IJCA Vol 5 Issue 1 - Flipbook - Page 51
2026 | Volume 5, Issue 1
Challenges in Implementing EQA Schemes
Despite its many advantages, implementing an EQA
program presents several challenges. Participation
fees can be a signi昀椀cant barrier, particularly for
small or resource-limited laboratories, limiting
access to quality assurance programs. In addition,
logistical challenges — such as transporting
samples to remote locations or maintaining the
integrity of temperature-sensitive materials — can
pose di昀케culties for EQA providers [11].
Effective participation in EQA also requires trained
personnel to interpret performance reports and
implement corrective actions, resources that may
not be consistently available across all laboratories.
In some cases, resistance to change may further
hinder adoption, particularly when laboratories
are hesitant to modify established practices or
acknowledge performance gaps. To address these
challenges, regional or domestic EQA programs,
digital reporting systems, and targeted staff training
initiatives can help improve access, e昀케ciency, and
participation in EQA schemes [11].
Future Directions
EQA and pro昀椀ciency testing programs continue
to evolve alongside advances in laboratory
technology, improving both e昀케ciency and the
scope of laboratory services. The integration
of digital reporting systems, automation, and
laboratory information systems (LIS) enables
faster data submission, real-time feedback, and
more detailed performance trend analysis.
At the same time, EQA programs are expanding
into new diagnostic areas, including molecular
testing, genetic screening, and point-of-care
testing (POCT). In parallel, global collaboration
through cross-border EQA initiatives is increasing,
supporting greater standardization of laboratory
performance and promoting consistency and
quality in diagnostic testing across regions.
Conclusion
External quality assessment plays an essential
role in maintaining high standards in laboratory
testing services by providing independent
evaluation, identifying errors, and promoting
continuous quality improvement. Through these
mechanisms, EQA contributes directly to improved
patient safety and overall healthcare quality.
Despite challenges related to cost, logistics,
and resource availability, participation in EQA or
pro昀椀ciency testing programs remains crucial for
laboratories seeking accreditation, improving
The International Journal of Conformity Assessment
diagnostic accuracy, and maintaining professional
standards. Continued expansion of EQA programs,
along with increased integration of digital
platforms, is expected to further strengthen
quality management in the future.
Financial support and sponsorship
Nil.
Con昀氀icts of interest
There are no con昀氀icts of interest.
References
1. De la Salle B, Meijer P, Thomas A, Simundic AM.
Special issue on external quality assessment in
laboratory medicine: current challenges and future
trends. Biochemia Medica. 2017;27(1):19–22.
2. Plebani M. Internal quality control and external quality
assurance: a great past opens the way to a bright future.
Advances in Laboratory Medicine. 2022;3(3):215.
3. World Health Organization. External Quality Assurance
Assessment Scheme (EQAAS). https://www.who.
int/teams/health-product-policy-and-standards/
standards-and-speci昀椀cations/norms-and-standards-forpharmaceuticals/eqaas. Last accessed January 17, 2026.
4. College of American Pathologists. Pro昀椀ciency
testing. https://www.cap.org/laboratory-improvement/
pro昀椀ciency-testing. Last accessed January 5, 2026.
5. United Kingdom National External Quality Assessment
Service (UK NEQAS). https://ukneqas.org.uk/. Last
accessed January 5, 2026.
6. Yerram S, Sripad DV, Prabodh VS. External quality
assurance scheme (EQAS): criteria for evaluating
performance of a laboratory. IOSR Journal of
Biotechnology and Biochemistry (IOSR-JBB). 2018;4:16–
20.
7. Jamtsho R, Nuchpramool W. Implementation of
external quality assessment scheme in clinical chemistry
for district laboratories in Bhutan. Indian Journal of
Clinical Biochemistry. 2012;27(3):300.
8. National Accreditation Board for Testing and
Calibration Laboratories (NABL). Medical pro昀椀ciency
testing providers. https://nabl-india.org/wp-content/
uploads/2025/05/MEDICAL-PTPs.pdf. Last accessed
January 5, 2026.
9. EQAS India. https://eqas.in/. Last accessed January
17, 2026.
10. International Organization for Standardization (ISO).
ISO 15189:2022 – Medical laboratories – Requirements
for quality and competence. https://www.iso.org/
standard/76677.html. Last accessed January 5, 2026.
11. Cherie N, Deress T, Berta DM, Chane E, Teketelew
BB, Adane K, Nigus M. Navigating quality assessment
hurdles in clinical laboratory services: a comprehensive
review in resource-limited settings. Risk Management
and Healthcare Policy. 2024;497–504.
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