Quality management and accreditation in laboratory hematology: Perspectives from India

Pai, Swati; Frater, John L.

doi:10.1111/ijlh.13017

Cited by 5 publications

(7 citation statements)

References 27 publications

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“…Nonetheless, wireless technologies nowadays play a large role in many ways, including critical value notification and reporting, but only around one-third of responses to our survey indicated the use of these technologies to deliver the notification which is not matching subsequent study. A study in India [ 16 ] suggested that increased usage of wireless technology in laboratories will improve quality metrics including turnaround time.…”

Section: Discussionmentioning

confidence: 99%

“…Around 87% responses indicated knowledge that a comprehensive list existed, which might acknowledge the importance of critical value notification. Reporting critical values according to a written protocol will address quality assurance and avoid tests reference ranges errors [ 16 ]. Medical societies—usually guided by medical professionals representing a particular specialised field—play a role in keeping their community informed about the latest research and developments in that field; following their recommendations aims to ensure that patients receive the best treatment available [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

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Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

ALFadhalah

Mudaf

Tawalah

et al. 2022

BMC Health Serv Res

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Background Notification of laboratory-determined critical values is key for effective clinical decision making and is thus a consequential step in a patient’s health care and safety. This study presents an overview of staff reporting policies and procedures concerning critical values in Kuwaiti governmental hospitals. Methods A cross-sectional descriptive study design was adopted. Study subjects were affiliated with laboratories from five government hospitals (four general and one sub-specialty hospital). All laboratory staff in every hospital were included. The Statistical Package for the Social Sciences (version 23) was used to analyse the collected data at a significance level of ≤ 0.05. Quantitative data analysis included univariate descriptive (means, medians, standard deviations, frequencies, percentages) and bivariate (chi-squared, ANOVA and Kruskal–Wallis tests) analyses. These analyses provided associations between participating hospitals and staff perceptions towards the policies and procedures surrounding critical values. Results 559 questionnaires were returned, a total response of 30.5% after those of 79 phlebotomists were excluded (eligible sample size n = 1833). The notification of critical values differs between participated laboratories in delivering protocol and time duration. Linked protocols between laboratories did not exist regarding policies and guidelines for applying the same procedures for critical value notification. There are differences in critical value limits among the participating laboratories. Conclusion This study is the first to survey laboratory staff perceptions of critical value practices in Kuwaiti government hospitals. Enhancing critical value reporting and policy is crucial for improving patient safety and to develop high-quality health services. The findings of this study can help policy makers implement future intervention studies to enhance laboratory practices in the area of critical values and improve patient safety and the quality of government hospital systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

ALFadhalah

Mudaf

Tawalah

et al. 2022

BMC Health Serv Res

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“…Many laboratories are compliant with country‐specific accreditation norms, a few are also compliant with international accreditations and EQAS programmes. However, these cannot be generalised for all labs in the country, and India faces significant challenges on this account 33 . Turnover times vary from days to weeks for outsourced tests and may potentially affect real‐world clinical management of patients.…”

Section: The Perspective From India (Vs Radhakrishnan and M Chandy)mentioning

confidence: 99%

“…However, these cannot be generalised for all labs in the country, and India faces significant challenges on this account. 33 Turnover times vary from days to weeks for outsourced tests and may potentially affect real‐world clinical management of patients. This challenge is identified as a felt need in the country and regional hubs for testing are being mooted by the Government and professional organisations.…”

Section: The Perspective From India (Vs Radhakrishnan and M Chandy)mentioning

confidence: 99%

Precursor B‐cell acute lymphoblastic leukaemia—a global view

et al. 2021

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As haematologists, we always seek to follow standardised guidelines for practice and apply the best treatment within our means for our patients with blood diseases. However, treatment can never follow an exact recipe. Opinions differ as to the best approach; sometimes more than one treatment approach results in identical outcomes, or treatments differ only by the manner in which they fail. Furthermore, the haematologist is faced with constraints relating to the local economic environment. Patients too are not the same the world over. Early presentation is commoner in the developed world, as is the patient's understanding of the disease process. This in turn has an impact on the way patients are managed, the rigorousness of patient adhesion to the treatment schedule and the outcome. Here we take a look at the precursor B-cell acute lymphoblastic leukaemia in an adolescent in a range of different settings from low-to high income countries with widely differing challenges for diagnosis, therpy and follow-up. For these reasons, given the same starting conditions, patients will be treated differently according to the institute and the country they are in. Experts from around the world have been tasked to describe their management plan and rationale for a specific disease presentation. Here they explore the management of precursor B-cell acute lymphoblastic leukaemia (pre-B ALL) in five different institutions worldwide with a focus on those with more or less strained economies. We end with a conclusion from an expert in the field comparing and contrasting these different management styles and considering their merits and limitations.

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“…7 This should be verified within the correct time frame and easily interpreted by healthcare workers. 8 Accredited laboratories are associated with good quality testing. Since 2014, reports have indicated that less than 30% of medical laboratories in Africa are accredited by the internationally recognised bodies, meaning that there are fewer laboratories that have achieved international accreditation status.…”

Section: Sanas Is the Only Internationally Recognised Accreditation Body In Southmentioning

confidence: 99%

An overview of medical diagnostic laboratories in South Africa that meet the international standard of accreditation: ISO 15189

Khadambi-Morokane

Bhowan

Ayuk

2021

The Journal of Medical Laboratory Science and Technology of Sou

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Accreditation is an official recognition that a facility or laboratory is competent to perform specific tasks and has a documented manual on a Quality Management System (QMS) in place. According to the Accreditation Act 19 of 2006, South African National Accreditation Systems (SANAS) is the only internationally recognised accreditation body in South Africa. The International Organization for Standardization (ISO) standard specifically for medical laboratory accreditation is ISO 15189:2012. This review is designed to bring awareness of accredited and unaccredited medical diagnostic laboratories in SA; to look at the number of accredited, unaccredited laboratories and the rate of accreditation growth; to examine the state of accreditation in South Africa with regard to how many are accredited, suspended or withdrawn; and to highlight the advantages of being an accredited laboratory. It also examines the nonconformances commonly raised during assessment and an overview of accreditation around the world. Upon accreditation, the laboratory is given the right to use the SANAS symbol on patient request forms or results as a confirmation of competency. This has motivated more and more laboratories to be accredited. Diagnostic laboratories contribute much toward the final decisions taken by clinicians to diagnose the patients or treatment; this may be from an accredited or non-accredited laboratory. Since patient care is inextricably linked to pathology testing, every laboratory should engage a premium QMS and be evaluated by an accreditation body to ensure that patients receive a trustworthy report. Accreditation is a voluntary process in South Africa but mandatory in some Western countries. Although some laboratories might lose accreditation along the way, the ratio compared to those accredited is still very small. The fact that a majority remain accredited is a good indication of a well-implemented QMS. The challenges faced by the medical technologist-owned laboratories remain, as they are still not accredited.

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Quality management and accreditation in laboratory hematology: Perspectives from India

Cited by 5 publications

References 27 publications

Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

Baseline assessment of staff perception of critical value practices in government hospitals in Kuwait

Precursor B‐cell acute lymphoblastic leukaemia—a global view

An overview of medical diagnostic laboratories in South Africa that meet the international standard of accreditation: ISO 15189

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