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I-TECH program in Cambodia works with the World Health Organization (WHO), the Cambodian Ministry of Health and the US Centers for Disease Control and Prevention (CDC), in the improvement laboratory operations for enhanced disease detection, surveillance and biosecurity.

The Mentoring Process

  • Each mentor does one-week rotations among three assigned laboratories
  • Mentor works with laboratory staff to implement and evaluate LQSI
  • Mentor meets with Lab Manager daily and Hospital Director weekly
  • Mentor documents LQSI progress daily
  • Mentors participate in weekly team call
  • Mentor and laboratory staff participate in quarterly reviews and refresher trainings

Quality Indicators

  • Turnaround time (TOT)
  • Test order appropriateness
  • Test order inappropriateness
  • Patient ID error
  • Specimen rejection errors
  • Culture contamination
  • Proficiency testing scores
  • Results reporting
  • Critical values reporting
  • Client satisfaction


I-TECH’s program in Cambodia is developed to improve laboratory operations, regional biosurveillance, and biosafety and biosecurity through improved laboratory quality assurance and management practices. Working together with the Cambodian Ministry of Health, I-TECH is implementing a laboratory and clinical mentoring program to strengthen the quality of infectious disease diagnosis and surveillance in national and provincial hospital laboratories across Cambodia. To achieve this, I-TECH provides laboratory quality management systems (LQMS) training and supports a laboratory mentoring program. (Some of the details of this mentoring process are outlined in the sidebar at right.)

Cambodia Lab Team
Cambodia Team

Participating institutions currently include four national laboratories in Phnom Penh, eight provincial hospital laboratories, and the National Veterinary Research Institute. After establishing the baseline capacity of each laboratory through a standardized assessment process, I-TECH conducts LQMS training for laboratory personnel, and assigns one mentor for three laboratories. Mentors are embedded in the laboratories and work directly with staff on quality systems improvement. Each I-TECH mentor rotates on a weekly basis to one of three assigned laboratories.

Laboratory map
To see a larger version of the map, click the download link in the left sidebar














The accuracy, timeliness, and reliability of test results requires close management of 12 key areas of laboratory operations:

  • Organization
  • Personnel
  • Equipment
  • Purchasing and inventory
  • Process control
  • Information management
  • Documentation and records
  • Occurrence management
  • Assessment
  • Process improvement
  • Customer service
  • Facilities and safety
In addition, laboratory quality indicators such as proficiency testing results, turnaround time, and surveys from clinical staff are also being evaluated.

Laboratory Quality Stepwise Implementation (LQSI)

LQSI is a tool that assists laboratories in the implementation of a quality management system that meets international standards. It translates the requirements of ISO 15189 into 465 step-by-step activities divided in four phases, and allows close follow-up of the progress of the implementation of LQSI activities.

LQSI graphic


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