TABLE 2.

A summary of improvement projects, Bamenda Regional Hospital Laboratory, Cameroon.

Problem	Improvement project	Period of implementation
Lack of documented procedures	Establish Standard Operating Procedures (SOP).	After SLMTA workshop 1
Missing specimens	Improve specimen management (labelling, logging, analysis and proper disposal).	After SLMTA workshop 1
Unsafe environment	Tile the floors and work stations; improve the use of personal protective equipment; establish a safety manual; extend building and improve floor plan; establish triple packaging; install proper signage.	After SLMTA workshop 2
Frequent stock outs	Improve inventory and stock management (reagent logs, stock cards, invoice recording, assessment of supplies and suppliers).	After SLMTA workshop 2
Congestion and clutter	Establish equipment identification and management (labelling, removal of obsolete equipment).	After SLMTA workshop 2
Poor client satisfaction	Establish tools for customer satisfaction survey (suggestion box, survey forms, feedback from clinicians through meetings); establish client handbook.	After SLMTA workshop 3
Poor non-conformity management	Establish a system to manage non-conformities including how to capture them; establish a team to investigate and implement corrective action.	After SLMTA workshop 3
Poor quality management	Improve internal quality control documentation (logs, registers); establish quality indicators.	After SLMTA workshop 3
Poor reviewing system	Assign supervisory personnel in charge of biosafety, quality, and equipment.	After first interim audit
Poor document control	Establish a document control system (manage present and archival documents).	After exit audit

SLMTA, Strengthening Laboratory Management Toward Accreditation.