|Title||Measurement of improvement achieved by participation in international laboratory accreditation in sub-saharan Africa: the aga khan university hospital nairobi experience.|
|Publication Type||Journal Article|
|Year of Publication||2014|
|Authors||Kibet, E, Moloo, Z, Ojwang, PJ, Sayed, S, Mbuthia, A, Adam, RD|
|Journal||Am J Clin Pathol|
|Date Published||2014 Feb|
Objectives: As part of the ISO 15189:2007 accreditation process, the Aga Khan University Hospital Nairobi laboratory became the first internationally accredited hospital laboratory in sub-Saharan Africa outside South Africa in 2011 through the South Africa National Accreditation System. Methods: Seven preanalytic, 10 analytic, eight postanalytic, and five administrative performance parameters were monitored from 2009 to 2012 to measure the impact of the accreditation process. Results: Most measures in all four categories showed substantial improvement. The seven preanalytic measures all showed major improvement-between a quarter and a half sigma. Real but less dramatic improvement appeared in analytic and postanalytic measures, but greater than one sigma decrease in analytic "procedure violations" and a three-quarter sigma decrease in excessive turnaround time were noted in these categories. Administrative improvements included dramatic decreases in misdirected and missing reports and complaints. Conclusions: This study demonstrates the correlation of the accreditation process with improvement in quality measures in a low-resource region.
|Alternate Journal||Am. J. Clin. Pathol.|