Implementing an intensified mentorship approach towards accelerated medical laboratory accreditation in 10 counties in Kenya.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-07-01 eCollection Date: 2022-01-01 DOI:10.4102/ajlm.v11i1.1814

Susan K Musau, Christina Mwachari, Elvis Kirui, Junghae Muthoni, Taylor Lascko, Natalia Blanco, Alash'le Abimiku, Emily Koech

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引用次数: 1

Abstract

Background: Despite Kenya's roll-out of the Strengthening Laboratory Management Towards Accreditation programme in 2010, most laboratories had not made significant or tangible improvements towards accreditation by 2016. In April 2016, the University of Maryland, Baltimore enrolled 27 facilities in the standard Strengthening Laboratory Management Towards Accreditation programme.

Objective: This study aimed to describe and evaluate the implementation of an intensified mentorship strategy on laboratory accreditation.

Methods: In October 2017, the University of Maryland, Baltimore implemented intensive mentorship in 27 hospital laboratories in Nairobi, Kiambu, Meru, Embu, Muranga, Nyeri, Laikipia, Nyandarua, Tharaka-Nithi, and Kirinyaga counties in Kenya. Laboratories were paired with competent mentors whose skills were matched to facility gaps. Baseline and follow-up assessments were done between April 2016 and March 2019 using the World Health Organization's Stepwise Laboratory Quality Improvement Process Towards Accreditation Checklist and overall scores of the 12 Quality System Essentials and star ratings (from zero to five, based on scores) used to evaluate the effectiveness of the intensified mentorship.

Results: In September 2017, 14 laboratories scored zero stars, three scored one star, eight scored two stars, one scored three stars, and one laboratory was accredited. By March 2019, eight laboratories were accredited, five scored four stars, 10 scored three stars, three scored two stars, and only one scored one star. The average score change with the intensified approach was 81.5 versus 53.9 for the standard approach.

Conclusion: The intensified mentorship strategy resulted in fast-tracked progress towards laboratory accreditation and can be adopted in similar resource-limited settings.

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在肯尼亚10个县实施强化指导方针，加快医学实验室认证。

背景:尽管肯尼亚在2010年推出了“加强实验室管理以获得认可”计划，但到2016年，大多数实验室在获得认可方面没有取得重大或切实的进展。2016年4月，马里兰大学巴尔的摩分校(University of Maryland, Baltimore)将27家设施纳入了标准的加强实验室管理认证计划。目的:本研究旨在描述和评估实验室认证强化指导策略的实施情况。方法:2017年10月，马里兰大学巴尔的摩分校在肯尼亚内罗毕、基安布、梅鲁、恩布、穆兰加、尼耶里、莱基皮亚、尼安达鲁阿、塔拉卡-尼提和基里尼亚加县的27家医院实验室实施了强化指导。实验室与有能力的导师配对，他们的技能与设施差距相匹配。在2016年4月至2019年3月期间，使用世界卫生组织的逐步实验室质量改进过程认证清单以及用于评估强化指导有效性的12个质量体系要点的总体得分和星级(基于分数从0到5)进行了基线和后续评估。结果:2017年9月，获得0星评价的实验室14家，获得1星评价的实验室3家，获得2星评价的实验室8家，获得3星评价的实验室1家，获得认可的实验室1家。截至2019年3月，共有8家实验室获得认可，其中5家获得4星，10家获得3星，3家获得2星，仅有1家获得1星。强化方法的平均得分变化为81.5分，而标准方法为53.9分。结论:强化指导策略导致实验室认证的快速进展，可以在类似的资源有限的环境中采用。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.