scholarly journals From grass to grace: How SLMTA revolutionised the Bamenda Regional Hospital Laboratory in Cameroon

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Siyem C. Nkwawir ◽  
Nakeli N. Batumani ◽  
Talkmore Maruta ◽  
Charles N. Awasom
Keyword(s):  
Clinical Laboratory ◽  
Regional Hospital ◽  
Quality Of Services ◽  
Quality Management Systems ◽  
Hospital Laboratory ◽  
Laboratory Staff ◽  
Quality Improvement Process ◽  
Laboratory Services ◽  
Training Activities

Background: Public health laboratories form the foundation on which today’s clinical laboratory practice in Cameroon is built. The advent of the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme in 2009 empowered the Bamenda Regional Hospital Laboratory (BRHL) to improve its working culture, practices and management.Objectives: To evaluate the results of SLMTA implementation at BRHL and discuss lessons learned.Method: In 2010, the SLMTA programme was rolled out in Cameroon to improve laboratory quality management systems in five laboratories, including BRHL. Three workshops were conducted (the first centralised, the remaining two on-site at each laboratory) and improvement projects were implemented after each workshop with the assistance of mentors. Audits were used in order to evaluate performance and to identify areas for further improvement.Results: BRHL had the lowest score (18%) amongst the cohort at the baseline audit and the highest (81%) at the official Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) audit conducted in August 2013 by the African Society for Laboratory Medicine. Improvements were observed in each of the 12 Quality System Essentials; improvement was especially noteworthy in the areas of facilities and safety, and purchasing and inventory. Staff investment and pride in the quality of laboratory services increased.Conclusion: BRHL’s remarkable improvement was achieved with a combination of SLMTA training activities, intensive on-site mentorship and the collective focus of all laboratory staff. The experience at Bamenda Hospital illustrates what can be achieved when a laboratory successfully harnesses the energy of its staff and implements changes to improve the quality of services in a transformation taking them from grass to grace.

Assuring the quality of interpretative comments in clinical chemistry

2016 ◽  
Vol 54 (12) ◽  
Author(s):  
Samuel Vasikaran ◽  
Kenneth Sikaris ◽  
Eric Kilpatrick ◽  
Jane French ◽  
Tony Badrick ◽  
...  
Keyword(s):  
Clinical Laboratory ◽  
Clinical Chemistry ◽  
Continuing Professional Development ◽  
Laboratory Staff ◽  
Laboratory Services ◽  
Method Of Assessment ◽  
The Impact ◽  
Eqa Schemes ◽  
Interpretative Comments

AbstractThe provision of interpretative advice on laboratory results is a post-analytic activity and an integral part of clinical laboratory services. It is valued by healthcare workers and has the potential to prevent or reduce errors and improve patient outcomes. It is important to ensure that interpretative comments provided by laboratory personnel are of high quality: comments should be patient-focused and answer the implicit or explicit question raised by the requesting clinician. Comment providers need to be adequately trained and qualified and be able to demonstrate their proficiency to provide advice on laboratory reports. External quality assessment (EQA) schemes can play a part in assessing and demonstrating the competence of such laboratory staff and have an important role in their education and continuing professional development. A standard structure is proposed for EQA schemes for interpretative comments in clinical chemistry, which addresses the scope and method of assessment including nomenclature and marking scales. There is a need for evidence that participation in an EQA program for interpretative commenting facilitates improved quality of comments. It is proposed that standardizing goals and methods of assessment as well as nomenclature and marking scales may help accumulate evidence to demonstrate the impact of participation in EQA for interpretative commenting on patient outcome.

scholarly journals Patients’ Satisfaction with Clinical Laboratory Services in Public Hospitals in Ethiopia

2019 ◽  
Author(s):  
Hiwot Amare Hailu ◽  
Adinew Desale Lule ◽  
Anteneh Yalew ◽  
Habtamu Asrat Alaba ◽  
Sisay Kebede ◽  
...  
Keyword(s):  
National Survey ◽  
Clinical Laboratory ◽  
National Level ◽  
Public Hospitals ◽  
Satisfaction Level ◽  
Important Indicator ◽  
Hospital Laboratory ◽  
Patients Satisfaction ◽  
Laboratory Services ◽  
Waiting Area

