Medical Laboratory Sciences

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Browsing Medical Laboratory Sciences by Subject "Accreditation"

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    Critical laboratory test result management practice and associated factors at selected public health facilities of Addis Ababa, Ethiopia
    (Addis Ababa University, 2025-06-01) Arsemawit Teferedegne; Fatuma Hassen; Abay Sisay
    Background: Critical Result Is a Result That Requires Immediate Medical Attention and Action Because It Indicate a High Risk of Imminent Death or Major Patient Harm. In Ethiopian Public Hospitals Where High Patient Volume, Limited Resources and Varying Infrastructure Exists Managing This Result Makes More Difficult. Besides, There Is Very Limited Research Information in This Regard. Thus, This Study Aimed to Assess the Management Practice of Critical Results and Its Associated Factors at Selected Hospitals. Methods: A Descriptive Cross-Sectional Study Was Conducted Across Four Public Hospitals Found in Addis Ababa, Using Both Quantitative and Qualitative Aspects, Different Data Collection Tools Are Used Like Staff Questionnaire, Document Review and Key Informant Interview Then Entered in to Microsoft Excel for Accuracy. Analysis Was Performed Using SPSS Version 23. Result: We Assessed Critical Laboratory Result Management Practice Across Four Public Hospitals, Among Laboratory Staff Respondents 96.6% Were Laboratory Technologists with Varying Years of Experience. 95.7% Reported No Training in Critical Result Management. Among The 422 Critical Results 46.6% Were Hematological Tests Followed by Carbohydrate (13.7%), Liver Function (11.8%), Electrolytes (10.19%), Renal Function Test (9.7%), Cardiac Marker 4.2% And Coagulation Tests (3.56%) From The 422 Critical Results Only 34(8.1%) Recognized and Managed as Critical Results, 38.6% Communicated in the Given Time Interval. St. Paul’s Hospital Millennium Medical College (SPHMMC) Achieved A 93% Rate of Timely Communication, While Yekatit 12 Hospital Managed Only 4%. Communication Of Laboratory Results Was Mainly with Electronic Health Record (EHR) And Most of the Critical Results Were Communicated with Electronic Health Record Like Every Other (Non-Critical) Test (91.9%), Which Makes Only 34(8.1%) Of the Results Communicated as Critical Results, The Communication Methods Used Inconsistently, Methods Were In-Person/Verbal, Phone Call, And Paper-Based Methods Are Used. And Only 17.6% Of the Tests Are Confirmed in Readback. There Was 0% Of Documentation of Critical Results in All Hospitals. Although Standard Operating Procedures (Sops) Existed, Stakeholders Were Not Involved in the Preparation of Standard Operating Procedures. Most Of the Staffs Reported High Workload and Resource Limitation as a Major Factor for Poor Critical Result Management. Physicians Expressed Dissatisfaction with the Current Practice 90%, By Stating the Consequence of Poor Management in Increasing Hospital Stay and Delayed Treatment, Emphasizing the Need for Faster Communication, Standardized Protocols and Improved Documentation for Better Patient Treatment. Conclusion: There Is a Significant Gap in Management of Critical Results, The Findings Indicate the Urgent Need for Standardize Protocol, Enhancing Training, And Improved Communication Systems to Ensure Effective and Prompt Management of Critical Results in Hospital Settings.
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    Major Challenges of Medical Laboratories for ISO 15189 Accreditation in Selected Government Hospitals of Addis Ababa, Debrebrhan, and Bishoftu, Ethiopia
    (Addis Ababa University, 2017-06) Girma, Mekonnen; Tsegaye, Aster (PhD)
    Background: Numerous global initiatives in Africa have focused on clinical laboratory harmonization and standardization, and accreditation. Though accreditation has many advantages and advocated largely, it is still challenging for the laboratories to fulfill all requirements and the criteria of accrediting bodies. So identifying the different challenges faced by the laboratories during the process of accreditation is important for proper planning and action to resolve those challenges. Objective: To assess the major challenges of Medical Laboratories for ISO 15189 accreditation in selected government hospitals of Addis Ababa, Debrebrhan, and Bishoftu, Ethiopia. Method: Cross sectional study design using qualitative and quantitative data collection approach was used from March to May 2017. The data for this study was gathered using structured questionnaire and in-depth interview. Stratified-proportional sampling technique was used. Data was entered, cleaned using EPI-Data 3.1 and exported to SPSS version 20 software for further processing and analysis. Simple descriptive statistics like percentages and frequency was used. The qualitative data from in-depth interview were categorized and discussed. Result: In this research 175 questionnaire respondents and 24 key informants from 12 hospitals were included to identify the major challenges facing medical laboratory’s accreditation process. All respondents had awareness about the accreditation process but only 79% of them have involved in the process in one or more ways. More than half of the respondents (51%) had training experience related to either laboratory LQMS or ISO accreditation. High turnover of trained and experienced laboratory professionals for better job opportunity and education was reported to mainly affect the accreditation process. Routine work load, poor equipment quality, shortage and quality of laboratory supplies, inconsistent mentorship and training, strict assessment process and low attention and commitment from top management were among the major challenges identified. Conclusion: Even though there exists an effort to fulfil accreditation requirements, achieving and maintaining accreditation was still challenging for many facilities due to; trained staff turnover, training and mentorship inadequacy, low staff satisfaction, low quality and quantity of equipments, low top management support, and poor quality laboratory facility. This study highlights the need for stronger engagement, commitment and advocacy with all stakeholders to harmonize and lead accreditation program effectively. Keywords: LQMS, accreditation, challenge, ISO 15189, SLMTA/SLIPTA, Medical laboratory