Utilization of External Quality Assessment in Case of proficiency test at Government Hospitals in Addis Ababa
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Date
2014-06
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Addis Ababa University
Abstract
Back ground:-Participating in proficiency testing ( PT) is crucialfor clinical laboratories toevaluate their gaps based on the feedback from PT providers, and taking corrective action shouldused to improve the quality of service provisions.
Objective:- The objectives of this study was to evaluate the utilization and challenges ofRBC, 56.6% for SGOT, 44.4% for SGPT,75% for Syphilis, 75.4% for Total bilirubine, 79.2%for Urea, 39.9% for WBC was identified in this study.
Conclusion:- PT is not utilized effectively among 12 governmental hospital laboratories inAddis Ababa through 6 cycles. There are challenges for effective utilization of PT (the majoridentified challenges was knowledge gap, poor staff commitment ,equipment down and reagentout of stock) so stakeholders and collaborators need to resolve or minimize the challenges foreffective utilization of the coming PT.
Key words:- Panel Test, EQA, Utilization, Participation rate, Trend of analytical scoreproficiency test panel in government hospitals at Addis Ababa.
Method:- Retrospective study was conducted among 12 government hospitals laboratories inAddis Ababa, who had been participated in proficiency tasting schemes for 20 clinical laboratorytest parameters in 6 cycles from 2012 to 2013 G.C. Data on institutional performance and testresults plus problems of each parameter participation were extracted fromproficiency testfeedback reports stored at the data base of Ethiopian Public Health Institute(EPHI). Focusedgroup discussion (FGD) and in-depth interview were used to assess the major challenges ofinstitution participating PT. Trend of analytical performance scores of institutions in six cycleswas analyzed using SPSS version 20. Likewise, qualitative data obtained through the focusgroup discussionand in-depth interviewwere classified in major thematic areas andsummarized accordingly.
Result:- A total of 12 hospital participated, of these 5(41.7%) owned by federal ministry ofhealth and 4(33.3%) were under Addis Ababa Regional health Bureau plus 3(25.0%) wereuniformed service hospitals. A total of 12 laboratories participated in all six cycles of 20 testparameters panel tests. The overall acceptable analytical performance score was 2643 of 6984 PTchallenges (37.85%) and the overall participation rate throughout the 6 cycle was645 of 1440(44.7%). Of reviewed performance of 20 analyte in six cycle, the total failure rate participantinstitution was 4341 of 6984 PT challenges(62.15%) Of which , 2880 of 6984(41.23%)of theobserved EQA failures occurred in 4 of the 12 laboratories. EQA fail rates among the 12laboratories were 63.8% for AFB,50% for ALP,48.6% for CD4, 68.1% for creatinine,75% forDirect bilirubine,88.9% for gram stain,68.1% for HBsAg,76.3% for HCV,44.5% for Hgb, 51.4%for HIV, 55.6% for morphology identification,82.7% for parsitology,38.9% for PLT, 50.0% for
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Keywords
Panel Test EQA UtilizationParticipation rate Trend of analytical score