Abstract Background: Knowing customers’ level of satisfaction is relevant to improve and provide quality health care services. In the clinical laboratory, monitoring customers’ satisfaction is an important indicator of the quality management system and required by international laboratory standards. However, in Ethiopia, there has not been baseline data about the satisfaction level of patients’ with laboratory services at the national level. The aim of this national level survey was to assess patients’ satisfaction level with laboratory services at public hospitals in Ethiopia. Methods: A national survey was conducted using an institutional based cross-sectional study design was employed from 01 to 30 November 2017. A total of 2,399 patients were selected randomly from 60 public hospitals. Data was collected using structured questionnaire, entered in Epi Info and analyzed with SPSS software. Multiple logistic regression model was fitted to identify predictors of patients’ satisfaction with laboratory services. A p-value of less than 0.05 was taken as statistically significant. Result: Overall, 78.6% of the patients were satisfied with the clinical laboratory services. Patients were dissatisfied with cleanness of latrine (47%), long waiting time (30%), clear and understandable advisory service during specimen collection (26%), adequacy of waiting area (25%), easy accessibility of laboratory (19%) and latrine location (20%), availability of requested service (18%), unfair payment of service (17%) and missing of result (12%). The educational status (P = 0.032), and distance (P = 0.000) were significantly associated with client overall satisfaction level. Conclusion: Most laboratory patients’ were satisfied with the service provided by public hospital laboratories in public hospitals in Ethiopia. However, patients’ were dissatisfied with the accessibility of sites, adequacy of waiting area, cleanness of latrine, long TAT, communication, missing of results, availability of requested service and cost of service. Therefore, responsible bodies in each level should act on the identified gaps and improve the need of patients in each hospital laboratory. In addition, all hospital laboratories should conduct a satisfaction survey and meet the needs of laboratory patients. Keywords: patient satisfaction, hospital, laboratory service, national survey

Improvement of laboratory turnaround time using lean methodology

2018 ◽  
Vol 31 (4) ◽  
pp. 295-308 ◽  
Author(s):  
Shradha Gupta ◽  
Sahil Kapil ◽  
Monica Sharma
Keyword(s):  
Clinical Laboratory ◽  
Value Added ◽  
Turnaround Time ◽  
Industrial Engineering ◽  
Healthcare Sector ◽  
Value Stream Mapping ◽  
Content Type ◽  
Laboratory Staff ◽  
Tools And Techniques

Purpose The purpose of this paper is to discuss the implementation of lean methodology to reduce the turnaround time (TAT) of a clinical laboratory in a super speciality hospital. Delays in report delivery lead to delayed diagnosis increased waiting time and decreased customer satisfaction. The reduction in TAT will lead to increased patient satisfaction, quality of care, employee satisfaction and ultimately the hospital’s revenue. Design/methodology/approach The generic causes resulting in increasing TAT of clinical laboratories were identified using lean tools and techniques such as value stream mapping (VSM), Gemba, Pareto Analysis and Root Cause Analysis. VSM was used as a tool to analyze the current state of the process and further VSM was used to design the future state with suggestions for process improvements. Findings This study identified 12 major non-value added factors for the hematology laboratory and 5 major non-value added factors for the biochemistry lab which were acting as bottlenecks resulting in limiting throughput. A four-month research study by the authors together with hospital quality department and laboratory staff members led to reduction of the average TAT from 180 to 95minutes in the hematology lab and from 268 to 208 minutes in the biochemistry lab. Practical implications Very few improvement initiatives in Indian healthcare are based on industrial engineering tools and techniques, which might be due to a lack of interaction between healthcare and engineering. The study provides a positive outcome in terms of improving the efficiency of services in hospitals and identifies a scope for lean in the Indian healthcare sector. Social implications Applying lean in the Indian healthcare sector gives its own potential solution to the problem caused, due to a wide gap between lean accessibility and lean implementation. Lean helped in changing the mindset of an organization toward providing the highest quality of services with faster delivery at an optimal cost. Originality/value This paper is an effort to reduce the gap between healthcare and industrial engineering and enhancing the use of lean practices in Indian healthcare. The study is motivated toward implementing lean methodology successfully in services.

scholarly journals PENINGKATAN KETERAMPILAN PEGAWAI KECAMATAN GUNUNGTANJUNG KABUPATEN TASIKMALAYA MELALUI PELATIHAN PENULISAN SURAT DINAS

