Assessment on Implementation of Quality Management System and Their Challenges In Tikur Anbessa Specialized Hospital Laboratory. Addis Ababa, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background: Quality laboratory services and systems constitute the foundation forstrengthening health care systems. Including Ethiopia, developing countries are on the way ofestablishing laboratory standards that are affordable and easy to implement and monitor in theirfacilities. This study was conducted to assess the laboratory starting from implementation ofQuality Management System (IQMS), up to the final assessment.
Objective: The Objectives of the study is to assess implementation of quality managementsystem and associated challenges in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Method: Exploratory study was done by using available information, assessment data,questionnaire, in-depth interview and observational assessment from February 14/2013 – May5/2014. All willing laboratory staffs were included in the research and non-probability purposivesampling technique was applied. Statistical analysis was carried out by using SPSS version 20.
Result: The progress of quality management system implementation after one year and threemonth from baseline assessment result of 41/250(16.4%) to final assessment result95/250(38.0%) were 54(21.6%) with the mean value of 7.9 for12 QSE (P = 0.001).The identifiedchallenges were staff Job dissatisfaction leads to staff demotivation, shortage of supportivestaffs, lack of proper laboratory management, lack of Hospital management commitment,weakness of supporting (management) departments finance, purchasing, budget and maintenancedepartments, lack of budgets allocation for the laboratory, delay on purchasing system arecritical challenges affecting the laboratory. Weakness in pharmacy supply chain managementsystem, very poor store management, lack of mini store, lack of backup equipment and lack ofequipment maintenance system are other challenging issues of laboratory. In appropriateness ofsample collection area benches and sinks to keep samples and documents
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Quality Management System