Evidence map›Paper›PMID 31304959›Full record

ArticleAmerican journal of clinical pathology2019

Clinical Referral Laboratory Personnel's Perception of Challenges and Strategies for Sustaining the Laboratory Quality Management System.

Vincent Rusanganwa, Jean Bosco Gahutu, Magnus Evander, Anna-Karin Hurtig

Open access · hybridAbstract read
In one paragraph

Article in American journal of clinical pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Vincent RusanganwaUniversity of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda.
Jean Bosco GahutuUniversity of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda.
Magnus EvanderDepartment of Clinical Microbiology, Virology, Umeå University, Umeå, Sweden.
Anna-Karin HurtigDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Umeå University · SEMinistry of Health · RWUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore challenges explaining the decrease in quality performance and suggest strategies to improve and sustain laboratory quality services.

methodsTwenty key informants' interviews from laboratory personnel were conducted in five laboratories. Four had previously shown a decrease in quality performance. Interviews were transcribed verbatim and analyzed using inductive thematic analysis.

resultsTwo themes emerged: (1) insufficient coordination and follow-up system towards accreditation, where lack of coordination, follow-up, and audits explained the decrease in performance; (2) inadequate resource optimization, where insufficient knowledge in Laboratory Quality Management System (LQMS), ownership by laboratory workforce, and insufficient stakeholders' communication contributed to low-quality performance.

conclusionsThe coordination, follow-up, and assessments of LQMS, in conjunction with training of laboratory workforce, would establish an institutional culture of continuous quality improvement (CQI) towards accreditation and sustainment of quality health care. To achieve CQI culture, routine gap checking and planning for improvement using a system approach is required.

Indexed as

Medical Laboratory PersonnelQuality ImprovementHumansLaboratoriesRwandaContinuous improvementLaboratory quality management system (LQMS)Quality performanceRwanda

Identifiers

PMID31304959
PMCPMC6829011
OpenAlexW2956977759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.