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Clinical Referral Laboratories in Rwanda: The Status of Quality Improvement After 7 Years of the SLMTA Program
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk mikrobiologi, Avdelningen för virologi. (Magnus evander)
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2018 (engelsk)Inngår i: American Journal of Clinical Pathology, ISSN 0002-9173, E-ISSN 1943-7722, Vol. 150, nr 3, s. 240-245Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: We investigated the quality system performance in Rwandan referral laboratories to determine their progress toward accreditation.

Methods: We conducted audits across five laboratories in 2017, using the Stepwise Laboratory Quality Improvement Process Towards Accreditation checklist. Laboratories were scored based on the World Health Organization grading scale (0-5 stars scale) and compared with earlier audits.

Results: Between 2012 and 2017, only one laboratory progressed (from four to five stars). Four of the five laboratories decreased to one (three laboratories) and zero (one laboratory) stars from four and three stars. Management reviews, evaluation, audits, documents, records, and identification of nonconformities showed a low performance.

Conclusions: Four of five laboratories are not moving toward accreditation. However, this target is still achievable by energizing responsibilities of stakeholders and monitoring and evaluation. This would be possible because of the ability that laboratories showed in earlier audits, coupled with existing health policy that enables sustainable quality health care in Rwanda.

sted, utgiver, år, opplag, sider
Oxford University Press, 2018. Vol. 150, nr 3, s. 240-245
Emneord [en]
Laboratory, Accreditation, Rwanda, SLMTA, Health system, Quality health care
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-152220DOI: 10.1093/ajcp/aqy047ISI: 000443540700006PubMedID: 29931081OAI: oai:DiVA.org:umu-152220DiVA, id: diva2:1256111
Tilgjengelig fra: 2018-10-16 Laget: 2018-10-16 Sist oppdatert: 2019-05-23bibliografisk kontrollert

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Hurtig, Anna-Karin

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