دورية أكاديمية

Remote support of an external quality assessment program in 10 laboratories in Bhutan, Uganda, and Malawi: Pathologists Overseas experience between 2009 and 2017.

التفاصيل البيبلوغرافية
العنوان: Remote support of an external quality assessment program in 10 laboratories in Bhutan, Uganda, and Malawi: Pathologists Overseas experience between 2009 and 2017.
المؤلفون: Harb R; Department of Laboratory Medicine, National Institutes of Health, Bethesda, MD, US., Tuggey R; Pathologists Overseas, Fullerton, CA, US., Ladenson JH; Pathologists Overseas, Fullerton, CA, US.; Department of Pathology and Immunology, Division of Laboratory and Genomic Medicine Washington University School of Medicine, St Louis, MO, US., Amukele T; Pathologists Overseas, Fullerton, CA, US.; ICON Clinical Laboratories, Farmingdale, NY, US.
المصدر: American journal of clinical pathology [Am J Clin Pathol] 2024 Jul 05; Vol. 162 (1), pp. 7-11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 0370470 Publication Model: Print Cited Medium: Internet ISSN: 1943-7722 (Electronic) Linking ISSN: 00029173 NLM ISO Abbreviation: Am J Clin Pathol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Oxford : Oxford University Press
Original Publication: Philadelphia [etc.] Lippincott [etc.]
مواضيع طبية MeSH: Quality Assurance, Health Care*, Humans ; Uganda ; Bhutan ; Malawi ; Laboratories, Clinical/standards ; Pathologists ; Pathology, Clinical/standards
مستخلص: Objectives: This article describes Pathologists Overseas (PO) experience supporting external quality assessment (EQA) programs in 10 clinical laboratories across 3 countries between 2009 and 2017.
Methods: Laboratories were enrolled in the condensed chemical pathology EQA program provided by the Royal College of Pathologists of Australasia Quality Assurance Program. Participants were given an initial 2- to 4-day in-person training, followed by 1 year of active feedback on performance via emails or phone calls by a PO volunteer.
Results: There were 2 performance metrics: percentage of reported results as a measure of compliance and percentage of acceptable reported results as a measure of accuracy. Laboratories demonstrated high compliance with result reporting, with medians of 69.9%, 71.7%, and 81.3% before, during, and after feedback, respectively. Concomitant medians for the percentage of acceptable reported results were 41.2%, 57.3%, and 53.5%, respectively. Six laboratories had low performance in terms of accuracy at baseline (<60%). Active feedback improved the percentage of acceptable reported results for these lower-performing laboratories.
Conclusions: External quality assessment programs can be successfully adopted long term by laboratories in low-resource settings. Active feedback requires significant time and effort but could be especially beneficial for laboratories with poor baseline performance.
(© The Author(s) 2024. Published by Oxford University Press on behalf of American Society for Clinical Pathology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
معلومات مُعتمدة: Beckman-Coulter Foundation
فهرسة مساهمة: Keywords: EQA; LMIC; RCPAQAP; global health; laboratory; low-resource setting; quality assurance
تواريخ الأحداث: Date Created: 20240222 Date Completed: 20240705 Latest Revision: 20240705
رمز التحديث: 20240705
DOI: 10.1093/ajcp/aqae009
PMID: 38387037
قاعدة البيانات: MEDLINE
الوصف
تدمد:1943-7722
DOI:10.1093/ajcp/aqae009