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Lab Medicine Department in saving countless lives is running no way behind the Clinicians and not only parallel to them but ahead of them as far as reliability is concerned. A medical diagnostic laboratory is more than the backbone of a treating physician and is the very soul of diagnosis making. As we say, it is make or break for the Doctor.
Lab Medicine Department of Apollo Hospitals Dhaka has achieved a lot and has become the leading diagnostic laboratory in Bangladesh. There is huge difference between the Lab Medicine Department of Apollo Hospitals Dhaka and other diagnostic facilities in the country. Consultancy in the Biochemistry, Microbiology and Clinical pathology done in the other labs of the country are mostly by non-medical personnel but in Apollo it is done by appropriate and qualified postgraduate medical personnel. They know very well the variation, pit-falls and loop-holes of lab reports and need not manipulate the reports that is frequently done in other medical labs all over the country.
Lab Medicine Department of Apollo Hospitals Dhaka has the following divisions, each run by post graduate doctors.
1. Clinical Biochemistry
2. Hematology
3. Clinical pathology
4. Microbiology and Immunology
5. Histopathology
6. Transfusion Medicine
Quality Assurance
1. Pre analytical Quality control
a) Patient identification by UHID and Patient name from wrist band / Registration card
b) Universal precaution
c) Collection of sample in appropriate VACUTAINER/ appropriate container
d) Bar code Labeling and transport to the lab
2. Analytical Q.C
e) Man behind the machine and appropriate technology
f) Internal QC : Two levels QC materials run everyday
g) External QC : With BIORAD ,USA every month
h) Proficiency Testing : With Bangabandhu Sheikh Mujib Medical university & AFIP
3. Post Analytical QC
a) Finalization of test result by Registrar / Consultant after viewing the history in HIS
b) Effective communication : Critical Call Back
c) Fastest Turn Around Time
1. Emergency 45 mins to 1 hour
2. IPD : 1 hour to 2 hours
d) Clinico-pathological conversation/meeting with clinical counter part.
We have introduced so many newer parameters which are not done any where in Bangladesh which includes;
1.
i.CYSTATIN C
ii. PROCALCITONIN
iii. LIPOPROTEIN a
iv. NT-pro-BNP
v. HOMOCYSTEIN
vi. PROTEIN C, PROTEIN S
vii. PLATELET AGGREGATION STUDIES
viii. HLA B27
ix. ANTI CCP
x. TB IgM, IgG IgA
xi. EBV
xii. ENA PROFILE
xiii. C1 esterase inhibitor
2. 24 hours FROZEN SECTION service.
3. Reviewing of the HISTOPATHOLOGY slides and blocks from out side sources for second opinion.
4. Introduction of EXTERNAL QUALITY CONTROL/Profanely test within country (with Bangabandhu Sheikh Mujib Medical University and AFIP) and out side the country (with BIO-RAD laboratory, California, USA). HISTOPHATHOLOGY QC is done by inter-institutional review for some selected cases.
5. CRITICAL CALL BACK SYSTEM. We have developed CRITICAL CALL BACK protocol and it is being maintained regularly. We are proud to be the pioneer in Bangladesh to introduce the system of Critical Call Back in Lab medicine department of Apollo Hospitals Dhaka which was highly appreciated by the survey team of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) during our accreditation process.
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