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Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia.

Sisay A, Mindaye T, Tesfaye A, Abera E, Desale A - Pan Afr Med J (2015)

Bottom Line: Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it.The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance.Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.

View Article: PubMed Central - PubMed

Affiliation: Addis Ababa Health Research and Laboratory, Addis Ababa, Ethiopia.

ABSTRACT

Introduction: Strengthening Laboratory Management Toward Accreditation (SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in Addis Ababa, Ethiopia.

Methods: The study used an Institutional based cross sectional study design that employed a secondary and primary data collection approach on the participated institution of medical laboratory in SLMTA. The study was conducted in Addis Ababa city government and the data was collected from February 'April 2014 and data was entered in to EPI-data version 3.1 and was analyzed by SPSS version 20.

Results: The assessment finding indicate that there was a significant improvement in average scores (141.4; range of 65-196, 95%CI=86.275-115.5, p=0.000) at final with 3 laboratories become 3 star, 6 laboratories were at 2 star, 11 were 1 star. Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it.

Conclusion: At the end of SLMTA implementation,3 laboratories score 3 star, 6 laboratories were at 2 star, 11 were at 1 star. The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.

No MeSH data available.


Related in: MedlinePlus

WHO/AFRO accreditation staring rate
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Figure 0001: WHO/AFRO accreditation staring rate

Mentions: Medical laboratory services are an essential component of health systems. Strengthening these services can combat the major infectious diseases [1]. Thus there is a need for increased direct investment in laboratory services to avoid compromising patient care [2]. This also includes quality management system to maintain and continuously improvement on the quality of laboratory processes [3]. Laboratory accreditation system is important for the acceptance of test results nationally and internationally. All medical services need reliable laboratory support for taking proper action, formulating policies and making decisions [4]. In USA study indicates that 6% to 12% of laboratory errors guide the patients at risk of inappropriate care and potentially of adverse events, and from 26% to 30% of errors have a negative impact on other aspects of patient care [5]. By recognizing this gaps of the current state of laboratories and the requirements of ISO 15189 particular requirements for quality and competence, Ethiopia has implemented the WHO-AFRO Stepwise Laboratory Quality Improvement Process, SLMTA in 2009 in order to help laboratories with stepwise recognition of evolving fulfillment of the ISO 15189 standard instead a grading system of pass-fail [6]. After the launching of WHO-AFRO Stepwise Laboratory Accreditation Process in Ethiopia 2009, from the laboratories selected for accreditation program Addis Ababa Health research and Laboratory were the only lab score four star based on WHO AFRO assessment checklist (November 2011) up from a baseline of 0-star [7]. After this the health bureau heads and officials of Addis Ababa city government take a direction to cascade this program to the health institutions (Hospitals and health centers). At base line, all the assessed laboratories were at the SLMTA zero star rating, (minimum for 1 Star: 55% of Standard), measured based on the WHO-AFRO checklist from this one could infer that there might be more problems with maintaining laboratory quality management system in the capital city of Ethiopia, Addis Ababa (Figure 1). SLMTA is a new practice and in process of development in our country. Therefore, there is a gap in knowledge and availability of data, thus an urgent need to strengthen data and to make accessible evidence based information to the professional and the community on the outcome and factor affecting SLMTA and giving useful baseline information to policy and decision makers, program managers for all efforts that will be made to improve laboratory quality in future were the corner stone of this study.


Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia.

Sisay A, Mindaye T, Tesfaye A, Abera E, Desale A - Pan Afr Med J (2015)

WHO/AFRO accreditation staring rate
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4491455&req=5

Figure 0001: WHO/AFRO accreditation staring rate
Mentions: Medical laboratory services are an essential component of health systems. Strengthening these services can combat the major infectious diseases [1]. Thus there is a need for increased direct investment in laboratory services to avoid compromising patient care [2]. This also includes quality management system to maintain and continuously improvement on the quality of laboratory processes [3]. Laboratory accreditation system is important for the acceptance of test results nationally and internationally. All medical services need reliable laboratory support for taking proper action, formulating policies and making decisions [4]. In USA study indicates that 6% to 12% of laboratory errors guide the patients at risk of inappropriate care and potentially of adverse events, and from 26% to 30% of errors have a negative impact on other aspects of patient care [5]. By recognizing this gaps of the current state of laboratories and the requirements of ISO 15189 particular requirements for quality and competence, Ethiopia has implemented the WHO-AFRO Stepwise Laboratory Quality Improvement Process, SLMTA in 2009 in order to help laboratories with stepwise recognition of evolving fulfillment of the ISO 15189 standard instead a grading system of pass-fail [6]. After the launching of WHO-AFRO Stepwise Laboratory Accreditation Process in Ethiopia 2009, from the laboratories selected for accreditation program Addis Ababa Health research and Laboratory were the only lab score four star based on WHO AFRO assessment checklist (November 2011) up from a baseline of 0-star [7]. After this the health bureau heads and officials of Addis Ababa city government take a direction to cascade this program to the health institutions (Hospitals and health centers). At base line, all the assessed laboratories were at the SLMTA zero star rating, (minimum for 1 Star: 55% of Standard), measured based on the WHO-AFRO checklist from this one could infer that there might be more problems with maintaining laboratory quality management system in the capital city of Ethiopia, Addis Ababa (Figure 1). SLMTA is a new practice and in process of development in our country. Therefore, there is a gap in knowledge and availability of data, thus an urgent need to strengthen data and to make accessible evidence based information to the professional and the community on the outcome and factor affecting SLMTA and giving useful baseline information to policy and decision makers, program managers for all efforts that will be made to improve laboratory quality in future were the corner stone of this study.

Bottom Line: Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it.The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance.Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.

View Article: PubMed Central - PubMed

Affiliation: Addis Ababa Health Research and Laboratory, Addis Ababa, Ethiopia.

ABSTRACT

Introduction: Strengthening Laboratory Management Toward Accreditation (SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in Addis Ababa, Ethiopia.

Methods: The study used an Institutional based cross sectional study design that employed a secondary and primary data collection approach on the participated institution of medical laboratory in SLMTA. The study was conducted in Addis Ababa city government and the data was collected from February 'April 2014 and data was entered in to EPI-data version 3.1 and was analyzed by SPSS version 20.

Results: The assessment finding indicate that there was a significant improvement in average scores (141.4; range of 65-196, 95%CI=86.275-115.5, p=0.000) at final with 3 laboratories become 3 star, 6 laboratories were at 2 star, 11 were 1 star. Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it.

Conclusion: At the end of SLMTA implementation,3 laboratories score 3 star, 6 laboratories were at 2 star, 11 were at 1 star. The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.

No MeSH data available.


Related in: MedlinePlus