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Clinical Referral Laboratories in Rwanda: The Status of Quality Improvement After 7 Years of the SLMTA Program
Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Section of Virology. (Magnus evander)
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2018 (English)In: American Journal of Clinical Pathology, ISSN 0002-9173, E-ISSN 1943-7722, Vol. 150, no 3, p. 240-245Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Oxford University Press, 2018. Vol. 150, no 3, p. 240-245
Keywords [en]
Laboratory, Accreditation, Rwanda, SLMTA, Health system, Quality health care
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-152220DOI: 10.1093/ajcp/aqy047ISI: 000443540700006PubMedID: 29931081OAI: oai:DiVA.org:umu-152220DiVA, id: diva2:1256111
Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2019-05-23Bibliographically approved

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Hurtig, Anna-Karin

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Rusanganwa, VincentHurtig, Anna-KarinEvander, Magnus
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Citation style
  • apa
  • ieee
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  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NB
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  • Other locale
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Output format
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