Clinical Referral Laboratory Personnel's Perception of Challenges and Strategies for Sustaining the Laboratory Quality Management System.
Am J Clin Pathol
; 152(6): 725-734, 2019 11 04.
Article
in En
| MEDLINE
| ID: mdl-31304959
ABSTRACT
OBJECTIVES:
To explore challenges explaining the decrease in quality performance and suggest strategies to improve and sustain laboratory quality services.METHODS:
Twenty key informants' interviews from laboratory personnel were conducted in five laboratories. Four had previously shown a decrease in quality performance. Interviews were transcribed verbatim and analyzed using inductive thematic analysis.RESULTS:
Two themes emerged (1) insufficient coordination and follow-up system towards accreditation, where lack of coordination, follow-up, and audits explained the decrease in performance; (2) inadequate resource optimization, where insufficient knowledge in Laboratory Quality Management System (LQMS), ownership by laboratory workforce, and insufficient stakeholders' communication contributed to low-quality performance.CONCLUSIONS:
The coordination, follow-up, and assessments of LQMS, in conjunction with training of laboratory workforce, would establish an institutional culture of continuous quality improvement (CQI) towards accreditation and sustainment of quality health care. To achieve CQI culture, routine gap checking and planning for improvement using a system approach is required.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medical Laboratory Personnel
/
Quality Improvement
/
Laboratories
Limits:
Humans
Country/Region as subject:
Africa
Language:
En
Journal:
Am J Clin Pathol
Year:
2019
Document type:
Article
Affiliation country:
Rwanda