Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia

Sisay, Abay; Mindaye, Tedla; Tesfaye, Abrham; Abera, Eyob; Desale, Adino

doi:10.11604/pamj.2015.20.314.5375

Cited by 12 publications

(26 citation statements)

References 10 publications

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“…The city has 46 hospitals, 11 are public hospitals, of which 6 are under Addis Ababa Regional Health Bureau (AARHB) and 5 are specialized referral ones (one University Hospital and 4 of them under the Federal Ministry of Health). Three are military hospitals, 4 are NGO's and the rest 28 are private hospitals [13].…”

Section: Study Areamentioning

confidence: 99%

Evaluation of Phlebotomy Services in Clinical Laboratory Setting in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia

Mekonon¹,

Tsegaye²,

Haile³

et al. 2017

AJLM

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Abstract:Background: Phlebotomy is the system of drawing a blood sample for the use of laboratory testing and for blood transfusion. Professionals who are performing phlebotomy services called phlebotomists. It is a critical part of the pre analytical phase of laboratory testing and is the most neglected procedures in health care. About 70% of the quality of the test are affected during phlebotomy and other pre analytical services. However, little is known about the practice of phlebotomy services in developing countries like Ethiopia. Objectives: To assess the practice of phlebotomists and to identify the major sources of errors during venous blood collection in public hospitals in Addis Ababa. Methodology: Hospital based, cross sectional observational and follow-up study was conducted from March to May 30, 2014. The study followed 40 phlebotomists while each of them was collecting 5 different venous blood collections (giving a total of 200 phlebotomies). Well structured questionnaires and checklists were used to collect data. Data was entered on EPI-Data version 3.1 and statistical analysis was performed with SPSS version 20. Descriptive statistics were employed and the Chi square test was used for comparing major errors observed. Result: Almost all laboratory phlebotomy sites had no Standard Oprating Procedures (SOPs) available in collection sites and most of collection sites were not well ventilated. The major errors identified were use of single glove for more than one client 139 of 200 (69.5%), inappropriate cleaning practice of vein puncture sites 180 of 200 (90%), collecting blood before the disinfectant alcohol dried 139 of 200 (69.5%), incorrect tube collection sequences 107 of 200 (53.5%), unnecessarily applying of tourniquets after blood started flowing in to the collection tubes and syringes 170 of 200 (85.0%) and applying tourniquets before locating and selecting appropriate site for venous blood collection 175 of 200 (87.5%). Conclusion and Recommendation: -Many errors were identified in the phlebotomy practice during the observational study. As the quality of blood specimen influences patient result: emphasis should be given on phlebotomy training to improve the practices for phlebotomists and ensure safety as well as quality during blood collections for laboratory analysis.

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Section: Study Areamentioning

confidence: 99%

Evaluation of Phlebotomy Services in Clinical Laboratory Setting in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia

Mekonon¹,

Tsegaye²,

Haile³

et al. 2017

AJLM

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“…Overall, 21 studies examined the impact of accreditation programs (WAGNER; MCDONALD; CASTLE, 2012aCASTLE, , 2012bCHABANNON et al, 2012;GUINDO et al, 2012;O'BEIRNE et al, 2013;RAJAMANI et al, 2013;BRODRIBB;KRUSKE;MILLER, 2013;KWON et al, 2013;ABOU ELNOUR et al, 2014;AGHEORGHIESEI et al, 2014;MERKOW et al, 2014;MORTON;GARG;NGUYEN, 2014;NOUWENS et al, 2014;PARTHASARATHY;SUBRAMANIAN;QUAN, 2014;VAN DOORN -KLOMBERG et al, 2014;ALONAZI;THOMAS, 2014;GRATWOHL et al, 2014;KELTON;TALAN;BLOOM, 2014;SISAY et al, 2015;TELEM et al, 2015;LAYMON et al, 2015). Positive, negative and neutral impacts were identified.…”

Section: Program Assessmentsmentioning

confidence: 99%

“…Positive, negative and neutral impacts were identified. There were 10 studies identifying positive impacts (CHABANNON et al, 2012;GUINDO et al, 2012;CASTLE, 2012b;ABOU ELNOUR et al, 2014;AGHEORGHIESEI et al, 2014;GRATWOHL et al, 2014;MORTON;GARG;NGUYEN, 2014;PARTHASARATHY;SUBRAMANIAN;QUAN, 2014;SISAY et al, 2015;TELEM et al, 2015). For example, a significant 14% increase in overall survival was observed for patients with chronic leukemia who received an allogenic HSCT (hematopoietic stem cell transplantation) in an accredited program, as compared with those treated in a non-accredited program (CHABANNON et al, 2012).…”

Section: Program Assessmentsmentioning

confidence: 99%

“…The impact of accreditation programs on health service organizations and units were examined in 27 studies CASTLE, 2012b;YU, 2012;GUINDO et al, 2012;ABDALLAH et al, 2013;PRONOVOST et al, 2013;SALEH et al, 2013;DAY et al, 2013;ABOU ELNOUR et al, 2014;LEE, 2014;MARONE et al, 2014;MARSHALL, 2014;MBAH et al, 2014;MOHAMMADI;MATIN;RIAHI, 2014;PARTHASARATHY;SUBRAMANIAN;QUAN, 2014;SAGHATCHIAN et al, 2014;SHAW et al, 2014;SONG;LI;ZHOU, 2014;MORAN, 2014;YILDIZ;KAYA, 2014;CARMAN;TIMSINA;SCUTCHFIELD, 2014;EL-JARDALI et al, 2014;GREENFIELD et al, 2014c;WENSING, 2015;RAJAN et al, 2015;ANDIRIC;MASSAMBU, 2015;SISAY et al, 2015;CHEN et al, 2015), including continuous quality improvement, the quality of care and safety of organizational cultures, compliance with external programs guidelines, standardization of care processes, and performance management systems. As observed in a research results, most responding hospitals considered accreditation as a worthy investment due to its effect on enhanced quality and safety culture (SALEH et al, 2013).…”

