Lapić Ivana, Rogić Dunja, Ivić Matea, Tomičević Marina, Kardum Paro Mirjana Mariana, Đerek Lovorka, Alpeza Viman Ines
Department of Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia.
Department of Medical Biochemistry and Laboratory Medicine, University Hospital Merkur, Zagreb, Croatia.
Biochem Med (Zagreb). 2021 Jun 15;31(2):020712. doi: 10.11613/BM.2021.020712.
Effective implementation and continual compliance with ISO 15189:2012 require ongoing commitment and active involvement of laboratory staff. Our aim was to assess attitudes regarding accreditation implementation by conducting a survey in three Croatian accredited medical laboratories.
An anonymous survey consisting of 34 questions was distributed either electronically or in a paper form a week prior to scheduled annual audits. Distributions of answers regarding age, work experience, laboratory workplace, and education level and according to the respective laboratory were compared.
The overall response rate was 76% (225/297). Preference towards working in an accredited laboratory and a positive attitude were revealed by 70% and 56% participants, respectively, with better process documentation as the main advantage. Only 14% of responders considered themselves completely familiar with ISO 15189:2012. Total of 68% of responders felt that accreditation increases the usual workload, with excessive paperwork as the main contributor. Half of the responders declared partial agreement that accreditation requirements and expectations were clearly explained and claimed that their suggestions were taken into account only occasionally, which was especially emphasized by technical staff. The vast majority (89%) completely follow the prescribed protocols. Only 27% consider turnaround time monitoring useful. Competence assessment is considered efficient by 41% of responders. The majority (73%) prefer an online audit in times of COVID-19.
Despite an overall positive attitude towards accreditation, further efforts are needed in providing better education about ISO 15189:2012 for technical staff and modifying formats of competence assessment, in order to achieve better adherence to ISO 15189:2012 requirements.
有效实施并持续遵守ISO 15189:2012标准需要实验室工作人员的持续投入和积极参与。我们的目的是通过对克罗地亚三家获得认可的医学实验室进行调查,评估对认可实施的态度。
在预定的年度审核前一周,以电子或纸质形式分发了一份包含34个问题的匿名调查问卷。比较了关于年龄、工作经验、实验室工作场所、教育水平的答案分布情况,并按各自的实验室进行了比较。
总体回复率为76%(225/297)。分别有70%和56%的参与者表示倾向于在获得认可的实验室工作并持积极态度,其中更好的流程文件记录是主要优势。只有14%的受访者认为自己完全熟悉ISO 15189:2012。共有68%的受访者认为认可增加了日常工作量,其中过多的文书工作是主要因素。一半的受访者表示部分同意认可要求和期望得到了明确解释,并声称他们的建议只是偶尔被考虑,技术人员对此尤为强调。绝大多数(89%)完全遵循规定的方案。只有27%的人认为周转时间监测有用。41%的受访者认为能力评估是有效的。大多数(73%)人在新冠疫情期间更喜欢在线审核。
尽管对认可总体持积极态度,但仍需进一步努力,为技术人员提供关于ISO 15189:2012的更好教育,并修改能力评估的形式,以更好地遵守ISO 15189:2012的要求。