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

Received: 14 September 2021    Accepted: 13 October 2021    Published: 5 November 2021
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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.

Published in American Journal of Management Science and Engineering (Volume 6, Issue 6)
DOI 10.11648/j.ajmse.20210606.13
Page(s) 196-202
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Clinical Laboratory, Quality Management, Practice, Ethiopia

References
[1] Alemnji GA, Zeh C, Yao K, Fonjungo PN. Strengthening national health laboratories in sub-Saharan Africa: a decade of remarkable progress. Trop Med Int Health. 2014 Apr; 19 (4): 450-8. [PMC free article] [PubMed].
[2] Kotlarz VR. Tracing our roots: origins of clinical laboratory science. Clin Lab Sci. 1998 Jan-Feb; 11 (1): 5-7. [PubMed].
[3] Delwiche FA. Mapping the literature of clinical laboratory science. J Med Libr Assoc. 2003 Jul; 91 (3): 303-10. [PMC free article] [PubMed].
[4] Kirk CJ, Shult PA. Developing laboratory networks: a practical guide and application. Public Health Rep. 2010 May-Jun; 125 Suppl 2: 102-9. [PMC free article] [PubMed].
[5] Simundic AM, Lippi G. Preanalytical phase--a continuous challenge for laboratory professionals. Biochem Med (Zagreb). 2012; 22 (2): 145-9. [PMC free article] [PubMed].
[6] Hawkins R. Managing the pre- and post-analytical phases of the total testing process. Ann Lab Med. 2012 Jan; 32 (1): 5-16. [PMC free article] [PubMed].
[7] Schroeder LF, Guarner J, Amukele TK. Essential Diagnostics for the Use of World Health Organization Essential Medicines. Clin Chem. 2018 Aug; 64 (8): 1148-1157. [PubMed].
[8] Velazquez Berumen A, Garner S, Hill SR, Swaminathan S. Making diagnostic tests as essential as medicines. BMJ Glob Health. 2018; 3 (4): e001033. [PMC free article] [PubMed].
[9] Rauch CA, Nichols JH. Laboratory accreditation and inspection. Clin Lab Med. 2007 Dec; 27 (4): 845-58, vii. [PubMed].
[10] Schneider F, Maurer C, Friedberg RC. International Organization for Standardization (ISO) 15189. Ann Lab Med. 2017 Sep; 37 (5): 365-370. [PMC free article] [PubMed].
[11] Bayot ML, Limaiem F. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Mar 25, 2020. Biosafety Guidelines. [PubMed].
[12] Njoroge SW, Nichols JH. Risk management in the clinical laboratory. Ann Lab Med. 2014 Jul; 34 (4): 274-8. [PMC free article] [PubMed].
[13] Markos Paulos. EHSTG Assessment Handbook [Internet]. 12: 44: 31 UTC [cited 2018 Oct 23]. Available from: https://www.slideshare.net/MarkosPaulos/ehstg-assessment-handbook.
[14] Jones RG, Johnson OA, Batstone G. Informatics and the clinical laboratory. Clin Biochem Rev. 2014 Aug; 35 (3): 177-92. [PMC free article] [PubMed].
[15] Nkengasong JN, Nsubuga P, Nwanyanwu O, Gershy-Damet GM, Roscigno G, Bulterys M, Schoub B, DeCock KM, Birx D. Laboratory systems and services are critical in global health: time to end the neglect? Am J Clin Pathol. 2010 Sep; 134 (3): 368-73. [PMC free article] [PubMed].
[16] Caliendo AM, Gilbert DN, Ginocchio CC, Hanson KE, May L, Quinn TC, Tenover FC, Alland D, Blaschke AJ, Bonomo RA, Carroll KC, Ferraro MJ, Hirschhorn LR, Joseph WP, Karchmer T, MacIntyre AT, Reller LB, Jackson AF., Infectious Diseases Society of America (IDSA). Better tests, better care: improved diagnostics for infectious diseases. Clin Infect Dis. 2013 Dec; 57 Suppl 3: S139-70. [PMC free article] [PubMed].
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    Yalemzewoud Ayalew Desta, Abebaw Gebeyhu. (2021). The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013. American Journal of Management Science and Engineering, 6(6), 196-202. https://doi.org/10.11648/j.ajmse.20210606.13

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    ACS Style

    Yalemzewoud Ayalew Desta; Abebaw Gebeyhu. The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013. Am. J. Manag. Sci. Eng. 2021, 6(6), 196-202. doi: 10.11648/j.ajmse.20210606.13

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    AMA Style

    Yalemzewoud Ayalew Desta, Abebaw Gebeyhu. The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013. Am J Manag Sci Eng. 2021;6(6):196-202. doi: 10.11648/j.ajmse.20210606.13

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  • @article{10.11648/j.ajmse.20210606.13,
      author = {Yalemzewoud Ayalew Desta and Abebaw Gebeyhu},
      title = {The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013},
      journal = {American Journal of Management Science and Engineering},
      volume = {6},
      number = {6},
      pages = {196-202},
      doi = {10.11648/j.ajmse.20210606.13},
      url = {https://doi.org/10.11648/j.ajmse.20210606.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajmse.20210606.13},
      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.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - The Current Laboratory Quality Managements Practice in Ethiopian Public Hospitals from July 2012 up to March 2013
    AU  - Yalemzewoud Ayalew Desta
    AU  - Abebaw Gebeyhu
    Y1  - 2021/11/05
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajmse.20210606.13
    DO  - 10.11648/j.ajmse.20210606.13
    T2  - American Journal of Management Science and Engineering
    JF  - American Journal of Management Science and Engineering
    JO  - American Journal of Management Science and Engineering
    SP  - 196
    EP  - 202
    PB  - Science Publishing Group
    SN  - 2575-1379
    UR  - https://doi.org/10.11648/j.ajmse.20210606.13
    AB  - 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.
    VL  - 6
    IS  - 6
    ER  - 

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Author Information
  • Clinical Service Directorate, Ministry of Health, Addis Ababa, Ethiopia

  • John Sonw Inc / Data Use Partner, Addis Ababa, Ethiopia

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