External assessment of quality in clinical chemistry in Pinar del Río
Keywords:
HEALTH CARE QUALITY, ACCESS AND EVALUATION, CLINICAL LABORATORY TECHNIQUES, CHEMISTRY.Abstract
Introduction: the external assessment of the quality of clinical laboratories is compulsory for the good of patients. For years it has not been carried out systematically in Pinar del Río province.
Objective: to assess the quality in clinical chemistry laboratories in the provincial health care institutions in Pinar del Río province.
Material and method: an external quality assessment was carried out for cholesterol, triglycerides, glucose, urates, creatinine, urea, albumin and total proteins in 21 laboratories of Pinar del Río province. Lyophilized serum controls were sent in the months of October, November, December and January. Comparisons against the controller were verified using Mann Whiney U test for two samples. The values of the units were compared with the reference value by calculating Z.
Results: it was observed that 52.3% of the participating laboratories obtained Excellent evaluation; 47.7%, between Good and Fair. From which it follows that more than half of the laboratories are within a satisfactory level of performance.
Conclusions: the assessment of creatinine, total proteins and albumin indicate that their results can be totally reliable and transferable; it behaves partially for glycemia, not so for cholesterol, triglycerides, urea and uric acid. It is necessary to continue with programs of this type in order to improve the consistency, in the continuous improvement of quality in the clinical laboratories of Pinar del Río province.
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References
1. Westgard JO. Prácticas básicas de control de la calidad. Capacitación en Control Estadístico de la calidad para Laboratorios Clínicos. Madison, USA: Westgard QC; 2013. Disponible en: http://www.ifcc.org/media/333582/2015%20Pr%C3%A1cticas%20B%C3%A1sicas%20de%20Control%20de%20Calidad.pdf
2. Stavelin A, Sandberg S. Essential aspects of external quality assurance for point-of-care testing. Biochem Med (Zagreb) 2017;27(1):81-5. http://www.biochemia-medica.com/system/files/27-1_A.Stavelin%20et%20al_Essential%20aspects%20of%20external%20quality.pdf.
3. Westgard JO. Sistemas de Gestión de la Calidad para el Laboratorio Clínico. USA: QC Westgard Inc; 2014. Disponible en: http://www.ifcc.org/media/433206/SISTEMAS_DE_GESTION_DE_CALIDAD_PARA_EL_LABORATORIO_CLINICO.pdf.
4. Prada E, Blazquez R, Gutiérrez-Bassini G, Morancho J, Jou JM et al. Control interno de la calidad vs control externo de la calidad. Rev Lab Clin [Internet]. 2016 Abr-Jun [citado 14 Dic 2017]; 9(2): 54-9. Disponile en: http://www.sciencedirect.com/science/article/pii/S1888400816300071
5. Milan GS, Trevisan DS, Eberle L, Lazzari F, De Toni D. Implementación de un Sistema de Gestión de Calidad a través de Programa de Acreditación de Laboratorios Clínicos del DICQ-SBAC. Revista Espacios [Internet]. 2017 [citado 14 Dic 2017]; 38(23): 12. Disponible en: http:// www.revistaespacios.com/a17v38n23/a17v38n23p12.pdf
6. WHO manual for organizing a national external quality assessment programme for health laboratories and other testing sites [Internet]. 2016. Disponible en: http://www.who.int/hiv/pub/toolkits/manual-external-quality-assessment-testing/en/.
7. Morejón M, Ramos JR, Ocanto OL, Abreu T. Control de Calidad en el Laboratorio Clínico del Nivel Primario de Atención. Rev Cubana Med. 1987; 26(8): 886-97.
8. Cruz Rodríguez CL. Implementación del sistema de evaluación externa de la calidad de los laboratorios clínicos del segundo y tercer nivel de atención. [Tesis]. La Habana,Cuba: Instituto Superior de Ciencias Médicas de la Habana [Internet]. 2010 [citado 14 Dic 2017]. Disponible en: http://tesis.repo.sld.cu/352/1/Celso_Cruz.pdf
9. Carbajales León AI, Rodríguez Socarrás I, López Lastre G. Programa de evaluación externa de la calidad en los laboratorios clínicos: Sus antecedentes y etapa actual en el nivel primario de atención en Camagüey. Rev Hum Med [Internet]. 2002 Abr [citado 14 Dic 2017]; 2(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202002000100007&lng=es
10. Rodríguez Socarrás I, Torres Romo U, Carbajales León AI, Fernández Franch N. Nuestra experiencia en la evaluación externa de la calidad en laboratorios clínicos. AMC [Internet]. 2007 Feb [citado 14 Dic 2017]; 11(1): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552007000100006&lng=es
11. Peralta Tipan AK. Determinación de la veracidad de los resultados de evaluación externa de la calidad en 22 laboratorios clínicos públicos y privados de la ciudad de quito junio a septiembre del 2013. [Tesis]. Quito, Ecuador: Pontificia Universidad Católica del Ecuador [Internet] 2015 [citado 14 Dic 2017]. Disponible en: http://repositorio.puce.edu.ec/bitstream/handle/22000/8762/7%20abril%20tesis.pdf?sequence=1&isAllowed=y
12. Ug Guevara G, Rodríguez Socarrás IP, León Ramentol CC, Caballero AG. Evaluación externa de la calidad mediante la veracidad en las investigaciones de laboratorio clínico. AMC [Internet]. 2014 Ago [citado 14 Dic 2017]; 18(4): 359-70. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552014000400002&lng=e
13. Salas A, Blázquez R, Bullich S, Izquierdo S, López ML, MarzanaI, et al. Programa de intercomparación de indicadores de gestión de la calidad. Experiencia en España. Rev Calid Asist. [Internet]. 2015 [citado 14 Dic 2017] ;30(6):337-41. Disponible en: www.elsevier.es/es-revista-revista-calidad-asistencial-256-articulo-programa- intercomparacion-indicadores-gestion-calidad--S1134282X15001049
14. Aralica M, Lenicek Krleza J. Evaluating performance in sweat testing in medical biochemistry laboratories in Croatia. Biochem Med (Zagreb) 2017;27(1):122-30.Disponible en: http://www.biochemia-medica.com/system/files/27-1_M.Aralica%20et%20al._Special%20issue_External%20Quality.pdf.
15. Badrick T, Gay S, McCaughey EJ, Georgiou A. External Quality Assessment beyond the analytical phase: an Australian perspective. Biochem Med (Zagreb) 2017; 27(1):73-80. http://www.biochemia-medica.com/system/files/27-1_T.Badrick%20et%20al._Special%20issue_External%20Quality.pdf.
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