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- Title
Assuring Good Laboratory Practices: An Audit on Awareness of Quality Control Rules.
- Authors
Imran, Sheharbano; Jafri, Lena; Khan, Aysha Habib; Majid, Hafsa; Ghani, Farooq; Siddiqui, Imran
- Abstract
BACKGROUND: About 70% of medical decisions are based on laboratory results and good quality practices are necessary for accurate results generation. Effective quality system implementation depends upon the knowledge and practices of laboratory personnel. OBJECTIVES: Aim of this study was to assess the knowledge of Medical Laboratory Technologists (MLTs) regarding the Westgard rules as quality control (QC) monitoring tool. METHODS: This clinical audit was conducted in the Department of Pathology and Laboratory Medicine from January-March 2015. All MLTs working in the Section of Chemical Pathology, Department of Pathology and Laboratory Medicine were included. A pre-test was conducted using a questionnaire designed to monitor MLTs knowledge and concepts regarding the six Westgard rules, their application and interpretation. After identifying the deficiencies from this audit, sessions on QC applications and interpretation were held. A post-test was taken using the same questionnaire to close the audit cycle. Both pre and post tests were executed under supervision of principle investigator. Data was analyzed using SPSS version 19. Results were stratified on the basis of scores as: poor <50%, good 51-70% and excellent >70%. MLTs were categorized in three groups based on work experience: juniors <2 years, seniors 2-10 years and senior-most >10 years. RESULTS: The study population consists of 52% males and 48% females. The mean age of MLTs was 34.20±7.16 (range 25-59) years and their mean working experience was 8.5±5.9 (range 1-30) years. Out of 50 MLTs, 47 responded to both tests (94% response rate). Mean score was 48.54±19.45% (range 6.6-86.6%) and 68±22.7% (range 46-100%) for pre-test and post-test respectively (p-value < 0.001). On the basis of work experience 0% juniors, 11% seniors and 2% senior-most were scored excellent in the pretest. The improvement was noted in the post test which showed 4% juniors, 45% seniors and 6% senior-most were scored excellent Statistical significant improvement was noted between the pre and post test results of MLTs on the basis of experience (p<0.05). CONCLUSION: The results showed a significant increase in the posttest scores compared to pretest. The findings also reflect that senior group showed the most improvement following sessions. Regular academic sessions for MLTs on QC should be encouraged.
- Subjects
MEDICAL quality control; MEDICAL laboratory science; AUDIT cycles
- Publication
Journal of Pioneering Medical Sciences, 2016, Vol 6, Issue 2, p7
- ISSN
2309-7981
- Publication type
Article