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Am J Clin Pathol ; 152(6): 808-817, 2019 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-31415083

RESUMO

OBJECTIVES: Early diagnosis of tuberculosis (TB) and multidrug-resistant TB (MDR-TB) is a priority for Viet Nam's National TB Control Programme. In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. METHODS: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. RESULTS: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. CONCLUSIONS: The program led to improved quality systems. Sites should be monitored to ensure sustainability of improvements and country capacity expanded for national scaleup.


Assuntos
Acreditação , Laboratórios/normas , Melhoria de Qualidade , Tuberculose/diagnóstico , Acreditação/métodos , Acreditação/normas , Humanos , Controle de Qualidade , Melhoria de Qualidade/normas , Vietnã
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