Strengthening Quality of Tuberculosis Laboratories Toward Accreditation in Viet Nam: Implementation and Impact of the TB SLMTA Program
Objectives: Early diagnosis of tuberculosis (TB) and multidrug-resistant TB (MDR-TB) is a priority for Viet Nam's National TB Control Programme. In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB lab...
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| Veröffentlicht in: | American journal of clinical pathology 2019-12, Vol.152 (6), p.808-817 |
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| container_title | American journal of clinical pathology |
| container_volume | 152 |
| creator | Gumma, Vidyanidhi Bennett, Davara Lee Phong, Lan Nguyen Thi Ngoc, Cuong Duong Bond, Kyle B Hoang, Yen Nguyen Thi Erni, Donatelle Nguyen Van, Nhung Nguyen Van, Hung Albert, Heidi |
| description | Objectives: Early diagnosis of tuberculosis (TB) and multidrug-resistant TB (MDR-TB) is a priority for Viet Nam's National TB Control Programme. In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. Methods: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. Results: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. Conclusions: The program led to improved quality systems. Sites should be monitored to ensure sustainability of improvements and country capacity expanded for national scaleup. Key Words: Tuberculosis; Quality management systems; Accreditation; Diagnostics; Laboratory strengthening |
| doi_str_mv | 10.1093/AJCP/AQZ104 |
| format | Article |
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In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. Methods: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. Results: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. Conclusions: The program led to improved quality systems. Sites should be monitored to ensure sustainability of improvements and country capacity expanded for national scaleup. Key Words: Tuberculosis; Quality management systems; Accreditation; Diagnostics; Laboratory strengthening</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/AJCP/AQZ104</identifier><language>eng</language><publisher>Chicago: Oxford University Press</publisher><subject>Accreditation ; Check lists ; Control ; Diagnosis ; Laboratories ; Licensing, certification and accreditation ; Medical laboratories ; Medical technologists ; Multidrug resistance ; Quality ; Quality management ; Training ; Tuberculosis</subject><ispartof>American journal of clinical pathology, 2019-12, Vol.152 (6), p.808-817</ispartof><rights>COPYRIGHT 2019 Oxford University Press</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Gumma, Vidyanidhi</creatorcontrib><creatorcontrib>Bennett, Davara Lee</creatorcontrib><creatorcontrib>Phong, Lan Nguyen Thi</creatorcontrib><creatorcontrib>Ngoc, Cuong Duong</creatorcontrib><creatorcontrib>Bond, Kyle B</creatorcontrib><creatorcontrib>Hoang, Yen Nguyen Thi</creatorcontrib><creatorcontrib>Erni, Donatelle</creatorcontrib><creatorcontrib>Nguyen Van, Nhung</creatorcontrib><creatorcontrib>Nguyen Van, Hung</creatorcontrib><creatorcontrib>Albert, Heidi</creatorcontrib><title>Strengthening Quality of Tuberculosis Laboratories Toward Accreditation in Viet Nam: Implementation and Impact of the TB SLMTA Program</title><title>American journal of clinical pathology</title><description>Objectives: Early diagnosis of tuberculosis (TB) and multidrug-resistant TB (MDR-TB) is a priority for Viet Nam's National TB Control Programme. In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. Methods: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. Results: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. Conclusions: The program led to improved quality systems. Sites should be monitored to ensure sustainability of improvements and country capacity expanded for national scaleup. Key Words: Tuberculosis; Quality management systems; Accreditation; Diagnostics; Laboratory strengthening</description><subject>Accreditation</subject><subject>Check lists</subject><subject>Control</subject><subject>Diagnosis</subject><subject>Laboratories</subject><subject>Licensing, certification and accreditation</subject><subject>Medical laboratories</subject><subject>Medical technologists</subject><subject>Multidrug resistance</subject><subject>Quality</subject><subject>Quality management</subject><subject>Training</subject><subject>Tuberculosis</subject><issn>0002-9173</issn><issn>1943-7722</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkMtOwzAQRS0EEuWx4gcssQ61ncSN2YWKR1GBVg0s2FQTxw6uEhscR4gf4LsJohIs0CxGunPnXM0gdELJGSUiHue308U4Xz5TkuygERVJHE0mjO2iESGERYJO4n100HUbQijLSDJCn6vgla3Di7LG1njZQ2PCB3YaF32pvOwb15kOz6F0HoLzRnW4cO_gK5xL6VVlAgTjLDYWPxkV8D2053jWvjaqVXY7A1t9SyDDN3jIwsUFXs3vihwvvKs9tEdoT0PTqeNtP0SPV5fF9CaaP1zPpvk8qmlGQiQrSqtUQAVMDhcJrkvKWSpYVgpRcpaUZaa1nNAEEp6kjNM4Ba2BxkwILmh8iE5_uK_evfWqC-uN670dItcs5rHgPGXi11VDo9bGahc8yNZ0cp0PWDJ8jmeD6-wf11CVao10Vmkz6H8WvgD0wX5z</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Gumma, Vidyanidhi</creator><creator>Bennett, Davara Lee</creator><creator>Phong, Lan Nguyen Thi</creator><creator>Ngoc, Cuong Duong</creator><creator>Bond, Kyle B</creator><creator>Hoang, Yen Nguyen Thi</creator><creator>Erni, Donatelle</creator><creator>Nguyen Van, Nhung</creator><creator>Nguyen Van, Hung</creator><creator>Albert, Heidi</creator><general>Oxford University Press</general><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20191201</creationdate><title>Strengthening Quality of Tuberculosis Laboratories Toward Accreditation in Viet Nam: Implementation and Impact of the TB SLMTA Program</title><author>Gumma, Vidyanidhi ; 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In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. Methods: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. Results: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. Conclusions: The program led to improved quality systems. 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| ispartof | American journal of clinical pathology, 2019-12, Vol.152 (6), p.808-817 |
| issn | 0002-9173 1943-7722 |
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| source | Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Accreditation Check lists Control Diagnosis Laboratories Licensing, certification and accreditation Medical laboratories Medical technologists Multidrug resistance Quality Quality management Training Tuberculosis |
| title | Strengthening Quality of Tuberculosis Laboratories Toward Accreditation in Viet Nam: Implementation and Impact of the TB SLMTA Program |
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