Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience

Introduction: Early warning and objective evidence of systematic errors in laboratory diagnosis ensures evidence based corrective and preventive actions that instill patient safety and confidence. External quality assessment contributes significantly to the above as an essential component of laborat...

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Autores principales:	Julius Manjengwa, Arsen Zakaryan, Arnaud Orelle, Vivian Fensham, Arihanta Razafindranovonar, Naira Aleksanyan, Nune Kotsinyan, Hrant Danielyan, Pertsh Tumanyan, Zaruhi Davtyan, Obert Kachuwaire, Antoine Pierson
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	External quality assessment Brucellosis Bacterial pathogens Quality assurance Quality control One Health Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/291fdbb45aee496b8a44102bd0a7f342
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spelling	oai:doaj.org-article:291fdbb45aee496b8a44102bd0a7f3422021-12-04T04:35:19ZDevelopment and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience2352-771410.1016/j.onehlt.2021.100351https://doaj.org/article/291fdbb45aee496b8a44102bd0a7f3422021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352771421001415https://doaj.org/toc/2352-7714Introduction: Early warning and objective evidence of systematic errors in laboratory diagnosis ensures evidence based corrective and preventive actions that instill patient safety and confidence. External quality assessment contributes significantly to the above as an essential component of laboratory quality assurance. However, implementation of External Quality Assessment in resource-limited settings is challenged by high costs of enrolling in international schemes. To ensure sustainability, a National External Quality Assessment Program in Armenia was developed using a One Health approach. Methods: Through engagement of stakeholders from Ministry of Health and Department of Agriculture under Ministry of Economy the government of Armenia started the implementation of the Armenia Laboratory External Quality Assessment (ALEQA) program. Policies and procedures were defined, a web interface for return of results and feedback reporting was created. A training was offered for characterization of simulated samples for bacterial pathogens. Following a pilot survey, the program was successfully scaled up, with later addition of a Brucella serology discipline. Results: The return rate of results was 100% for all surveys. There was an improvement in the performance of the laboratories from the 2015 to the 2019 surveys. The bacterial pathogens EQA survey's, was interrupted between 2017 and 2019. The Brucella Serology survey showed 77% of the 26 participating laboratories had satisfactory performance. Conclusion: This is one of the few National EQA Programs that have embraced the One Health approach to improve reach of EQA Programs in resource-limited settings in both human and veterinary laboratories.Julius ManjengwaArsen ZakaryanArnaud OrelleVivian FenshamArihanta RazafindranovonarNaira AleksanyanNune KotsinyanHrant DanielyanPertsh TumanyanZaruhi DavtyanObert KachuwaireAntoine PiersonElsevierarticleExternal quality assessmentBrucellosisBacterial pathogensQuality assuranceQuality controlOne HealthMedicine (General)R5-920ENOne Health, Vol 13, Iss , Pp 100351- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	External quality assessment Brucellosis Bacterial pathogens Quality assurance Quality control One Health Medicine (General) R5-920
spellingShingle	External quality assessment Brucellosis Bacterial pathogens Quality assurance Quality control One Health Medicine (General) R5-920 Julius Manjengwa Arsen Zakaryan Arnaud Orelle Vivian Fensham Arihanta Razafindranovonar Naira Aleksanyan Nune Kotsinyan Hrant Danielyan Pertsh Tumanyan Zaruhi Davtyan Obert Kachuwaire Antoine Pierson Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
description	Introduction: Early warning and objective evidence of systematic errors in laboratory diagnosis ensures evidence based corrective and preventive actions that instill patient safety and confidence. External quality assessment contributes significantly to the above as an essential component of laboratory quality assurance. However, implementation of External Quality Assessment in resource-limited settings is challenged by high costs of enrolling in international schemes. To ensure sustainability, a National External Quality Assessment Program in Armenia was developed using a One Health approach. Methods: Through engagement of stakeholders from Ministry of Health and Department of Agriculture under Ministry of Economy the government of Armenia started the implementation of the Armenia Laboratory External Quality Assessment (ALEQA) program. Policies and procedures were defined, a web interface for return of results and feedback reporting was created. A training was offered for characterization of simulated samples for bacterial pathogens. Following a pilot survey, the program was successfully scaled up, with later addition of a Brucella serology discipline. Results: The return rate of results was 100% for all surveys. There was an improvement in the performance of the laboratories from the 2015 to the 2019 surveys. The bacterial pathogens EQA survey's, was interrupted between 2017 and 2019. The Brucella Serology survey showed 77% of the 26 participating laboratories had satisfactory performance. Conclusion: This is one of the few National EQA Programs that have embraced the One Health approach to improve reach of EQA Programs in resource-limited settings in both human and veterinary laboratories.
format	article
author	Julius Manjengwa Arsen Zakaryan Arnaud Orelle Vivian Fensham Arihanta Razafindranovonar Naira Aleksanyan Nune Kotsinyan Hrant Danielyan Pertsh Tumanyan Zaruhi Davtyan Obert Kachuwaire Antoine Pierson
author_facet	Julius Manjengwa Arsen Zakaryan Arnaud Orelle Vivian Fensham Arihanta Razafindranovonar Naira Aleksanyan Nune Kotsinyan Hrant Danielyan Pertsh Tumanyan Zaruhi Davtyan Obert Kachuwaire Antoine Pierson
author_sort	Julius Manjengwa
title	Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
title_short	Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
title_full	Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
title_fullStr	Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
title_full_unstemmed	Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience
title_sort	development and implementation of national external quality assurance programs in a one health approach: the armenian experience
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/291fdbb45aee496b8a44102bd0a7f342
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Development and implementation of National External Quality Assurance Programs in a One Health approach: The Armenian experience

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