Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance.

摘要: The usefulness of rapid diagnostic tests (RDT) in malaria case management depends on the accuracy diagnoses they provide. Despite their apparent simplicity, previous studies indicate that RDT is highly user-dependent. As RDTs will frequently be used remote areas with little supervision or support, minimising mistakes crucial. This paper describes development new instructions (job aids) to improve health worker performance, based observations common errors made by workers and villagers preparing interpreting RDTs, Philippines Laos. Initial preparation using provided manufacturer was poor, but improved significantly job aids (e.g. correct use both dipstick cassette increased 17%). However, remained commonplace, especially for as did interpretation results. A short orientation further accuracy, from 70% 80%. results apparently simple can poorly performed interpreted, provision clear, reduce these errors. Preparation appropriate training well monitoring user behaviour are an essential part test implementation.