2018 ◽  
Vol 1 (02) ◽  
Author(s):  
Rina Agustini
Keyword(s):  
Community Service ◽  
Quality Of Services ◽  
Government Programs ◽  
District Office ◽  
Administrative Work ◽  
Service Activity ◽  
Training Activities ◽  
Office Employees ◽  
Government Institution

The sub-district office is a government institution that uses letter media in delivering information or activities carried out to support government programs. Writing official letters is one of the activities in administration that can help smooth the activities of the administration. Therefore, writing official letters is very important to be understood by all sub-district office employees to support the administrative work process. The purpose of this service activity is to find out the understanding of writing official letters of the Gunungtanjung District Office of Tasikmalaya District and to find out an increase in understanding of writing official letters of the Gunungtanjung District Office in Tasikmalaya District. The implementation of Community Service activities is packaged using a workshop approach. The activity was carried out using the method of lecture, discussion and practice. The achievement of the training activities was the increasingly motivated sub-district office staff to improve their competence and professionalism in writing official letters. The quality of official letters that have been produced by employees of the Gunungtanjung District Office in Tasikmalaya Regency has also increased as explained below. 20 official letters with very good categories, 7 official letters with good categories, and 3 official letters classified as sufficient (score <70). The training activities benefited the participants and were expected to improve the quality of services in the Gunungtanjung District Office in Tasikmalaya Regency.Keywords: official letter, sub-district employee.�ABSTRAK�Kantor kecamatan merupakan lembaga pemerintah yang menggunakan media surat dalam menyampaikan informasi atau kegiatan-kegiatan yang dilaksanakan guna mendukung program pemerintah. Penulisan surat dinas merupakan salah satu kegiatan dalam administrasi yang dapat membantu kelancaran aktivitas bidang administrasi. Oleh karena itu, penulisan surat dinas sangat penting dipahami oleh semua pegawai kantor kecamatan untuk mendukung proses kerja administrasi. Adapun tujuan dilaksanakannya kegiatan pengabdian ini yaitu untuk mengetahui pemahaman penulisan surat dinas pegawai Kantor Kecamatan Gunungtanjung Kabupaten Tasikmalaya dan untuk mengetahui peningkatan pemahaman penulisan surat dinas pegawai Kantor Kecamatan Gunungtanjung Kabupaten Tasikmalaya. Pelaksanaan kegiatan Pengabdian Pada Masyarakat ini dikemas dengan menggunakan pendekatan workshop. Kegiatan dilakukan menggunakan metode ceramah, diskusi dan latihan. Pencapaian� dari kegiatan pelatihan ialah semakin termotivasinya para pegawai kantor kecamatan untuk meningkatkan kompetensi dan profesionalitasnya dalam penulisan surat dinas. Kualitas surat dinas yang telah dihasilkan oleh para pegawai Kantor Kecamatan Gunungtanjung Kabupaten Tasikmalaya juga mengalami peningkatan sebagaimana uraian berikut. 20 surat dinas dengan kategori sangat baik, 7 surat dinas dengan kategori baik, dan 3 surat dinas tergolong katerori cukup (skor < 70). Kegiatan pelatihan dirasakan manfaatnya oleh para peserta dan diharapkan dapat meningkatkan kualitas pelayanan di Kantor Kecamatan Gunungtanjung Kabupaten Tasikmalaya.

scholarly journals ANALISIS KUALITAS PELAYANAN LABORATORIUM TERHADAP KEPUASAN MAHASISWA PENDIDIKAN BIOLOGI FKIP UNTAN

2018 ◽  
Vol 1 (2) ◽  
pp. 21
Author(s):  
Eka Aryati
Keyword(s):  
Data Processing ◽  
Biology Education ◽  
Likert Scale ◽  
Exploratory Research ◽  
Laboratory Staff ◽  
Laboratory Services ◽  
Scale Data

