Factors Affecting Implementation of Laboratory Quality Management System inAddis Ababa Public Health Laboratories, Addis Ababa, Ethiopia

Abay Sisay, Ashebir Gurmessa, Wondimeneh Liknew
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Abstract

Background: Laboratory quality management system is one of the most important initiative change taken place in the field of the medical laboratory as a comprehensive and transformational strategy to improve the quality of service to respond the needs and expectations of the society in Ethiopia since 2009. Objective: This study aimed to assess factors affecting laboratory quality management system implementation among Addis Ababa health laboratories, Ethiopia. Materials and Methods: A cross-sectional study design approach was used from September 2017 to February 2018 using both quantitative and quantitative data collection approach. Data were entered, cleaned using EPI-Data 3.1 and exported to SPSS version.20 software for analysis. Results: Nine variables were found considerably associated with LQMS implementation (p<0.05) where method validation and verification, root cause analysis, laboratory equipment maintenance related issues, external quality assessment, professional competency, measurement uncertainty analysis, evaluation, and audit and trained staff turnover. Conclusion: The overall findings illustrate that there is a need for facility management should set a specified budget for laboratory quality management implementation and should into consideration those factors while laboratory quality management system implementation.
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影响亚的斯亚贝巴公共卫生实验室质量管理体系实施的因素
背景:自2009年以来,实验室质量管理体系是医学实验室领域发生的最重要的主动变化之一,是一项全面的转型战略,旨在提高服务质量,以响应埃塞俄比亚社会的需求和期望。目的:探讨埃塞俄比亚亚的斯亚贝巴卫生实验室质量管理体系实施的影响因素。材料和方法:2017年9月至2018年2月采用横断面研究设计方法,采用定量和定量数据收集方法。输入数据,使用EPI-Data 3.1进行清理,导出到SPSS版本。20 .分析软件。结果:方法验证和验证、根本原因分析、实验室设备维护相关问题、外部质量评价、专业能力、测量不确定度分析、评价和审核、培训人员离职等9个变量与LQMS实施存在显著相关性(p<0.05)。结论:研究结果表明,实验室质量管理体系的实施需要设施管理部门为实验室质量管理体系的实施制定明确的预算,并应考虑这些因素。
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