目的:评估埃塞俄比亚西北部政府综合专科医院实验室能力验证的实施情况,重点是识别和理解他们参与外部质量评估计划期间遇到的挑战。
方法:在埃塞俄比亚西北部的3家综合性专科医院中进行了一项横断面研究,从2020年到2022年,分析41个记录在案的实验室测试参数。此外,面对面,进行了深入访谈,以确定参与机构面临的主要挑战。
结果:该研究涵盖了9个周期的41项测试。总的来说,在59.3%的测试中观察到能力测试的正确实施,61.8%的人连续3年保持一致的实施状态。此外,实验室的总体性能为54.3%,参与率为68.7%。主要确定的挑战包括缺乏参与,试剂和用品不足,适当的能力测试材料不足,设备故障和停机时间,缺乏管理支持,预算不足,培训和意识不足。
结论:这项研究的结果突出了能力测试的无效实施。促成因素包括人事问题,设备和用品的挑战,管理缺陷,与能力测试提供商的困难,预算限制,缺乏训练和动力。
OBJECTIVE: To assess the implementation of proficiency testing in the northwest Ethiopian government comprehensive specialized hospital laboratories, with a focus on identifying and understanding the challenges encountered during their participation in the external quality assessment scheme.
METHODS: A cross-sectional study was conducted among 3 comprehensive specialized hospitals in northwest Ethiopia, analyzing 41 documented laboratory test parameters from 2020 to 2022. In addition, face-to-face, in-depth interviews were carried out to identify the major challenges the participating institutions faced.
RESULTS: The study covered a total of 41 tests across 9 cycles. Overall, proper implementation of proficiency testing was observed in 59.3% of the tests, with 61.8% maintaining consistent implementation status over 3 consecutive years. In addition, the overall performance of the laboratory was 54.3%, with a 68.7% participation rate. The predominantly identified challenges included the lack of participation, insufficient reagents and supplies, inadequacy of suitable proficiency testing materials, equipment malfunction and downtime, lack of management support, insufficient budget, and inadequate training and awareness.
CONCLUSIONS: The results of this study highlight the ineffective implementation of proficiency testing. Contributing factors include personnel issues, equipment and supplies challenges, managerial shortcomings, difficulties with proficiency testing providers, budgetary constraints, and a lack of training and motivation.