AbstractThis research aimed to analyze student’s satisfaction on the quality of laboratory services in Biology Education. The exploratory research was used in this research. The subjects in this research are Biology Education’s students of FKIP Tanjungpura University. The data were collected using questionnaire with Likert scale. Data were analyzed to reveal the picture on the ground that were collected descriptively by interpreting the results of data processing through the tabulation. The results of this research are: (1) The level of students’s satisfaction to the services of laboratory/laboratory staff in the amount of 41.24% stated quite satisfied, 42.27% are satisfied, and 11.34% are very satisfied; (2) The level of students’s satisfaction to the service of lab assistant in the amount of 40.21% stated quite satisfied, 40.21% are satisfied, and 12.37% are very satisfied; (3) The level of students’s satisfaction to the equipment in the lab in the amount of 58.76% stated quite satisfied, 21.66% are satisfied, and 2.06% are very satisfied; (4) The level of students’s satisfaction to the lab materials in the amount of 52.58% stated quite satisfied, 22.68% are satisfied, and 2.06% are very satisfied; (5) The level of students’s satisfaction to the physical facilities and supporting laboratories in the amount of 46.39% stated quite satisfied, 22.68% are satisfied, and 5:15% very satisfied. Overall the level of student’s satisfaction to the laboratory services of Biology Education in FKIP Tanjungpura University is quite satisfied. Keywords: student’s satisfaction, laboratory services, quite satisfied.

scholarly journals Patients’ Satisfaction with Clinical Laboratory Services in Public Hospitals in Ethiopia

2019 ◽  
Author(s):  
Hiwot Amare Hailu ◽  
Adinew Desale Lule ◽  
Anteneh Yalew ◽  
Habtamu Asrat Alaba ◽  
Sisay Kebede ◽  
...  
Keyword(s):  
National Survey ◽  
Clinical Laboratory ◽  
National Level ◽  
Public Hospitals ◽  
Satisfaction Level ◽  
Important Indicator ◽  
Hospital Laboratory ◽  
Patients Satisfaction ◽  
Laboratory Services ◽  
Waiting Area

Abstract Abstract Background: Knowing customers’ level of satisfaction is relevant to improve and provide quality health care services. In the clinical laboratory, monitoring customers’ satisfaction is an important indicator of the quality management system and required by international laboratory standards. However, in Ethiopia, there has not been baseline data about the satisfaction level of patients’ with laboratory services at the national level. The aim of this national level survey was to assess patients’ satisfaction level with laboratory services at public hospitals in Ethiopia. Methods: A national survey was conducted using an institutional based cross-sectional study design was employed from 01 to 30 November 2017. A total of 2,399 patients were selected randomly from 60 public hospitals. Data was collected using structured questionnaire, entered in Epi Info and analyzed with SPSS software. Multiple logistic regression model was fitted to identify predictors of patients’ satisfaction with laboratory services. A p-value of less than 0.05 was taken as statistically significant. Result: Overall, 78.6% of the patients were satisfied with the clinical laboratory services. Patients were dissatisfied with cleanness of latrine (47%), long waiting time (30%), clear and understandable advisory service during specimen collection (26%), adequacy of waiting area (25%), easy accessibility of laboratory (19%) and latrine location (20%), availability of requested service (18%), unfair payment of service (17%) and missing of result (12%). The frequency of visit (P = 0.067), educational status (P = 0.032), and distance (P = 0.000) were significantly associated with client overall satisfaction level. Conclusion : Most laboratory patients’ were satisfied with the service provided by public hospital laboratories in public hospitals in Ethiopia. However, patients’ were dissatisfied with the accessibility of sites, adequacy of waiting area, cleanness of latrine, long TAT, communication, missing of results, availability of requested service and cost of service. Therefore, responsible bodies in each level should act on the identified gaps and improve the need of patients in each hospital laboratory. In addition, all hospital laboratories should conduct a satisfaction survey and meet the needs of all laboratory patients. Keywords: patient satisfaction, hospital, laboratory service, national survey, Ethiopia.

scholarly journals Evaluation of the quality of clinical laboratory services in the University Hospital of Kinshasa, Democratic Republic of the Congo

2021 ◽  
Vol 9 (1) ◽  
pp. 44-50
Author(s):  
Chabo Byaene Alain ◽  
◽  
Mabela Matendo Rostin ◽  
Konde Numbi Joël ◽  
Muhindo Mavoko Hypolite ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Customer Satisfaction ◽  
Democratic Republic ◽  
Clinical Laboratory ◽  
Turnaround Time ◽  
University Hospital ◽  
Laboratory Services ◽  
Republic Of The Congo ◽  
The University

