title: Challenges of implementing Iranian national laboratory standards.
abstract: After four years of publishing the Iranian National Laboratory Standard and following a strategic plan to implement its requirements, it was decided to review the taken actions, evaluating the achievements and the failures, as well as analyzing the gaps and planning the interventional activities to resolve the problems. A thorough evaluation revealed that the progress of implementation process varies considerably in different provinces, as well as in laboratories in different public and private sectors. Diversity and heterogeneousity of laboratories throughout the country is one of unresolvable problems. Although we encounter shortage of resources in the country, improper allocation or distribution of resources and budgets make the problems more complicated. Inadequacy of academic training in laboratory sciences has resulted in necessity of holding comprehensive post-graduate training courses. Revising academic curriculum of laboratory sciences could be mostly helpful, moreover there should be organized, training courses with pre-determined practical topics. providing specific technical guidelines, to clarify the required technical details could temporarily fill the training gaps of laboratory staff. Inadequate number of competent auditors was one of the difficulties in universities. Another important challenge returns to laboratory equipment, developing the national controlling system to manage the laboratory equipment in terms of quality and accessibility has been planned in RHL. At last cultural problems and resistance to change are main obstacles that have reduced the pace of standardization, it needs to rationalize the necessity of establishing laboratory standards for all stakeholders.
authors.affiliation: Reference Health Laboratories Research Center, Ministry of Health & Medical Education, Tehran, Iran.
authors.forename: N
authors.initials: N
authors.lastname: Safadel
authors.forename: P
authors.initials: P
authors.lastname: Dahim
authors.forename: S
authors.initials: S
authors.lastname: Anjarani
authors.forename: M
authors.initials: M
authors.lastname: Rahnamaye Farzami
authors.forename: S Mirab
authors.initials: SM
authors.lastname: Samiee
authors.forename: R
authors.initials: R
authors.lastname: Amini
authors.forename: Sh
authors.initials: Sh
authors.lastname: Farsi
authors.forename: S
authors.initials: S
authors.lastname: Mahdavi
authors.forename: K
authors.initials: K
authors.lastname: Khodaverdian
authors.forename: F
authors.initials: F
authors.lastname: Rashed Marandi
keywords: Health; Iran; Laboratory; Reference; Standards