Strengthening health security by implementing the International Health Regulations (2005)

Laboratory Quality Stepwise Implementation tool

Strengthening laboratory services and systems is essential for universal access to high quality laboratory diagnostic services. One of the best methods of laboratory strengthening is to implement a quality management system that complies with the requirements of the international quality standard, ISO 15189.

This web-based tool provides a stepwise plan to guide medical laboratories towards implementing a quality management system in accordance with the requirements of ISO 15189. It was developed by the Royal Tropical Institute for the World Health Organization.

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Access the Laboratory Quality Stepwise Implementation tool here:

Laboratory staff can use this tool to implement, step by step, a quality management system, either by working through phases and activities sequentially, or by working on one quality system essential subject area at a time. Checklists can be created for phases or for subject areas according to need.

This tool is based on the Global Laboratory Initiative (GLI) Stepwise Process towards Tuberculosis Laboratory Accreditation, which was developed and launched by the GLI Working Group, StopTB Partnership in 2011 and is available at

Your comments and input are welcome. Please refer to the feedback form built into the tool should you wish to provide suggestions for how to improve this tool.

Laboratory Quality Stepwise Implementation Tool tutorial

This video tutorial walks viewers through the WHO Laboratory Quality Stepwise Implementation (LQSI) tool to illustrate how it works and how it can improve quality in the laboratory.