The evaluation of the quality of a service is the critical assessment of the degree to which the service, or its component, provides customers’ satisfaction. Monitoring customer satisfaction is an important and useful quality improvement tool for clinical laboratories and health care organizations. The purpose of this research is to evaluate the satisfaction level with laboratory services among attending physicians and to identify factors associated with satisfaction and priorities for quality improvement. A cross-sectional study was conducted at the University Hospital of Kinshasa. Data were collected through a reliable and valid interviewer-administered questionnaire and analyzed by using SPSS version 21. The correlation between associated factors and customer satisfaction was analyzed using the chi-square test and multivariate regression analysis. The Importance-Performance Analysis was the determinant of improvement priority. The overall level of customers’ satisfaction toward clinical laboratory services in this study was 45.2% with a response rate of 330 (100%). Gender (ORadj = 1.75, 95% CI 1.06, 2.91), Department (ORadj = 3.09, 95% CI 1.50, 6.37) and academic title (ORadj = 6.85, 95% CI 3.51, 8.81) were found to have a statistically significant association with the overall satisfaction. Results accuracy (I = 0.944, P = 4.7), laboratory turnaround time (I = 0.932, P = 4.8), and availability of all the tests requested by physicians (I = 0.917, P = 4.9) were the most important opportunities for quality improvement. The overall level of customers’ satisfaction with laboratory services was low. Thus, the laboratory management must establish preventive and corrective measures to improve the results’ accuracy, reduce the laboratory turnaround time, and ensure the availability of all the tests requested by physicians. Keywords: Customers satisfaction, clinical laboratory, services’ quality, continuous improvement, Democratic Republic of the Congo.

scholarly journals Evaluation of corrective actions of feedback from clinicians on Clinical Laboratory Services at Bamenda Regional Hospital Laboratory, Cameroon

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Victor N. Fondoh ◽  
Charles N. Awasom ◽  
Rebecca Enow-Tanjong ◽  
Richard M. Fondoh ◽  
Patrick Njukeng ◽  
...  
Keyword(s):  
Customer Satisfaction ◽  
Waiting Time ◽  
Regional Hospital ◽  
Hospital Laboratory ◽  
General Satisfaction ◽  
Clinical Laboratories ◽  
Specimen Collection ◽  
Laboratory Services ◽  
Clinician Satisfaction ◽  
Corrective Actions

Background: Customers’ satisfaction is imperative for success. Clinical laboratories continuously strive to attain very high levels of customer satisfaction to serve their clients and maintain accreditation. The concept of customer satisfaction has not yet been asserted in most clinical laboratories in Cameroon.Objectives: Our objectives were to assess the satisfaction of clinicians with the laboratory services at the Bamenda Regional Hospital Laboratory, identify important challenges, corrective actions implemented and changes in satisfaction.Methods: This retrospective study reviewed secondary data from clinician satisfaction survey records from March 2017 and November 2017. Challenges and implemented corrective actions were identified for assessed statements of dissatisfaction (dissatisfaction rates ≥ 20%) on the March 2017 survey. Satisfaction rates in March 2017 and November 2017 were compared.Results: High levels of dissatisfaction were observed for general satisfaction, waiting time, communication, duty consciousness, specimen collection and approach on the March 2017 survey. The main challenges identified were: lack of respect for the expected length of the waiting time, poor attitude, inadequate information, staff shortage and inadequate supervision. Statistically significant reductions in rates of dissatisfaction were observed for general satisfaction, waiting time, communication, response to emergencies, issuing of results, specimen collection, approach and duty consciousness.Conclusion: Waiting time is a major cause of clinician dissatisfaction with laboratory services. The identification of clinicians’ challenges and the effective implementation of corrective actions contribute to improvements in clinician satisfaction.

scholarly journals Translating a National Laboratory Strategic Plan into action through SLMTA in a district hospital laboratory in Botswana

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Keoratile Ntshambiwa ◽  
Winnie Ntabe-Jagwer ◽  
Chandapiwa Kefilwe ◽  
Fredrick Samuel ◽  
Sikhulile Moyo
Keyword(s):  
Quality Improvement ◽  
Inventory Management ◽  
National Laboratory ◽  
Strategic Plan ◽  
Quality Management Systems ◽  
Hospital Laboratory ◽  
Quality Improvement Process ◽  
Clinician Satisfaction ◽  
Improvement Programme ◽  
The Impact

