The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013

Yalemzewoud Ayalew Desta, Abebaw Gebeyhu
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Abstract

Background: Accurate clinical laboratory testing service is key component clinical service to diagnosis disease, follow up and treatment patient care. The levels of quality management’s practice in Ethiopia were not adequately assessed. Therefore, this study was aimed to determine the quality of clinical laboratory managements practice and associated factors in across the country. Method: this study was used cross-sectional study design with quantitative approach using minimum standard set out by the ministry. No need of sampling technique and sample size determination rather all public hospital laboratories who conducted the report through DHIS2 were included in the study. Data was collected by quality officer of hospital itself. SPSS version 20 was used for data entry, data cleaning and data analysis was used to determine distribution and comparing the mean was also used to see significance difference across the reporting time, level of hospitals and regions. Result: Highest mean score of laboratory quality management practice 232 (92%) was seen in related to establishing system for document and record managements. The practice in related laboratory information managements was 220 (87%) and laboratory supply supplies managements system 218 (87%) and incident handling system 211 (84%). Lowest mean score 101 (40%) were observed in the standard related to cold chain managements system for blood and blood product until used by the prescriber. There is no significance difference between mean score of laboratory quality managements practice across the time, level of hospitals and region but better implementation score laboratory quality managements practice were observed in specialized compressive as compared to general and primary hospitals. Conclusion: In considering all the questioners were a minimum standard set out by the ministry, none of the standard was addressed 100%. However, better implementation were seen on standard related to establishes system for records and documents management, laboratory information and supplies management systems, and incident handling and reporting system. Low internal quality control (IQC) and EQA) and have no availing back up equipment. Half of public hospitals laboratories were not fully engaged in mobilization of blood donation in community awareness programmed. More than half of the public hospitals laboratories had no appropriate cold chain management system for blood product and blood until used by prescribers. Better implementation of LQM was seen in specialized compressive hospital as compared to general and primary hospitals.
2012年7月至2013年3月,埃塞俄比亚公立医院实验室质量管理实践
背景:准确的临床实验室检测服务是临床诊断、随访和治疗患者护理的关键组成部分。埃塞俄比亚的质量管理实践水平没有得到充分评估。因此,本研究旨在确定全国各地临床实验室管理实践的质量及其相关因素。方法:本研究采用横断面研究设计,定量分析方法,采用卫生部规定的最低标准。不需要抽样技术和样本量的确定,所有通过DHIS2进行报告的公立医院实验室都被纳入研究。数据由医院质量员自行收集。采用SPSS version 20进行数据录入,采用数据清洗和数据分析确定分布,并采用比较均值的方法查看各报告时间、各级医院和地区间的显著性差异。结果:实验室质量管理规范232项平均得分最高的是文件记录管理体系的建立,占92%。相关实验室信息管理实践220项(87%),实验室供应物资管理系统218项(87%),事件处理系统211项(84%)。在血液和血液制品冷链管理系统相关标准中,最低平均得分为101分(40%),直至处方者使用。实验室质量管理实践的平均分在不同时间、级别和地区间均无显著差异,但专科医院的实验室质量管理实践实施得分高于综合医院和基层医院。结论:考虑到所有问题都是教育部制定的最低标准,没有一个标准得到100%的解决。然而,与建立记录和文件管理系统、实验室信息和供应管理系统、事件处理和报告系统相关的标准执行情况较好。低内部质量控制(IQC)和EQA),没有可用的备用设备。半数公立医院化验室未充分参与社区宣传方案中的献血动员工作。半数以上的公立医院实验室对血液制品和血液没有适当的冷链管理系统,直到处方者使用。与综合医院和基层医院相比,专科压缩医院更好地实施了LQM。
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