Quality management system implementation in human and animal laboratories.
Laboratory assessments
Laboratory quality management
One Health
Public health laboratory
Standardization
Veterinary laboratory
Journal
One health (Amsterdam, Netherlands)
ISSN: 2352-7714
Titre abrégé: One Health
Pays: Netherlands
ID NLM: 101660501
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
02
12
2020
revised:
31
05
2021
accepted:
07
06
2021
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
1
7
2021
Statut:
epublish
Résumé
The ability to rapidly detect emerging and re-emerging threats relies on a strong network of laboratories providing high quality testing services. Improving laboratory quality systems to ensure that these laboratories effectively play their critical role using a tailored stepwise approach can assist them to comply with the World Health Organization's (WHO) International Health Regulations (IHRs) and the World Organization for Animal Health's (OIE) guidelines. Fifteen (15) laboratories in Armenia's human and veterinary laboratory networks were enrolled into a quality management system strengthening programme from 2017 to 2020. Training was provided for key staff, resulting in an implementation plan developed to address gaps. Routine mentorship visits were conducted. Audits were undertaken at baseline and post-implementation using standardised checklists to assess laboratory improvements. Baseline audit general indicator scores ranged from 21% to 46% for human laboratories and 37% to 60% for the veterinary laboratories. Following implementation scores improved ranging from 7 to 39% for human laboratories and 12% to 19% for veterinary laboratories. In general, there has been improvement for both human and veterinary laboratories in the areas of QMS implementation, particularly in organizational structure, human resources, equipment management, supply chain and data management. Central facilities developed systems that are ready for international accreditation. This One Health strengthening project ensured simultaneous strengthening of both human and veterinary laboratories which is not a common approach.
Sections du résumé
BACKGROUND
BACKGROUND
The ability to rapidly detect emerging and re-emerging threats relies on a strong network of laboratories providing high quality testing services. Improving laboratory quality systems to ensure that these laboratories effectively play their critical role using a tailored stepwise approach can assist them to comply with the World Health Organization's (WHO) International Health Regulations (IHRs) and the World Organization for Animal Health's (OIE) guidelines.
METHODS
METHODS
Fifteen (15) laboratories in Armenia's human and veterinary laboratory networks were enrolled into a quality management system strengthening programme from 2017 to 2020. Training was provided for key staff, resulting in an implementation plan developed to address gaps. Routine mentorship visits were conducted. Audits were undertaken at baseline and post-implementation using standardised checklists to assess laboratory improvements.
RESULTS
RESULTS
Baseline audit general indicator scores ranged from 21% to 46% for human laboratories and 37% to 60% for the veterinary laboratories. Following implementation scores improved ranging from 7 to 39% for human laboratories and 12% to 19% for veterinary laboratories.
CONCLUSION
CONCLUSIONS
In general, there has been improvement for both human and veterinary laboratories in the areas of QMS implementation, particularly in organizational structure, human resources, equipment management, supply chain and data management. Central facilities developed systems that are ready for international accreditation. This One Health strengthening project ensured simultaneous strengthening of both human and veterinary laboratories which is not a common approach.
Identifiants
pubmed: 34189238
doi: 10.1016/j.onehlt.2021.100278
pii: S2352-7714(21)00068-9
pmc: PMC8217679
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100278Informations de copyright
© 2021 The Authors. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest with respect to the research, authorship, and/or publication of this article.
Références
N Engl J Med. 2017 Sep 28;377(13):1292-1296
pubmed: 28953444
One Health. 2019 Jun 10;8:100096
pubmed: 31304229
BMC Health Serv Res. 2019 Jan 18;19(1):49
pubmed: 30658627
Lancet. 2018 May 12;391(10133):1927-1938
pubmed: 29550029
Vet Clin Pathol. 2012 Jun;41(2):171-3
pubmed: 22671284
Bull World Health Organ. 2016 Oct 1;94(10):743-751
pubmed: 27843164
BMC Infect Dis. 2019 Feb 11;19(1):138
pubmed: 30744562
Emerg Infect Dis. 2017 Dec;23(13):
pubmed: 29155676
Health Secur. 2017 Mar/Apr;15(2):154-164
pubmed: 28418742
PLoS Negl Trop Dis. 2014 May 22;8(5):e2884
pubmed: 24851901
Health Secur. 2016 Nov/Dec;14(6):424-432
pubmed: 27898218