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 for
strengthening health care systems. Including Ethiopia, developing countries are on the way of
establishing laboratory standards that are affordable and easy to implement and monitor in their
facilities. This study was conducted to assess the laboratory starting from implementation of
Quality Management System (IQMS), up to the final assessment.
Objective: The Objectives of the study is to assess implementation of quality management
system 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 – May
5/2014. All willing laboratory staffs were included in the research and non-probability purposive
sampling 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 three
month from baseline assessment result of 41/250(16.4%) to final assessment result
95/250(38.0%) were 54(21.6%) with the mean value of 7.9 for12 QSE (P = 0.001).The identified
challenges were staff Job dissatisfaction leads to staff demotivation, shortage of supportive
staffs, lack of proper laboratory management, lack of Hospital management commitment,
weakness of supporting (management) departments finance, purchasing, budget and maintenance
departments, lack of budgets allocation for the laboratory, delay on purchasing system are
critical challenges affecting the laboratory. Weakness in pharmacy supply chain management
system, very poor store management, lack of mini store, lack of backup equipment and lack of
equipment maintenance system are other challenging issues of laboratory. In appropriateness of
sample collection area benches and sinks to keep samples and documents
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Keywords
Quality Management System