gli stepwise process towards tb laboratory accreditation ... gli tool dem… · peru • national...
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GLI Stepwise Process towards TB Laboratory Accreditation -Demonstration
Tjeerd Datema, MSc.
Royal Tropical Institute, Amsterdam, The Netherlands
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Background
Fact: Increase in recognition of the need for quality
management in clinical/diagnostic laboratories
Background – Idea – Development – Optimization – Conclusion
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Background
Fact: Growing ambition of
national tuberculosis (TB)
laboratories to implement
quality management systems
complying with international
quality standards
In other words: become accredited
Background – Idea – Development – Optimization – Conclusion
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Background
Fact/experience: Difficult to translate the international
quality standard into practice
Background – Idea – Development – Optimization – Conclusion
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Background
Fact: Increase in availability of guidance material, aimed
at laboratories in resource limited areas.
Background – Idea – Development – Optimization – Conclusion
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Idea
At the start of the TB CARE I (USAID) project funds were
available for developing a tool to guide accreditation of
TB laboratories
Meeting with representatives from GLI, CDC, The UNION, Univ.
of Massachusetts, KNCV Tuberculosis Foundation, Royal
Tropical Institute (KIT)
Background – Idea – Development – Optimization – Conclusion
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Idea
Translation ISO 15189 into practice is difficult
+
A lot of guidance material is already available
+
Our own experience in implementing quality management
TB labs need a lot of external assistance for
implementing a quality management system (QMS)
What if we develop a tool that translates the
ISO 15189 into a sequence of practical steps, and
provide links to the already available support
material where possible…
Background – Idea – Development – Optimization – Conclusion
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Sample
preparation
Sample
processing
Sample
examination
Recording
of results
Reporting
of results
Storage
of sample
Disposal
of sample
POST -ANALYTICALPRE-ANALYTICAL ANALYTICAL
RESOURCES THE WORK
MEASUREMENT
AND
IMPROVEMENT
Personnel Safety Assessments
Equipment Process ControlOccurrence
Management
Purchasing &
Inventory
Document &
RecordsCustomer service
Facilities &
Safety
Information
management
Process
improvement
ORGANIZATION and MANAGEMENT
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Background – Idea – Development – Optimization – Conclusion
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Background – Idea – Development – Optimization – Conclusion
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Development
Translation of ISO 15189 into practical
steps
Dividing these steps over 4 phases of
implementation, with each phase having
a specific focus
Phase1
Phase2
Phase3
Phase4
Background – Idea – Development – Optimization – Conclusion
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Development
• Phase 1: chosen to keep it simple and easy to achieve; focusing on assuring technical competency of testing performed.
• Phase 2: implement quality control measures and create traceability.
• Phase 3: establish the policy cyclewith proper management, leadershipand planning.
• Phase 4: create continuousimprovement, accumulate evidence.
Phase1
Phase2
Phase3
Phase4
Background – Idea – Development – Optimization – Conclusion
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Amsterdam, The Netherlands www.kit.nl
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Optimization
Launch: November 2011, at the UNION conference in Lille, France
Since launch:Use has been increasing to currently 1100 visits per month of which 30% is returning customers.
Experiences of using the tool in practice were received from:• National TB Laboratory in Lima,
Peru• National TB Reference Laboratory
in Cotonou, Benin
Background – Idea – Development – Optimization – Conclusion
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Optimization
Improvements planned after 1 year testing in practice:• Activities
• More activities• Adaption of activities• Use of version numbers
• Roadmaps• Checklists
Background – Idea – Development – Optimization – Conclusion
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Optimization
Improvements planned after 1 year testing in practice:• Activities• Roadmaps
• Better adapted to practice• More logical• Clearer
• Checklists
Background – Idea – Development – Optimization – Conclusion
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Optimization
Improvements planned after 1 year testing in practice:• Activities• Roadmaps• Checklists
• Extended• More user friendly (addition of a function to let the user automatically assemble checklists based on what he/shewants to assess)
• Overall
Background – Idea – Development – Optimization – Conclusion
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Optimization
Improvements planned after 1 year testing in practice:• Activities• Roadmaps• Checklists• Overall
• More intuitive• Adaption to ISO 15189:2012• Addition of a page on where the tool is used• Contact form• Forum?• Login?• Translation?
Background – Idea – Development – Optimization – Conclusion
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Conclusion
Access the GLI tool at:
www.GLIquality.org
Alternative for those working in a public health laboratory:• World Health Organization Laboratory Quality Stepwise
Implementation tool (WHO LQSI tool)• Launched early 2013• Accessible at WHO website: www.who.int• Leave your email address for information on launch of this
tool
Background – Idea – Development – Optimization – Conclusion
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Conclusion
Contributors:
Martin Baker, Stella van Beers, Russell Dacombe, Tjeerd Datema, Armand van Deun, Mirjam Engelberts, Glen Fine, Chris Gilpin, Peter Hessels, Paul Klatser, Linda Oskam, John Ridderhof, Elsie van Schalkwyk, Jerod Scholten, Tom Shinnick, Marina Shulgina
National TB Reference Laboratory, Cotonou, Benin:• Dr. D. Affolabi, Mr. F. Faihun
National TB Laboratory, Lima, Peru:• Mr. D. Coleman
More information/contact: [email protected]
www.GLIquality.orgBackground – Idea – Development – Optimization – Conclusion