ANNUAL PERFORMANCE

REPORT

2013

LABORATORY DEPARTMENT

SEVENTH-DAY ADVENTIST HOSPITAL, TAMALE

Table of contents

1.0 Statement from the Head of Department.. 1

1.1 Introduction 1

1.2 Core Functions/Activities.. 1

1.3 Goals/Objectives........ 1

1.4 Set Targets. 2

2.0 Service Output... 3

3.0 Blood Bank 5

4.0 Challenges and Recommendations 7

List of Tables and Figures Table 2a: Monthly Laboratory Attendance: 2013, 2012 and 2011 3

Fig 2a: Monthly Laboratory Attendance: Graphical Presentation. 3

Table 2b: Tests performed in the various sections of the department 4

Fig 2b: Positive Cases for major Laboratory Investigations.. 5

Table 2c: Positive Cases for major Laboratory Investigations.. 5

Fig 3a: Monthly distribution of blood issuance..6

Table 3a: Monthly Blood Bank Investigations. 7

1

1.0 Statement from the Head of Department 1.1 Introduction On behalf of the Laboratory Department of SDA Hospital, I am pleased to submit the Annual

Performance Report for 2013 to Management of the Hospital.

At the moment the Blood Bank is the only unit in the Laboratory even though the unit has not been

given any formal recognition. It has become necessary to create this unit as a result of the expansion

of investigations conducted by the department.

The department saw a major renovation works during the second half of the year which was funded

by the National Tuberculosis Control Programme. The renovation saw laboratory work bench

being changed from wood to concrete, an additional air conditioner, floor tiles being replaced and

ceiling fans as well.

Currently, the department has eight (8) permanent staff. Out of the staff, there are two Biomedical

Scientist, three Laboratory Technicians and three Laboratory Assistants.

1.2 Core Functions/Activities The Laboratory department performs an essential role in the surveillance, prevention, control,

diagnosis and management of diseases of public health importance.

Our main purpose is to provide medical laboratory (analytical) services and contribute to patient

care through good laboratory practice and adherence to quality assurance measures.

To this end, the department carries out various medical laboratory investigations on body fluids

such as blood, urine, serum, plasma, stool and sputum using standard operating procedures.

1.3 Goals/Objectives The departments main goal is to improve patient outcomes and the quality and safety of patient

care through the highest standards of laboratory medicine. This goal would be achieved through the

following specific objectives:

Preserving, promoting and developing the ethical standards of the profession.

2013 Annual Performance Report, Laboratory Department

2

Ensuring timely and accurate laboratory results.

Promote sterility and cleanliness in the laboratory setting.

To work with other medical professionals to ensure that patients get the best

interdisciplinary care possible.

1.4 Set Targets The laboratorys targets for the period under review were to:

Improve upon the patient waiting time before receiving laboratory test results

Improve on the quality of services rendered to patients through standard operating

procedures.

.....................................

Kennedy Adjei Fosu

8th January, 2014

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2.0 Service Outputs Table 2a: Monthly Laboratory Attendance: 2013, 2012 and 2011

Month Year

Jan

Feb

March

April

May

June

July

Aug

Sept

Oct

Nov

Dec

TOTAL

2013 1279 1410 1423 1290 1635 1453 1749 1361 1482 1747 1666 1556 18,051

2012 1286 1203 1516 1306 1460 1582 1212 2171 1479 1667 1521 1384 17,787

2011 1130 873 901 951 1253 1213 1483 1579 1559 1735 1536 1113 15,326

Fig. 2a: Monthly Laboratory Attendance: Graphical Presentation

JAN FEB MAR APRI MAY JUN JULY AUG SEP OCT NOV DEC2013 1279 1410 1423 1290 1635 1453 1749 1361 1482 1747 1666 15562012 1286 1203 1516 1306 1460 1582 1212 2171 1479 1667 1521 13842011 1130 873 901 951 1253 1213 1483 1579 1559 1735 1536 1113

0

500

1000

1500

2000

2500

No

of P

atie

nts

Monthly Laboratory Attendance Compared: 2013, 2012 & 2011

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Table 2b: Tests performed in the various sections of the department

