2022, Number 2
Quality assurance strategy in the covid-19 diagnostic laboratory at the National Center of Medical Genetics
Language: Spanish
References: 20
Page: 1-21
PDF size: 440.12 Kb.
ABSTRACT
Introduction: During the stage of confrontation with the coronavirus disease 2019 also named COVID-19 and as part of the Cuban strategy for the control of the disease in Cuba, the National Center for Medical Genetics created the conditions to carry out the diagnosis of Severe infection. Acute Respiratory Syndrome coronavirus 2 known as SARS-CoV-2, through molecular biology studies with the real-time PCR technique. It was necessary to obtain accurate and reliable results, so ensuring quality was considered as important as the diagnosis of the disease.Objective: To design a strategy to ensure the quality of the results in the COVID-19 diagnostic laboratory.
Methods: A descriptive study was conducted including different parameters such as training of all personnel, work organization, analytical processing, biosafety management and quality controls of the COVID-19 diagnostic process, in the period from August 2020 to October 2021.
Results: The strategy designed included the training of all personnel, the organization of the work flow and the establishment of procedures in the 3 stages of the laboratory associated with the diagnosis of COVID-19: pre-analytical, analytical and post-analytical. Risk management processes and biosafety guarantees, policies for retesting and process quality controls, as well as for equipment maintenance and calibration were implemented.
Conclusions: The designed strategy allowed to organize the processes identifying the critical points. Ensured the quality of the results of the center's COVID-19 diagnostic laboratory, as well as contributed to increasing customer satisfaction.
REFERENCES
World Health Organization. Considerations for implementing and adjusting public health and social measures in the context of COVID-19: Interim guidance. 14 June 2021, Geneva. 2020[acceso 19/09/2022];Disponible en: https://www.who.int/publications/i/item/considerations-in-adjusting-public-health-and-social-measures-in-the-context-of-covid-19-interim-guidance
Álvarez-Guerra S, González-Hernández Z, Saborido-Martín L, Rodríguez-Álvarez J. La Norma Cubana ISO 9001:2015 como complemento perfecto para la calidad de un ensayo clínico. Revista Cubana de Farmacia. 2019[acceso 19/09/2022];51(4) Disponible en: http://www.revfarmacia.sld.cu/index.php/far/article/view/300
Jorna Calixto AR, Véliz Martínez PL, Vidal Ledo MJ, Véliz Jorna AL. Gestión de los riesgos sanitarios en el enfrentamiento a la COVID-19 en Cuba. Rev Cubana Salud Pública. 2020[acceso 19/09/2022];46(Suppl 1):e2696. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662020000500008&lng=es
Pawar SD, Kode SS, Keng SS, Tare DS, Abraham P. Steps, implementation and importance of quality management in diagnostic laboratories with special emphasis on coronavirus disease-2019. Indian J Med Microbiol. 2020;38(3-4):243-51. PMID: 33154231;PMCID:PMC7709653. DOI: https://doi.org/10.4103/ijmm.IJMM_20_353
Núñez-Herrera A, Fernández-Urquiza M, González-Puerto Y, Gaimetea-Castillo C, Rojas-Rodríguez Y, López-Otero T. Resultados de la capacitación sobre la COVID-19. Universidad de Ciencias Médicas de Cienfuegos. Medisur. 2020[acceso 26/01/2023];18(3) Disponible en: https://medisur.sld.cu/index.php/medisur/article/view/4694
Louro Y, Tudela M, Camayd I, Concepción A, Suárez B, González M. Evaluación de la satisfacción de los clientes del servicio asistencial del Centro Nacional de Genética Médica. Rev Cubana Genet Comunit. 2016[acceso 18/12/2018];10(2):34-8 Disponible en: https://bvs.sld.cu/revistas/rcgc/v10n2/rcgc060216.html
Mitchell SL, St George K, Rhoads DD, Butler-Wu SM, Dharmarha V, McNult P, Miller MB. Understanding, Verifying, and Implementing Emergency Use Authorization Molecular Diagnostics for the Detection of SARS-CoV-2 RNA. J Clin Microbiol. 2020 23;58(8):e00796-20.PMID:32381642;PMCID:PMC7383533.DOI: https://doi.org/10.1128/JCM.00796-20.
World Health Organization. Laboratory testing for coronavirus disease (COVID-19) in suspected human cases: interim guidance, 19 March 2020. World Health Organization. Document number: WHO/COVID-19/laboratory. 2020.5. [acceso 07/05/2020]; Disponible en: https://apps.who.int/iris/bitstream/handle/10665/331501/WHO-COVID-19-laboratory-2020.5-eng.pdf?sequence=1&isAllowed=y