Background: The Ministry of Health (MOH) of Botswana adopted Strengthening Laboratory Management Toward Accreditation (SLMTA), a structured quality improvement programme, as a key tool for the implementation of quality management systems in its public health laboratories. Coupled with focused mentorship, this programme aimed to help MOH achieve the goals of the National Laboratory Strategic Plan to provide quality and timely clinical diagnosis.Objectives: This article describes the impact of implementing SLMTA in Sekgoma Memorial Hospital Laboratory (SMHL) in Serowe, Botswana.Methods: SLMTA implementation in SMHL included trainings, improvement projects, site visits and focused mentorship. To measure progress, audits using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist were conducted at baseline and exit of the programme, with scores corresponding to a zero- to five-star scale.Turnaround times and customer satisfaction were tracked.Results: The laboratory scored 53% (zero stars) at the baseline audit and 80% (three stars) at exit. Nearly three years later, the laboratory scored 85% (four stars) in an official audit conducted by the African Society for Laboratory Medicine. Turnaround times became shorter after SLMTA implementation, with reductions ranging 19% to 52%; overall patient satisfaction increased from 56% to 73%; and clinician satisfaction increased from 41% to 72%. Improvements in inventory management led to decreases in discarded reagents, reducinglosses from US $18 000 in 2011 to $40 in 2013.Conclusion: The SLMTA programme contributed to enhanced performance of the laboratory,which in turn yielded potential positive impacts for patient care at the hospital.

scholarly journals Assessment of Clinical laboratory using WHO AFRO-SLIPTA Quality Standards in a Referral Hospital laboratory in Ghana

2021 ◽  
Author(s):  
Rufai Tanko ◽  
Enoch Aninagyei ◽  
Albert Gyau Baffour ◽  
Fred Gbadago ◽  
Gideon Addae ◽  
...  
Keyword(s):  
Quality Management System ◽  
Clinical Laboratory ◽  
District Hospital ◽  
Effective Means ◽  
Internal Audit ◽  
Care Quality ◽  
Quality System ◽  
Equipment Management ◽  
Hospital Laboratory ◽  
Laboratory Staff

Abstract Introduction: The hospital laboratory exists to provide accurate and reliable results to physicians for effective management of patients. The Quality Management System (QMS) in the laboratory must be effective and efficient so that reliable results will be produced for patient care. Quality System Essentials together with International Organization for Standardization (IOS) 15189 are the core components used to establish a QMS in the Laboratory. Laboratory assessments are an effective means to determine whether a laboratory is providing accurate and reliable results and adhering to good laboratory practices. We assessed the Suhum Hospital laboratory to identify gaps in the components of Quality System Essentials. Method: This exploratory study investigated the practice of QMS in Suhum Hospital laboratory, a public district hospital laboratory in Ghana, in January 2016. Data collected comprised activities by laboratory staff during onsite visits and evidence of documentation. Permission to collect data was sought from the Hospital Management and Laboratory Manager. We used the WHO-AFRO laboratory Strengthening Checklist to assess the laboratory. We reviewed the records to verify if the laboratory quality manuals, policies, logs, Standard Operating Procedures (SOPs) were complete, current, accurate, and annually reviewed. Finally, we interviewed staff of the laboratory and clinicians to obtain information to learn their perspective on the laboratory’s performance. Results: The undepartmentalized laboratory is headed by a manager with a staff strength of 13 trained professionals. It receives averagely 100 patient samples daily and runs 30 different tests. The main strengths of the laboratory in terms of Quality System Essentials were information management 15/18 (83%), process control 25/33 (77%), internal audit 6/10 (60%), facilities and safety 25/43 (58%), purchasing and inventory 17/30 (57%). However, equipment management 8/30 (27%), occurrence management 3/12 (25%), documents and records 7/25 (28%), organization and personnel 8/20 (40%), corrective actions 5/12 (42%) and client management 5/17 (29%) required improvement. Conclusion: Findings from the laboratory audit pointed to an overall weak laboratory QMS based on WHO/AFRO laboratory strengthening checklist and rating. Concerted efforts are therefore required to improve the laboratory QMS rating to improve quality of care to clients in all district hospital laboratories in Ghana.

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