Section

Test

No. of Tests Performed

2011 2012 2013

Haematology

Haemoglobin 1418 3447 4891

Sickling 1079 1235 1498

ABO Grouping 296 562 1218

G6PD - 124 9

Full Blood Count (FBC) - 291 1838

CD4 Count 7 - -

Serology

HBsAg Screening 884 909 1067

HIV 1 & 2 Screening 321 382 760

Widal Test 5413 4705 3811

VDRL 18 388 751

HCV - 76 656

Clinical Chemistry

Liver Function Test (LFT) - - 25

Lipid Profile - - 3

BUN & Creatinine - - 8

Fasting Blood Sugar 301 673 596

Random Blood Sugar 360 942 1277

UPT for HCG 3167 4102 4065

Microbiology

BF for Malaria Parasite 10768 9540 9578

Routine Urine Analysis 5117 3925 2878

Routine Stool Analysis 16 42 15

Sputum for AFB 17 25 13

TOTAL

29,182

31,368

34,957

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Table 2c: Positive Cases for major Laboratory Investigations: 2013. Fig 2b: Positive cases for major Laboratory investigations in 2013

2230

131 155 59 23 126

2271

1007 3 0

2000

4000

6000

8000

10000

12000

BF for MPs HBsAg HIV 1&2 HCV VDRL Sickling PregnancyTest

Widal Test Sputum forAFB

Positive Cases for Major investigations in 2013

Total

Pos

Test

Total No. Performed

No. Positive

BF for MPs 9578 2230

HBsAg 1067 131

HIV 1&2 760 155

HCV 656 59

VDRL 751 23

Sickling 1498 126

Pregnancy Test 4065 2271

Widal Test 3811 1007

Sputum for AFB 13 3

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3.0 Blood Bank A total number of 379 units of blood were donated to the blood bank within the period

under review. This comprised 358 replacement donations and 21 voluntary donations.

A total number of 574 cross-matches were done in the year 2013. The monthly distribution of Blood issuance is shown in fig. 3a.

Out of the total number of units donated, 9 units of blood expired within the period under review.

Fig. 3a Monthly distribution of Blood Issuance

There was a systematic rise in the number of times blood was needed to be issued by the blood

bank until after July when it fell sharply. It began to rise from September but fell in December.

There is a correlation between the need for blood and the season at hand, be it rainy, where there is

a higher incidence of malaria or dry, where cases of malaria reduces. The untypical fall in the

number of times blood was issued in the months of August through to October even though it falls

within the malaria season was due to a renovation works which took place in the department that

led to a temporal shut down of the blood bank.

0

10

20

30

40

50

60

70

80

90

100

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

No. of times Blood issued

No. of times Blood issued

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Table 3a. Monthly Blood Bank Investigations

Test

Month

HIV HBsAg HCV Syphilis

Total Pos Total Pos Total Pos Total Pos

January 24 4 22 5 20 2 20 0

February 39 3 44 6 42 8 36 1

March 52 15 46 4 43 1 42 0

April 36 6 33 2 33 4 31 2

May 30 5 27 4 24 2 23 5

June 61 10 59 3 58 2 56 2

July 63 14 63 8 59 1 59 3

August 12 2 11 0 11 0 11 1

September 18 6 14 0 14 1 14 1

October 23 1 24 3 21 0 20 1

November 91 11 90 13 86 8 85 0

December 57 13 52 4 53 17 47 3

TOTAL 506 90 485 52 464 46 444 19

4.0 Challenges and Recommendations A major challenge that could possibly lead to a total bankruptcy of the Blood Bank is the

failure of patient relatives to replace blood given them. This is partly as a result of

inadequate auditing at the wards before patients are discharged.

Frequent cut in the supply of laboratory consumables is affecting efficient service delivery to patients which is partly as a result of the bureaucracy involved in buying these items.

With the addition of Clinical Chemistry investigations, it would require the addition of at least three (3) competent technical officers to help ease the pressure on running a 24hour

service.

Inadequate laboratory furniture is a major concern. The department has only one functional laboratory swivel chair and this affects the efficiency of work and more importantly the

health and general well being of staff as we are forced to stand even when not necessary.

We implore management to treat this as a matter of urgency in solving this demoralizing

problem. In fact, work cannot be done when there are no chairs.

2013 Annual Performance Report, Laboratory Department

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