Section: Organizational Impactsmentioning

confidence: 99%

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Understanding the Evolution of Health Service Accreditation Research: A Literature Review From 2012 to 2015

Saut¹,

Berssaneti²

2017

RAHIS

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ResumoO objetivo deste estudo é investigar os temas centrais das pesquisas sobre acreditação. Este trabalho faz uma revisão da literatura sobre a acreditação nos últimos quatro anos e apresenta uma comparação dos resultados com uma revisão anterior, para analisar a evolução das publicações ao longo do tempo. A pesquisa identificou 90 estudos empíricos que examinam tanto os processos quanto os impactos de programas de acreditação. Os artigos foram classificados em nove categorias temáticas, sendo que oito categorias já haviam sido empregadas em estudos anteriores e uma emergiu dessa avaliação, relacionada à sustentabilidade programa de acreditação (n = 10). O número de publicações aumentou nos últimos anos. A maioria dos estudos foram dos Estados Unidos (n = 35) e Austrália (n = 14). Os resultados indicam uma tendência de aumento da colaboração internacional entre os pesquisadores. Na literatura recente, o número de estudos que indicam efeito positivo da acreditação é mais elevado do que o identificado nos trabalhos anteriores de revisão. Os pontos de vista em relação aos impactos financeiros, questões de pesquisa e profissionais de saúde permanecem menos claro. Palavras-chave: Acreditação; Saúde; Qualidade. Ana Maria Saut AbstractThe aim of this study is to investigate the core themes of accreditation research. This paper reviews the literature on accreditation in the last four years and compares the findings to a prior research to analyze the evolution of publication over time. The search identified 90 empirical studies examining either the processes or the impacts of accreditation programs. The articles were classified in nine thematic categories, whereas eight were employed by prior studies, one emerged from this review regarding the accreditation program sustainability (n=10). Publications number increased in the last years. The majority of studies were from the United States (n=35) and Australia (n=14). The findings indicate an increasing trend of international collaboration among researches. In the recent literature, the number of studies indicating positive effect of accreditation is higher than prior reviews. The views regarding financial impacts, survey issues and health professionals are less clear. Keywords: Accreditation, Health Care; Quality. ResumenEl objetivo de este estudio es analizar los temas centrales de la investigación de acreditación. Este trabajo es una revisión de la literatura sobre la acreditación en los últimos cuatro años y se comparan los resultados con la versión anterior, para analizar la evolución de las publicaciones a través del tiempo. La investigación identificó 90 estudios empíricos que examinan tanto los procesos como los impactos de los programas de acreditación. Los artículos fueron clasificados en nueve categorías temáticas, mientras que ocho fueron empleados por los estudios previos, uno surgido de esta revisión con respecto a la sostenibilidad de los programas de acreditación (n = 10). El número de publicaciones ha aumentado en los últimos años. La mayoría de los estu...

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“…Nove estudos avaliaram os resultados para os pacientes (CHABANNON et al, 2012;BRODRIBB;KRUSKE;GRATWOHL et al, 2014;MERKOW et al, 2014;NOUWENS et al, 2014;SONG;LI;ZHOU, 2014;TOWERS;FALSTIE-JENSEN et al, 2015;TELEM et al, 2015) CASTLE, 2012aCASTLE, , 2012bCHABANNON et al, 2012;GUINDO et al, 2012;O'BEIRNE et al, 2013;RAJAMANI et al, 2013;BRODRIBB;KRUSKE;KWON et al, 2013;ABOU ELNOUR et al, 2014;AGHEORGHIESEI et al, 2014;MERKOW et al, 2014;GARG;NGUYEN, 2014;NOUWENS et al, 2014; PARTHASARATHY; SUBRAMANIAN; QUAN, 2014; VAN DOORN -KLOMBERG et al, 2014;ALONAZI;THOMAS, 2014;GRATWOHL et al, 2014;KELTON;TALAN;BLOOM, 2014;SISAY et al, 2015;TELEM et al, 2015;LAYMON et al, 2015). Foram identificados impactos positivos, negativos e neutros.…”

Section: Análise De Conteúdounclassified

Avaliação do impacto dos programas de acreditação nas instituições de saúde brasileiras: contribuições de um estudo bibliométrico e de uma pesquisa de avaliação.

Saut¹

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Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia

Cited by 12 publications

References 10 publications

Evaluation of Phlebotomy Services in Clinical Laboratory Setting in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia

Evaluation of Phlebotomy Services in Clinical Laboratory Setting in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia

Understanding the Evolution of Health Service Accreditation Research: A Literature Review From 2012 to 2015

Avaliação do impacto dos programas de acreditação nas instituições de saúde brasileiras: contribuições de um estudo bibliométrico e de uma pesquisa de avaliação.

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