QMS Lab analysis.

Background
The effectiveness of Quality Management Systems (QMS) in public medical laboratories is crucial to ensure quality and reliable testing outcomes for quality healthcare. This research aims to achieve a minimum of 2 Stars WHO-AFRO rating at the external audit of ten public medical Laboratories within twelve months of intervention using improved documentation and institutionalization of robust QMS.
Method
A quasi-experimental design was used to assess QMS interventions in ten of 28 public secondary medical laboratories in Lagos State. These facilities were randomly selected using non-probability measures over 12 months from November 2022 to October 2023. The study measured resource allocation, conducted staff training for capacity building, and provided mentoring support. External audits were performed using the WHO-AFRO SLIPTA 2015 checklist, with a grading system from 0 to 5 stars. The data collected included baseline and post-intervention scores, analyzed using descriptive statistics and baseline compared with follow-up audit performance.
Result
The 12-month implementation of laboratory QMS in ten Lagos State’s public secondary health facilities revealed substantial progress. Nine Medical laboratories in the study had a baseline WHO-AFRO rating of 0 Star, while General Hospital Ikorodu had a baseline rating of 1 Star. Sixty percent of the medical laboratories demonstrated commendable QMS improvement and achieved 3 Stars WHO-AFRO rating each, while twenty percent of the medical laboratories attained 2-Stars each. However, the remaining twenty percent of the health facilities achieved minimal improvements, securing 1 Star WHO-AFRO rating each.
Conclusion
Overall, Eighty percent of the medical laboratories showed progress in QMS implementation in Lagos State. The study reveals that a Government-led QMS implementation drives a more sustainable culture of quality in medical laboratories and the twelve-month measure indicates the possibility to extend the QMS interventions to the remaining eighteen public medical laboratories in Lagos State.

背景
公立医学实验室的质量管理体系（Quality Management Systems, QMS）的有效性，对于保障优质医疗所需的高质量、可靠检测结果至关重要。本研究旨在通过优化文件记录流程、建立健全稳健的质量管理体系，在干预实施后的12个月内，使拉各斯州10家公立医学实验室的外部审核评级至少达到世界卫生组织非洲区域办事处（WHO-AFRO）2星标准。

方法
本研究采用准实验设计，对拉各斯州28家公立二级医学实验室中的10家开展质量管理体系干预效果评估。研究于2022年11月至2023年10月的12个月期间，通过非概率抽样方法完成上述实验室的选取。本研究评估了资源配置情况，开展了员工能力建设培训，并提供了指导支持。外部审核采用WHO-AFRO SLIPTA 2015审核清单进行，评分体系为0至5星。收集的数据包括基线与干预后得分，采用描述性统计方法进行分析，并将基线审核结果与后续审核表现进行对比。

结果
对拉各斯州10家公立二级医疗卫生机构实施实验室质量管理体系12个月后，成效显著。本研究中的9家医学实验室基线WHO-AFRO评级为0星，伊科罗杜综合医院的基线评级为1星。60%的医学实验室质量管理体系改进成效显著，均获得3星WHO-AFRO评级；另有20%的医学实验室获得2星评级。其余20%的医疗卫生机构改进幅度较小，均仅获得1星WHO-AFRO评级。

结论
总体而言，拉各斯州80%的医学实验室在质量管理体系实施方面取得了进展。本研究表明，由政府主导的质量管理体系实施可推动医学实验室建立更具可持续性的质量文化；且12个月的实施周期证明，可将质量管理体系干预措施推广至拉各斯州剩余的18家公立医学实验室。