Assessment on Implementation of Quality Management System and their Challenges in Tikur Anbessa Specialized Hospital Laboratory, Addis Ababa, Ethiopia

Beshah, Daniel (2014) Assessment on Implementation of Quality Management System and their Challenges in Tikur Anbessa Specialized Hospital Laboratory, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

PDF (Assessment on Implementation of Quality Management System and their Challenges in Tikur Anbessa Specialized Hospital Laboratory. Addis Ababa, Ethiopia) Daniel Beshah final Thesis july 2014.pdf - Accepted Version Restricted to Repository staff only Download (1MB) | Request a copy

Abstract

Background: Quality laboratory services and systems constitute the foundation for strengthening health care systems. Including Ethiopia, developing countries are on the way of establishing laboratory standards that are affordable and easy to implement and monitor in their facilities. This study was conducted to assess the laboratory starting from implementation of Quality Management System (IQMS), up to the final assessment. Objective: The Objectives of the study is to assess implementation of quality management system and associated challenges in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Method: Exploratory study was done by using available information, assessment data, questionnaire, in-depth interview and observational assessment from February 14/2013 – May 5/2014. All willing laboratory staffs were included in the research and non-probability purposive sampling technique was applied. Statistical analysis was carried out by using SPSS version 20. Result: The progress of quality management system implementation after one year and three month from baseline assessment result of 41/250(16.4%) to final assessment result 95/250(38.0%) were 54(21.6%) with the mean value of 7.9 for12 QSE (P = 0.001).The identified challenges were staff Job dissatisfaction leads to staff demotivation, shortage of supportive staffs, lack of proper laboratory management, lack of Hospital management commitment, weakness of supporting (management) departments finance, purchasing, budget and maintenance departments, lack of budgets allocation for the laboratory, delay on purchasing system are critical challenges affecting the laboratory. Weakness in pharmacy supply chain management system, very poor store management, lack of mini store, lack of backup equipment and lack of equipment maintenance system are other challenging issues of laboratory. In appropriateness of sample collection area benches and sinks to keep samples and documents. Power supply problem were challenges of QMSI. Conclusion: Majority participants were dissatisfied and demotivated in their work environment. The laboratory management was very week concerning awareness creation. There were major gap between upper management and laboratory department. Support from hospital management to the laboratory was very minimal. Weak inventory system, Finance, purchasing and budget department activities were major challenges. Main store that managed by pharmacy department does not have standard system and haven‟t close relationship with laboratory department.

Item Type:	Thesis (Masters)
Subjects:	Q Science > Q Science (General) R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	09 Oct 2018 14:34
Last Modified:	04 Jan 2022 11:21
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6790

Actions (login required)

View Item