Implementing laboratory quality management in Africa and central Asia: a model for healthcare improvement.
Implementing laboratory quality management in Africa and central Asia: a model for healthcare improvement.
复制标题
在非洲和中亚实施实验室质量管理：医疗保健改善的模式。
DOI：
10.1093/trstmh/trac062
复制
发表时间：
2022
影响因子：
2.2
通讯作者：
Fine,Glen
中科院分区：
文献类型：
--
作者：
Mateta,Patrick;Procop,GaryW;Mtotela,Wilson;Nyakuwocha,Raymond;Fine,Glen
背景优化的实验室服务被认为是高质量医疗服务的一个组成部分。然而，在资源有限的国家，这些服务往往得不到或达不到标准。实施质量管理体系（QMS）在实验室可以改变实验室服务，并最终提高病人的护理在这些settings.MethodsThe临床和实验室标准研究所，通过其全球卫生伙伴关系（GHP）计划，已介入32个实验室实施质量管理体系，提高性能。标准化的检查表之前和之后的结构化干预，以量化的影响，这个program.ResultsQMS的实施导致在统计上显着改善总体平均检查表得分。所有参与的实验室都表现出质量和性能的提高，13个实验室在本研究的时间范围内获得了国家认证。专业培训和现场指导（即培训培训员）和接触在质量管理体系的实施和维护方面有经验的专业人员，可以大大提高资源有限国家的质量。
BackgroundOptimized laboratory services are recognized as an integral part of high-quality healthcare delivery. However, these services are often unavailable or substandard in resource-limited countries. The implementation of quality management systems (QMSs) in the laboratory can transform laboratory services and ultimately improve patient care in these settings.MethodsThe Clinical and Laboratory Standards Institute, through its Global Health Partnerships (GHP) program, has intervened in 32 laboratories to implement QMSs and improve performance. Standardized checklists were used before and after the structured intervention to quantify the impact of this program.ResultsQMS implementation resulted in a statistically significant improvement in overall mean checklist scores. All participating laboratories demonstrated improvement in their quality and performance, with 13 laboratories achieving national accreditation within the time frame of this study.ConclusionA structured program that utilizes well-recognized, standardized checklists and has leadership and laboratory team support, professional training with onsite guidance (i.e. train the trainer) and access to professionals experienced with QMS implementation and maintenance can lead to significant improvements in quality in resource-limited countries.