Volume 14, Number 5—May 2008
Perspective
Scale-up of Multidrug-Resistant Tuberculosis Laboratory Services, Peru
Sonya S. Shin*
, Martin Yagui†, Luis Ascencios†, Gloria Yale‡, Carmen Suarez‡, Neyda Quispe†, Cesar Bonilla‡, Joaquin Blaya§, Allison Taylor¶, Carmen Contreras#, and Peter Cegielski¶
, Martin Yagui†, Luis Ascencios†, Gloria Yale‡, Carmen Suarez‡, Neyda Quispe†, Cesar Bonilla‡, Joaquin Blaya§, Allison Taylor¶, Carmen Contreras#, and Peter Cegielski¶
Table 6
Automated reports generated by tuberculosis (TB) laboratory information system, Peru*
| Report | Informed | Purpose | Type of access† |
|---|---|---|---|
| Frequency of information system access by healthcare center personnel | Regional laboratory and TB director | Maintain frequent use of information system to access real-time laboratory data | Monthly report prepared by data administrator |
| No. laboratory results entered at regional laboratory | Regional laboratory and TB director | Identify delays in data entry | Monthly report prepared by data administrator |
| No. laboratory results verified and released to providers | Regional laboratory and TB director | Identify delays lags in result verification | Monthly report prepared by data administrator |
| DST results for any specified period grouped by every variable in request form | Regional and INS laboratory director | Report and identify trends in laboratory performance | Constant |
| Culture results for any specified period grouped by every variable in request form | Regional and INS laboratory director | Report and identify trends in laboratory performance | Constant |
| DST and cultures in process too long, DST missing reception date, DSTs needed to be entered into system, duplicate tests | Regional and INS laboratory director | Quality control | Constant |
| Rate of culture contamination; rate of negative culture growth from smear-positive specimens | Regional and INS laboratory director | Identify trends in laboratory performance | Constant |
| Persons with a positive culture for any specified date | Regional and INS laboratory director | Reporting to regional TB program | Constant |
| Persons with new DST or culture results | Healthcare center personnel | Minimize turnaround time of laboratory results | Constant and email notification |
| Tests that are in process and the number of days in process | Healthcare center personnel | Inform personnel of when to expect results | Constant |
*DST, drug susceptibility testing; INS, Instituto Nacional de Salud.
†Constant access indicates that laboratory users could view this information in the system at any time. Some reports let the user specify the start and end dates.
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