Implementation of Quality Management System in Iranian Medical Laboratories

"nReference health Laboratory of Iran (RHL) has been established under the Secretary of Health in 2007. This organization has been developed from integration of Reference laboratories of Iran, Directorate of General Affairs and Laboratory de­partment of CDC. In accordance with policies of Ministry of Health and Medical Education, also Millennium Development Goals and requirements of IHR the RHL has highlighted his main goal as "Quality Improvement of Medical Laboratory Net­work". In order to achieve this goal as soon and efficient as possible, RHL has tried to launch Quality Management sys­tem in medical laboratories. After studying and analyzing the situation in the country RHL has tried by using ISO 15189 which is an successful international standard to draw national standards and write necessary manuals, guidelines and check­lists. For a successful implementation and detailed managerial observance, three phases were designed: Training, Stepwise imple­mentation of standard requirements in the laboratories, accreditation of laboratories. After one year of training and send­ing out national standards and guidelines, the RHL is in the middle of the second phase "implementation"

Challenges of Implementing Iranian National Laboratory Standards

After four years of publishing the Iranian National Laboratory Standard and following a strategic plan to implement its requirements, it was decided to review the taken actions, evaluating the achievements and the failures, as well as analyzing the gaps and planning the interventional activities to resolve the problems. A thorough evaluation revealed that the progress of implementation process varies considerably in different provinces, as well as in laboratories in different public and private sectors. Diversity and heterogeneousity of laboratories throughout the country is one of unresolvable problems. Although we encounter shortage of resources in the country, improper allocation or distribution of resources and budgets make the problems more complicated. Inadequacy of academic training in laboratory sciences has resulted in necessity of holding comprehensive post-graduate training courses. Revising academic curriculum of laboratory sciences could be mostly helpful, moreover there should be organized, training courses with pre-determined practical topics. providing specific technical guidelines, to clarify the required technical details could temporarily fill the training gaps of laboratory staff. Inadequate number of competent auditors was one of the difficulties in universities. Another important challenge returns to laboratory equipment, developing the national controlling system to manage the laboratory equipment in terms of quality and accessibility has been planned in RHL. At last cultural problems and resistance to change are main obstacles that have reduced the pace of standardization, it needs to rationalize the necessity of establishing laboratory standards for all stakeholders