Background: Clinical research lab is a key component of the conduct of clinical studies. Enrolment, follow up of patients is mainly based on the diagnosis skills of lab technicians and automates performance. To overcome this challenge, since 2020, as part of the quality assurance of its lab research activities, GRAS has registered with the College of American Pathologists (CAP) and the Clinical Laboratories Services (CLS) Johannesburg, South Africa for external proficiency testing (EPT) of its laboratory. The performances achieved during these last five years are reported. Methods: PT samples were couriered out three times a year (quadr-month) (hereafter referred to as Q) to GRAS Lab and results were generally due back two to three weeks later. For parasitology, challenges specimen are thick and thin blood films stained with Giemsa and mounted with strip to protected them for multiple use, or photographs also called ̎ whole slide images ̎ (WSI). For biochemistry and haematology, a set of 5 samples were received for processing. All the evaluations were performed according to the GRAS lab internal established procedures. Results: The overall CAP parasitological laboratory performance in term of diagnosis accuracy of malaria parasites and other blood parasites from 2020 to 2024 was 97.3% (ranging from 93,33 to 100%); with 93,33%, 100%, 100%, 93.33% and 100% achieved respectively in 2020, 2021, 2022, 2023 and 2024. Annually, the number of evaluated microscopists varied according to operational staff at the time of evaluation. In total, 31 microscopists were enrolled in CLS PT scheme, with 73.9% graded as “experts” microscopists and 19.2% graded as “reference” microscopists. For haematology, the PT showed 100% accuracy over the 4 years participation indicating the high-performance level of the tested automates and the comparability of data between automates. Same trend was observed for biochemistry PT results with an overall score of 92,12% ranging from 78% to 100%. Conclusion: The Proficiency testing has demonstrated value as an important laboratory quality assurance tool to guaranty the accuracy skill for malaria parasites and other blood parasites diagnosis by lab technicians and results generated by the automates. It has helped laboratories identify issues related to test design and performance.
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Diarra et al. (2025) studied this question.
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