Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation
Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation
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DOI：
10.4102/ajlm.v5i1.280
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发表时间：
2016-01-01
影响因子：
1.1
通讯作者：
Abrol, Angelii P.
中科院分区：
文献类型：
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作者：
Ndihokubwayo, Jean-Bosco;Maruta, Talkmore;Abrol, Angelii P.
背景：疾病负担的增加继续给非洲的卫生系统带来压力。实验室在改善疾病的诊断、管理和治疗方面的作用已变得越来越重要。为此，世界卫生组织非洲区域办事处（世卫组织非洲区域办事处）及其合作伙伴制定了世卫组织非洲区域办事处逐步改进实验室（质量）以获得认证的程序（SLIPTA）方案。SLIPTA实施过程：世卫组织非洲区域办事处为六个主要利益攸关方定义了一个具有角色和责任的治理结构。实验室由非洲检验医学学会培训和认证的审核员进行评估。使用WHO AFRO SLIPTA评分清单对实验室绩效进行了测量，并颁发了1-5星的认可证书。初步结果：到2015年3月，47个世卫组织非洲区域组织成员国中有27个（57%）任命了一个SLIPTA联络人，14个卫生部长认可了SLIPTA作为持续改进质量的理想方案。来自17个非洲国家的98名审计员接受了培训和核证，他们精通葡萄牙语(3)、法语（12）和英语（83）。2013年5月至2015年3月间审计的159家实验室的平均得分为69%（中位数为70%；标准差为11.5；四分位数范围为62-77）。在这些被审计的实验室中，70%达到了55%或更高的符合性（2星或以上），1%的符合性至少达到95%（5星）。世卫组织AFRO SLIPTA清单中得分最低的部分是第6节（内部审计）和第10节（纠正措施），这两个部分的平均得分都低于50%。结论：WHO AFRO SLIPTA是资源有限的国家可以采用的有效实施质量管理体系的程序。政治承诺、所有权和对持续质量改进的投资是这一过程的组成部分。
Background: The increase in disease burden has continued to weigh upon health systems in Africa. The role of the laboratory has become increasingly critical in the improvement of health for diagnosis, management and treatment of diseases. In response, the World Health Organization Regional Office for Africa (WHO AFRO) and its partners created the WHO AFRO Stepwise Laboratory (Quality) Improvement Process Towards Accreditation (SLIPTA) program.SLIPTA implementation process: WHO AFRO defined a governance structure with roles and responsibilities for six main stakeholders. Laboratories were evaluated by auditors trained and certified by the African Society for Laboratory Medicine. Laboratory performance was measured using the WHO AFRO SLIPTA scoring checklist and recognition certificates rated with 1-5 stars were issued.Preliminary results: By March 2015, 27 of the 47 (57%) WHO AFRO member states had appointed a SLIPTA focal point and 14 Ministers of Health had endorsed SLIPTA as the desired programme for continuous quality improvement. Ninety-eight auditors from 17 African countries, competent in the Portuguese (3), French (12) and English (83) languages, were trained and certified. The mean score for the 159 laboratories audited between May 2013 and March 2015 was 69% (median 70%; SD 11.5; interquartile range 62-77). Of these audited laboratories, 70% achieved 55% compliance or higher (2 or more stars) and 1% scored at least 95% (5 stars). The lowest scoring sections of the WHO AFRO SLIPTA checklist were sections 6 (Internal Audit) and 10 (Corrective Action), which both had mean scores below 50%.Conclusion: The WHO AFRO SLIPTA is a process that countries with limited resources can adopt for effective implementation of quality management systems. Political commitment, ownership and investment in continuous quality improvement are integral components of the process.