Experience report on health regulatory actions in clinical laboratories in Palmas-TO

Abstract

Introduction: The importance and necessity of sanitary surveillance in clinical laboratories and of mechanisms of quality control and promotion throughout the laboratory cycle are well known. Objectives: Due to the importance of clinical laboratories in Palmas, the Municipal Sanitary Surveillance created in 2010 a proposal to improve the regulatory activity in these establishments. Method: The work was developed in four stages in parallel to the Annual Sanitary Licensing. In 2010, the first phase was the re-registration of the establishments and the presentation of the technical dossier in these establishments. In 2011, this was complemented with the analysis, revision, correction and approval of legal and technical documents. In 2012, manuals, pest control plans, waste management, input control and the presence of internal and external quality control were reviewed, as well as the flow for notification of compulsory diseases already in place. In 2013, the presentation and implementation of quality management actions were required and in 2014 the monitoring of the application of these tools was intensified. Results: The results obtained were the acceptance of the regulatory processes, as well as the accomplishment of corrections and inclusion of norms and written procedures in the technical actions and management of the clinical analysis processes. It can be verified that by the requirement of training of technicians, already at the end of 2014, the culture of the training was observed and the need for improvements and corrections of the most probable points of sanitary and analytical problems was verified, mainly having the Sanitary Surveillance as support and partner. Conclusions: It is possible to conclude that the strategy used by the Sanitary Surveillance, associated to Sanitary Licensing and to actions of gradual improvements in search of better management of sanitary risks, culminated in a harmonious relation of advising, in which the action of sanitary surveillance required minimal restrictive measures and several actions of guiding and problem solving in partnership.