Mozambique's journey toward accreditation of the National Tuberculosis Reference Laboratory
| Autor: | Jessina Masamha, Ana Paula Mandlaze, Carmen Aguiar, Carolina Dolores, Eduardo Samo Gudo, Khalide Azam, Daniela Maria Cirillo, Patrina Chongo, Carla Madeira, Sofia Viegas, Ilesh V. Jani |
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| Rok vydání: | 2016 |
| Předmět: |
ISO 15189 Accreditation
Quality management Clinical Biochemistry education Laboratory 03 medical and health sciences 0302 clinical medicine Mentorship Nursing health services administration Tuberculosis Medicine 030212 general & internal medicine Road map Competence (human resources) Mozambique health care economics and organizations Accreditation business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 Medical Laboratory Technology Quality management system 030220 oncology & carcinogenesis Action plan Lessons from the Field business Certification and Accreditation |
| Zdroj: | African Journal of Laboratory Medicine African Journal of Laboratory Medicine, Vol 6, Iss 2, Pp e1-e8 (2017) |
| ISSN: | 2225-2002 |
| Popis: | Background: Internationally-accredited laboratories are recognised for their superior test reliability, operational performance, quality management and competence. In a bid to meet international quality standards, the Mozambique National Institute of Health enrolled the National Tuberculosis Reference Laboratory (NTRL) in a continuous quality improvement process towards ISO 15189 accreditation. Here, we describe the road map taken by the NTRL to achieve international accreditation.Methods: The NTRL adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme as a strategy to implement a quality management system. After SLMTA, the Mozambique National Institute of Health committed to accelerate the NTRL’s process toward accreditation. An action plan was designed to streamline the process. Quality indicators were defined to benchmark progress. Staff were trained to improve performance. Mentorship from an experienced assessor was provided. Fulfilment of accreditation standards was assessed by the Portuguese Accreditation Board.Results: Of the eight laboratories participating in SLMTA, the NTRL was the best-performing laboratory, achieving a 53.6% improvement over the SLMTA baseline conducted in February 2011 to the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) assessment in June 2013. During the accreditation assessment in September 2014, 25 minor nonconformities were identified and addressed. In March 2015, the NTRL received Portuguese Accreditation Board recognition of technical competency for fluorescence smear microscopy, and solid and liquid culture. The NTRL is the first laboratory in Mozambique toachieve ISO 15189 accreditation.Conclusions: From our experience, accreditation was made possible by institutional commitment, strong laboratory leadership, staff motivation, adequate infrastructure and a comprehensive action plan. |
| Databáze: | OpenAIRE |
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