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首页> 外文期刊>African Journal of Laboratory Medicine >Strengthening Laboratory Management Towards Accreditation: The Lesotho experience
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Strengthening Laboratory Management Towards Accreditation: The Lesotho experience

机译：加强实验室管理以实现认证：莱索托的经验

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Introduction: The Lesotho Ministry of Health and Social Welfare's (MOHSW) 5-year strategic plan, as well as their national laboratory policy and yearly operational plans, directly addresses issues of accreditation, indicating their commitment to fulfilling their mandate. As such, the MOHSW adopted the World Health Organization Regional Headquarters for Africa's Stepwise Laboratory Quality Improvement Toward Accreditation (WHO–AFRO–SLIPTA) process and subsequently rolled out the Strengthening Laboratory Management Towards Accreditation (SLMTA) programme across the whole country, becoming the first African country to do so. Methods: SLMTA in Lesotho was implemented in two cohorts. Twelve and nineteen laboratory supervisors and quality officers were enrolled in Cohort 1 and Cohort 2, respectively. These 31 participants represented 18 of the 19 laboratories nationwide. For the purposes of this programme, the Queen Elizabeth II (QE II) Central Laboratory had its seven sections of haematology, blood bank, cytology, blood transfusion, microbiology, tuberculosis laboratory and chemistry assessed as separate sections. Performance was tracked using the WHO–AFRO-SLIPTA checklist, with assessments carried out at baseline and at the end of SLMTA. Two methods were used to implement SLMTA: the traditional ‘three workshops' approach and twinning SLMTA with mentorship. The latter, with intensive follow-up visits, was concluded in 9 months and the former in 11 months. A standard data collection tool was used for site visits.Results: Of the 31 participants across both cohorts, 25 (81%) graduated (9 from Cohort 1 and 16 from Cohort 2). At baseline, all but one laboratory attained a rating of zero stars, with the exception attaining one star. At the final assessment, 7 of the 25 laboratories examined at baseline were still at a rating of zero stars, whilst 8 attained one star, 5 attained two stars and 4 attained three stars. None scored above three stars. The highest percentage improvement for any laboratory was 51%, whereas the least improved dropped by 6% when compared to its baseline assessment. The most improved areas were corrective actions (34%) and documents and records (32%). Process improvement demonstrated the least improvement (10%).Conclusion: The SLMTA programme had an immediate, measurable and positive impact on laboratories in Lesotho. This success was possible because of the leadership and ownership of the programme by the MOHSW, as well as the coordination of partner support.
机译：简介：莱索托卫生和社会福利部（MOHSW）的5年战略计划，以及其国家实验室政策和年度运营计划，直接解决了认证问题，表明了他们对履行职责的承诺。因此，MOHSW通过了世界卫生组织非洲区域总部逐步认证的实验室质量改进（WHO-AFRO-SLIPTA）程序，随后在全国范围内实施了“加强实验室管理认证”（SLMTA）计划，成为第一个非洲国家这样做。方法：莱索托的SLMTA在两个队列中实施。第1组和第2组分别招募了12名和19名实验室主管和质量官。这31名参与者代表了全国19个实验室中的18个。为了该计划的目的，伊丽莎白女王二世（QE II）中央实验室将血液学，血库，细胞学，输血，微生物学，结核病实验室和化学等七个部分分别评估。使用WHO-AFRO-SLIPTA检查表跟踪绩效，并在基线和SLMTA结束时进行评估。实施SLMTA的方法有两种：传统的“三个工作坊”方法和将SLMTA与导师联系在一起。后者经过深入随访，在9个月内结束，前者在11个月内结束。结果：在这两个队列的31名参与者中，有25名（81％）毕业（队列1中有9名，队列2中有16名）。在基线时，除一个实验室外，所有实验室（除一个实验室外）均获得零星评级。在最终评估中，在基线检查的25个实验室中，有7个仍为零星，而8个获得了1星，5个获得了2星，4个获得了3星。没有人得分超过三星级。与基线评估相比，任何实验室的改进百分比最高，为51％，而改进最小的下降了6％。改进最大的方面是纠正措施（34％）以及文件和记录（32％）。过程改进显示出最小的改进（10％）。结论：SLMTA计划对莱索托的实验室产生了直接，可衡量的积极影响。由于MOHSW对该计划的领导和所有权，以及合作伙伴支持的协调，因此有可能取得成功。

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