (WHO AFRO) and partners launched two initiatives: a laboratory quality improvement programme called Strengthening Laboratory Management Toward Accreditation (SLMTA), and what is now called the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA). This study describes the achievements of Rwandan laboratories four years after the introduction of SLMTA in the country, using the SLIPTA scoring system to measure laboratory progress. Three cohorts of five laboratories each were enrolled in the SLMTA programme in 2010, 2011 and 2013. The cohorts used SLMTA workshops, improvement projects, mentorship and quarterly performance-based financing incentives to accelerate laboratory quality improvement. Baseline, exit and follow-up audits were conducted over a two-year period from the time of enrolment. Audit scores were used to categorise laboratory quality on a scale of zero (< 55%) to five (95% – 100%) stars. At baseline, 14 of the 15 laboratories received zero stars with the remaining laboratory receiving a two-star rating. At exit, five laboratories received one star, six received two stars and four received three stars. At the follow-up audit conducted in the first two cohorts approximately one year after exit, one laboratory scored two stars, five laboratories earned three stars and four laboratories, including the National Reference Laboratory, achieved four stars. Rwandan laboratories enrolled in SLMTA showed improvement in quality management systems. Sustaining the gains and further expansion of the SLMTA programme to meet country targets will require continued programme strengthening.