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Laboratory Accreditation

Updated: June' 2014

Action Plan         Laboratory Accreditation Work plan Document         Present Status

 

Introduction:

Health care delivery is no longer a simple process of examining the patient and giving him a prescription. Over the years there has been rapid expansion in the various branches of health care services. As part of this expansion process and explosion of scientific medical knowledge, laboratory diagnosis has gained tremendous importance in today's practice. Through the use of quality control (QC) the laboratory can ensure that the results being issued by it are reliable enough to allow decisions to be taken with confidence. Incorrect laboratory results may lead to wrong management decisions with possible fatal results. The reliability of laboratory results is therefore most important. It is not sufficient to ‘think’ that ‘my’ results are satisfactory. This has to be proved with scientific evidence. Towards achieving quality, accreditation program need to introduce for the pathological laboratories in public and private sector. In general accreditation may be defined as “Accreditation is a formal process by which a recognized body usually an independent body assesses and recognizes that a health care organization meets applicable predetermined and published standards.” The accreditation also can be defined as a process on system under which an organization / institution on achieving or reaching a definite level of excellence or adequacy and or meeting the criteria/ standard set down by an authority gets certification.

Therefore, Laboratory Accreditation is a process which gives formal recognition to the technical competence of a laboratory to perform specific tests, types of tests or calibrations. The process requires the maintenance of a documented quality management system and identification of personnel qualified and authorized to perform tasks related to the scope of accreditation.

Laboratory accreditation is recognized as an efficient tool for putting in place a quality system for achieving continuous improvement in laboratory services in a sustainable fashion. The laboratory accreditation system is important for the acceptance of test results nationally and internationally: accreditation is immensely beneficial in supporting an achievable and efficient health-care system. All medical services need reliable laboratory support for taking proper action, making decisions and formulating policies.

In Bangladesh there is no system of pathological laboratory accreditation for the public and private sector by an independent organization. The regulatory framework for the licensing of private sector pathological laboratory exists as 1982 clinic ordinance. The process of licensing and renewal of pathological laboratory in the private sector can invite the quality aspect of laboratory. This is an initiative for addressing the accreditation issue with the support of World health organization and mostly focused the outlines, not very much comprehensive. One working group formed with the relevant expert and they prepared this document. Detailed and comprehensive document is needed to materialize the accreditation concept for the pathological laboratories in the public and private sector.

 

 

 

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Action Plan: Laboratory Accreditation                   

Activities

2011-12

2012-13

2013-14

2014-15

2015-16

Approval of the draft document of hospital Accreditation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Development of hospital Accreditation standard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capacity development of the assessors

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Development of the assessors check list

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accreditation Survey ( Piloting hospitals)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Final Accreditation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Roll out & Feed back

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Present Status

 

 The Laboratory Accreditation draft document already prepared and submitted to MOHFW in 2008.

The document contain:

1.      Strategic planning

2.      Objective

3.      Executive summary

4.      Composition of Hospital Accreditation body, TOR & its modality

5.      Areas of Hospital Accreditation & its standard

6.      Accreditation Process

7.      Assessors

8.      Accreditation survey

9.      Rating system

10.  Final Accreditation