Comparing the effectiveness of the intervention based on skills training in improving the quality of microbiology in medical diagnosis laboratories of Mashhad University of Medical Sciences

Document Type : Research Paper

Authors

1 Department of Microbiology and Virology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Management Affairs of Medical Laboratory, Vice President of Treatment Mashhad University of Medical Sciences

10.22038/mjms.2026.87194.4976

Abstract

Introduction: In medical diagnostic laboratories, microbiology departments rely on manual processes requiring expert skills, making training crucial for service quality and error reduction. This study assessed the impact of skills-based training on service quality within microbiology departments of hospitals affiliated with Mashhad University of Medical Sciences.
Method: This quasi-experimental study, conducted in three phases, evaluated the effectiveness of a skills-based intervention. The phases included: (1) pre-analytic (field surveys and expert meetings to identify key challenges), (2) Analytic (review of past reports, field visits, and expert meetings), and (3) post-analytic (meetings with laboratory technical officials).
Findings: Follow-up visits evaluated the effectiveness of training courses. The three hospitals with the largest increases in scores (out of 100 points) following the training were: Hospital A (83%), Hospital B (77%), and Hospital C (71%), based on assessments in the second half of 1402. This reflects an increase from their pre-training scores in the first half of 1402: Hospital A (51%), Hospital B (52%), and Hospital C (60%).
Conclusion: The training intervention improved the implementation of the quality assurance program and service quality by significantly reducing non-conformities.

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  1. Yang J, Xuan S, Hu Y, Liu X, Bian M, Chen L, et al. The framework of safety management on university laboratory. 2022;80:104871.
  2. Chávez V. Sources of pre-analytical, analytical and post-analytical errors in the microbiology laboratory. Accurate results in the clinical laboratory: Elsevier; 2019. p. 377-84.
  3. Zhang DJAJoH, Sciences S. Construction of Evaluation Index System for Comprehensive Management of University Laboratory Safety. 2023;6(11):115-20.
  4. Lestari F, Bowolaksono A, Yuniautami S, Wulandari TR, Andani SJJoch, safety. Evaluation of the implementation of occupational health, safety, and environment management systems in higher education laboratories. 2019;26(4-5):14-9.
  5. Maturana FS, González IA, González MLG, González CA, Ramírez-Pereira MJS, Ciencia y TecnologÃa. The Contribution of Education to the Correction of Preanalytical Errors in Laboratory Testing: A Systematic Review. 2025;5.
  6. Plebani MJE. Diagnostic errors and laboratory medicine–causes and strategies. 2015;26(1):7.
  7. Sølvik UØ, Bjelkarøy WI, Berg Kvd, Saga AL, Hager HB, Sandberg SJCC, et al. Intensive educational efforts combined with external quality assessment improve the preanalytical phase in general practitioner offices and nursing homes. 2017;55(12):1857-64.
  8. Mullane N, O'mara N, Coffey D, Connolly A, O'callaghan I, Kelly D, et al. Reducing blood culture contamination rates: Introduction of a combined education and skin antisepsis intervention. 2024;6(7):000806. v3.
  9. Gumba H, Waichungo J, Lowe B, Mwanzu A, Musyimi R, Thitiri J, et al. Implementing a quality management system using good clinical laboratory practice guidelines at KEMRI-CMR to support medical research. 2019;3:137.
  10. Xu G, Zhao C, Yan M, Zhang X, Zhu L, Liu J, et al. Evaluating the effectiveness of a new student-centred laboratory training strategy in clinical biochemistry teaching. 2023;23(1):391.