Measurement of Improvement Achieved by Participation in International Laboratory Accreditation in Sub-Saharan Africa
| Autor: | Rodney Adam, Zahir Moloo, P. J. Ojwang, Edwin Kibet, Shahin Sayed, Ann Mbuthia |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | American Journal of Clinical Pathology. 141:188-195 |
| ISSN: | 1943-7722 0002-9173 |
| DOI: | 10.1309/ajcpv8a9mrwhgxef |
| Popis: | Objectives: As part of the ISO 15189:2007 accreditation process, the Aga Khan University Hospital Nairobi laboratory became the first internationally accredited hospital laboratory in sub-Saharan Africa outside South Africa in 2011 through the South Africa National Accreditation System. Methods: Seven preanalytic, 10 analytic, eight postanalytic, and five administrative performance parameters were monitored from 2009 to 2012 to measure the impact of the accreditation process. Results: Most measures in all four categories showed substantial improvement. The seven preanalytic measures all showed major improvement—between a quarter and a half sigma. Real but less dramatic improvement appeared in analytic and postanalytic measures, but greater than one sigma decrease in analytic “procedure violations” and a three-quarter sigma decrease in excessive turnaround time were noted in these categories. Administrative improvements included dramatic decreases in misdirected and missing reports and complaints. Conclusions: This study demonstrates the correlation of the accreditation process with improvement in quality measures in a low-resource region. |
| Databáze: | OpenAIRE |
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