Enhancing accreditation outcomes for medical laboratories on the Strengthening Laboratory Management Toward Accreditation programme in Kenya via a rapid results initiative.

SLIPTA SLMTA accreditation e-SLIPTA checklist quality systems essentials rapid results initiative

Journal

African journal of laboratory medicine
ISSN: 2225-2002
Titre abrégé: Afr J Lab Med
Pays: South Africa
ID NLM: 101603205

Informations de publication

Date de publication:
2022
Historique:
received: 06 05 2021
accepted: 04 03 2022
entrez: 24 6 2022
pubmed: 25 6 2022
medline: 25 6 2022
Statut: epublish

Résumé

Since 2010, Kenya has used SLIPTA to prepare and improve quality management systems in medical laboratories to achieve ISO 15189 accreditation. However, less than 10% of enrolled laboratories had done so in the initial seven years of SLMTA implementation. We described Kenya's experience in accelerating medical laboratories on SLMTA to attain ISO 15189 accreditation. From March 2017 to July 2017, an aggressive top-down approach through high-level management stakeholder engagement for buy-in, needs-based expedited SLIPTA mentorship and on-site support as a rapid results initiative (RRI) was implemented in 39 laboratories whose quality improvement process had stagnated for 2-7 years. In July 2017, SLIPTA baseline and exit audit average scores on quality essential elements were compared to assess performance. After RRI, laboratories achieving greater than a 2-star SLMTA rating increased significantly from 15 (38%) at baseline to 33 (85%) ( High-level advocacy and targeted mentorship through RRI dramatically improved laboratory accreditation in Kenya. Similar approaches of strengthening SLIPTA implementation could improve SLMTA outcomes in other countries with similar challenges.

Sections du résumé

Background UNASSIGNED
Since 2010, Kenya has used SLIPTA to prepare and improve quality management systems in medical laboratories to achieve ISO 15189 accreditation. However, less than 10% of enrolled laboratories had done so in the initial seven years of SLMTA implementation.
Objective UNASSIGNED
We described Kenya's experience in accelerating medical laboratories on SLMTA to attain ISO 15189 accreditation.
Methods UNASSIGNED
From March 2017 to July 2017, an aggressive top-down approach through high-level management stakeholder engagement for buy-in, needs-based expedited SLIPTA mentorship and on-site support as a rapid results initiative (RRI) was implemented in 39 laboratories whose quality improvement process had stagnated for 2-7 years. In July 2017, SLIPTA baseline and exit audit average scores on quality essential elements were compared to assess performance.
Results UNASSIGNED
After RRI, laboratories achieving greater than a 2-star SLMTA rating increased significantly from 15 (38%) at baseline to 33 (85%) (
Conclusion UNASSIGNED
High-level advocacy and targeted mentorship through RRI dramatically improved laboratory accreditation in Kenya. Similar approaches of strengthening SLIPTA implementation could improve SLMTA outcomes in other countries with similar challenges.

Identifiants

pubmed: 35747559
doi: 10.4102/ajlm.v11i1.1614
pii: AJLM-11-1614
pmc: PMC9210179
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1614

Informations de copyright

© 2022. The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

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Auteurs

Ernest P Makokha (EP)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Raphael O Ondondo (RO)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Daniel K Kimani (DK)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Thomas Gachuki (T)

National HIV Reference Laboratory, Division of Public Health Laboratories, Ministry of Health, Nairobi, Kenya.

Frank Basiye (F)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Mercy Njeru (M)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Muthoni Junghae (M)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Marie Downer (M)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Mamo Umuro (M)

National HIV Reference Laboratory, Division of Public Health Laboratories, Ministry of Health, Nairobi, Kenya.

Margaret Mburu (M)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Jane Mwangi (J)

Laboratory Services Branch, Division of Global HIV & TB, United States Centers for Disease Control and Prevention, Nairobi, Kenya.

Classifications MeSH