The Implementation and Effects of a Clinical Laboratory Accreditation Program in Korea from 1999 to 2006

Shin, Bo-Moon; Chae, Seok-Lae; Min, Won‐Ki; Lee, Wee Gyo; Lim, Young Ae; Lee, Dong Hoon; Lim, Hwan Sub; Lee, You Kyoung; Cha, Young-Joo; Suh, Soon Pal; Lee, Kap No; Kwak, Yun Sik

doi:10.3343/kjlm.2009.29.2.163

Cited by 18 publications

(18 citation statements)

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“…These include the Accreditation Program of Clinical Laboratories established by Argentina in 1994; 21 the Thailand Medical Technology Council national accreditation program of 2002 22 and the Korean Laboratory Accreditation Program of 1999. 23 In all cases, there was significant progress in the implementation of quality management systems toward accreditation. 21,22,23 Similarly, SLIPTA was adopted to address quality improvement incrementally toward achieving accreditation requirements in the resource-limited settings of Africa.…”

Section: Discussionmentioning

confidence: 99%

“…23 In all cases, there was significant progress in the implementation of quality management systems toward accreditation. 21,22,23 Similarly, SLIPTA was adopted to address quality improvement incrementally toward achieving accreditation requirements in the resource-limited settings of Africa. It recognises and rewards efforts made toward meeting accreditation requirements as measured by the achieved percentage of compliance and star levels.…”

Section: Discussionmentioning

confidence: 99%

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Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation

et al. 2016

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BackgroundThe increase in disease burden has continued to weigh upon health systems in Africa. The role of the laboratory has become increasingly critical in the improvement of health for diagnosis, management and treatment of diseases. In response, the World Health Organization Regional Office for Africa (WHO AFRO) and its partners created the WHO AFRO Stepwise Laboratory (Quality) Improvement Process Towards Accreditation (SLIPTA) program.SLIPTA implementation processWHO AFRO defined a governance structure with roles and responsibilities for six main stakeholders. Laboratories were evaluated by auditors trained and certified by the African Society for Laboratory Medicine. Laboratory performance was measured using the WHO AFRO SLIPTA scoring checklist and recognition certificates rated with 1–5 stars were issued.Preliminary resultsBy March 2015, 27 of the 47 (57%) WHO AFRO member states had appointed a SLIPTA focal point and 14 Ministers of Health had endorsed SLIPTA as the desired programme for continuous quality improvement. Ninety-eight auditors from 17 African countries, competent in the Portuguese (3), French (12) and English (83) languages, were trained and certified. The mean score for the 159 laboratories audited between May 2013 and March 2015 was 69% (median 70%; SD 11.5; interquartile range 62–77). Of these audited laboratories, 70% achieved 55% compliance or higher (2 or more stars) and 1% scored at least 95% (5 stars). The lowest scoring sections of the WHO AFRO SLIPTA checklist were sections 6 (Internal Audit) and 10 (Corrective Action), which both had mean scores below 50%.ConclusionThe WHO AFRO SLIPTA is a process that countries with limited resources can adopt for effective implementation of quality management systems. Political commitment, ownership and investment in continuous quality improvement are integral components of the process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation

et al. 2016

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Section: Introductionmentioning

confidence: 99%

“…The standardization of laboratory practice depends on a private sector entity, the Korean Laboratory Accreditation Program (KLAP), and the Korean External Quality Assessment Scheme (KEQAS) [56]. The KLAP was developed by the Korean Society of Laboratory Medicine in 1999, and was reorganized as the Laboratory Medicine Foundation in 2010 [6]. A laboratory that meets the requirements of laboratory accreditation schemes can receive KLAP certification, which expresses confidence in the quality of services provided by that laboratory [6].…”

Section: Introductionmentioning

confidence: 99%

“…The KLAP was developed by the Korean Society of Laboratory Medicine in 1999, and was reorganized as the Laboratory Medicine Foundation in 2010 [6]. A laboratory that meets the requirements of laboratory accreditation schemes can receive KLAP certification, which expresses confidence in the quality of services provided by that laboratory [6]. The KEQAS was set up in 1976, and is currently run by the Korean Association of External Quality Assessment Service.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Accreditation on Accuracy of Diagnostic Tests in Medical Laboratories

et al. 2017

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BackgroundMedical laboratories play a central role in health care. Many laboratories are taking a more focused and stringent approach to quality system management. In Korea, laboratory standardization efforts undertaken by the Korean Laboratory Accreditation Program (KLAP) and the Korean External Quality Assessment Scheme (KEQAS) may have facilitated an improvement in laboratory performance, but there are no fundamental studies demonstrating that laboratory standardization is effective. We analyzed the results of the KEQAS to identify significant differences between laboratories with or without KLAP and to determine the impact of laboratory standardization on the accuracy of diagnostic tests.MethodsWe analyzed KEQAS participant data on clinical chemistry tests such as albumin, ALT, AST, and glucose from 2010 to 2013. As a statistical parameter to assess performance bias between laboratories, we compared 4-yr variance index score (VIS) between the two groups with or without KLAP.ResultsCompared with the group without KLAP, the group with KLAP exhibited significantly lower geometric means of 4-yr VIS for all clinical chemistry tests (P<0.0001); this difference justified a high level of confidence in standardized services provided by accredited laboratories. Confidence intervals for the mean of each test in the two groups (accredited and non-accredited) did not overlap, suggesting that the means of the groups are significantly different.ConclusionsThese results confirmed that practice standardization is strongly associated with the accuracy of test results. Our study emphasizes the necessity of establishing a system for standardization of diagnostic testing.

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Diagnostic Laboratories in India: Investigating Quality Characteristics, Productivity and Time of Reporting

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Gutscher²,

Chin³

2017

Ind J Clin Biochem

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This is the result of a Survey of diagnostics laboratories in the Asia Pacific (APAC) region with perspectives on India, investigating the three key aspects that are central to the success of a laboratory: quality, cost and speed. This Survey provides a comparison in selected performance indicators in a large number of diagnostic laboratories in a broad range of countries in the APAC region. The Survey provides data on some key performance characteristics such as quality improvement activities, staff productivity and Turnaround Time (TAT). This Survey also demonstrates in India the common issues facing all the laboratories surveyed but also common solutions using a Quality Systems approach which involves Accreditation, customer responsiveness, greater use of IT, automation and Lean principles. Indian laboratories reported less automation and fewer laboratories have Laboratory Information Systems. The productivity by various measures in Indian laboratories was less than in other APAC laboratories. TAT was more commonly monitored in the Indian specimens though there were fewer laboratories compared with the APAC specimens where there were separate TATs for Short Turnaround Time and Routine specimens.

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The Implementation and Effects of a Clinical Laboratory Accreditation Program in Korea from 1999 to 2006

Cited by 18 publications

References 1 publication

Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation

Implementation of the World Health Organization Regional Office for Africa Stepwise Laboratory Quality Improvement Process Towards Accreditation

Effect of Accreditation on Accuracy of Diagnostic Tests in Medical Laboratories

Diagnostic Laboratories in India: Investigating Quality Characteristics, Productivity and Time of Reporting

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