Accreditation and Quality Assurance

, Volume 12, Issue 8, pp 409–413 | Cite as

Unification of the quality assurance systems of public health laboratories conformed to ISO 17025, ISO 15189, and ISO 9000: a major organizational change

  • Haim HachamEmail author
  • Nurit Tetro
  • Salit Kochavi-Azolai
  • Nava Stern
  • Dana Mizrahi
  • Anna Lisenker
  • Emanuel Gazit
Practitioner's Report


The Department of Public Health Laboratories consists of five major laboratories located across the country of Israel: four environmental laboratories performing microbiological and chemical testing of food and water products [accredited according to International Organization for Standardization (ISO) 17025 since 1999) and a fifth laboratory that is dedicated to virology testing (certified according to ISO 9000 since 2003). Historically, each laboratory operated independently and developed its own quality assurance (QA). On November 2004, an important strategic decision was made: to unify all five laboratories’ QA systems conformed to ISO 17025, ISO 15189, and ISO 9000—a transition from five laboratories operating independently in the field of QA toward establishing a multisite laboratory. This process was considered and visualized as a major organizational change and therefore raised some resistance among both QA managers and the professional laboratories’ management. Thus, it was necessary to overcome the resistance and at the same time induce thoughts of ways of reshaping and formatting the new and uniform quality manual and uniform standard operating procedures (SOPs). In September 2005, the first phase of the process was completed, and all four environmental public health laboratories successfully passed a reaccreditation audit using a uniform QA manual guide and partially uniform SOPs. We shall share our experience and discuss the major contributions of this process to overall laboratory management.


Organizational change Quality Assurance Unification Uniform SOPs 


  1. 1.
    ISO/IEC 17025 (1999) General requirements for the competence of testing and calibrating laboratoriesGoogle Scholar
  2. 2.
    ISO 9001 (2000) Quality management systems—requirementsGoogle Scholar
  3. 3.
    ISO 15189 (2003) Medical laboratories—particular requirements for quality competenceGoogle Scholar
  4. 4.
    Lynn LE (1988) Public Adm Rev 58:231–237CrossRefGoogle Scholar
  5. 5.
    Hacham H, Sheinman R (2003) Accredit Qual Assur 8:276–281CrossRefGoogle Scholar
  6. 6.
    ISO/IED 17025 (2005) General requirements for the competence of testing and calibrating laboratoriesGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Haim Hacham
    • 1
    • 6
    Email author
  • Nurit Tetro
    • 2
  • Salit Kochavi-Azolai
    • 3
  • Nava Stern
    • 4
  • Dana Mizrahi
    • 5
  • Anna Lisenker
    • 1
  • Emanuel Gazit
    • 6
  1. 1.Haifa Public Health LaboratoryHaifaIsrael
  2. 2.Beer-sheva Public Health LaboratoryBeer-shevaIsrael
  3. 3.Tel-Aviv Public Health LaboratoryTel-AvivIsrael
  4. 4.Central Virology LaboratoryTel AshomerIsrael
  5. 5.Jerusalen Public Health LaboratoryJerusalenIsrael
  6. 6.The Department of LaboratoriesPublic Health Services at the Israeli Ministry of HealthJerusalemIsrael

Personalised recommendations