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  • 1
    Online Resource
    Online Resource
    Developing a customised approach for strengthening tuberculosis laboratory quality management systems toward accreditation
    AOSIS ; 2017
    In:  African Journal of Laboratory Medicine Vol. 6, No. 2 ( 2017-03-31)
    Details
    In: African Journal of Laboratory Medicine, AOSIS, Vol. 6, No. 2 ( 2017-03-31)
    Abstract: Background: Quality-assured tuberculosis laboratory services are critical to achieve global and national goals for tuberculosis prevention and care. Implementation of a quality management system (QMS) in laboratories leads to improved quality of diagnostic tests and better patient care. The Strengthening Laboratory Management Toward Accreditation (SLMTA) programme has led to measurable improvements in the QMS of clinical laboratories. However, progress in tuberculosis laboratories has been slower, which may be attributed to the need for a structured tuberculosis-specific approach to implementing QMS. We describe the development and early implementation of the Strengthening Tuberculosis Laboratory Management Toward Accreditation (TB SLMTA) programme.Development: The TB SLMTA curriculum was developed by customizing the SLMTA curriculum to include specific tools, job aids and supplementary materials specific to the tuberculosis laboratory. The TB SLMTA Harmonized Checklist was developed from the World Health Organisation Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation checklist, and incorporated tuberculosis-specific requirements from the Global Laboratory Initiative Stepwise Process Towards Tuberculosis Laboratory Accreditation online tool.Implementation: Four regional training-of-trainers workshops have been conducted since 2013. The TB SLMTA programme has been rolled out in 37 tuberculosis laboratories in 10 countries using the Workshop approach in 32 laboratories in five countries and the Facility based approach in five tuberculosis laboratories in five countries.Conclusion: Lessons learnt from early implementation of TB SLMTA suggest that a structured training and mentoring programme can build a foundation towards further quality improvement in tuberculosis laboratories. Structured mentoring, and institutionalisation of QMS into country programmes, is needed to support tuberculosis laboratories to achieve accreditation.
    Type of Medium: Online Resource
    ISSN: 2225-2010 , 2225-2002
    URL: Article
    DOI: 10.4102/ajlm.v6i2.576
    Language: Unknown
    Publisher: AOSIS
    Publication Date: 2017
    detail.hit.zdb_id: 2708535-1
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  • 2
    Online Resource
    Online Resource
    Implementation of a customised antimicrobial resistance laboratory scorecard in Cameroon, Ethiopia and Kenya
    AOSIS ; 2022
    In:  African Journal of Laboratory Medicine Vol. 11, No. 1 ( 2022-06-20)
    Details
    In: African Journal of Laboratory Medicine, AOSIS, Vol. 11, No. 1 ( 2022-06-20)
    Abstract: Background: In low-resource settings, antimicrobial resistance (AMR) is detected by traditional culture-based methods and ensuring the quality of such services is a challenge. The AMR Scorecard provides laboratories with a technical assessment tool for strengthening the quality of bacterial culture, identification, and antimicrobial testing procedures.Objective: To evaluate the performance of the AMR Scorecard in 11 pilot laboratory evaluations in three countries also assessed with the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist.Methods: Pilot laboratory evaluations were conducted in Cameroon, Ethiopia and Kenya between February 2019 and March 2019. Assessors with previous SLIPTA and microbiology experience were trained. Assessors performed the laboratory assessments using the SLIPTA and AMR Scorecard tools.Results: Weaknesses in technical procedures and the quality management systems were identified in all areas and all laboratories. Safety had the highest mean performance score (SLIPTA: 68%; AMR Scorecard: 73%) while management review had the lowest (SLIPTA: 32%; AMR Scorecard: 8%) across all laboratories. The AMR Scorecard scores were generally consistent with SLIPTA scores. The AMR Scorecard identified technical weaknesses in AMR testing, and SLIPTA identified weaknesses in the quality management systems in the laboratories.Conclusion: Since the AMR Scorecard identified important gaps in AMR testing not detected by SLIPTA, it is recommended that microbiology laboratories use SLIPTA and the AMR Scorecard in parallel when preparing for accreditation. Expanding the use of the AMR Scorecard is a priority to address the need for quality clinical microbiology laboratory services in support of optimal patient care and AMR surveillance. 
    Type of Medium: Online Resource
    ISSN: 2225-2010 , 2225-2002
    URL: Article
    DOI: 10.4102/ajlm.v11i1.1476
    Language: Unknown
    Publisher: AOSIS
    Publication Date: 2022
    detail.hit.zdb_id: 2708535-1
    Location Call Number Limitation Availability
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