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 department4

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

1.0

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

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

2013 Annual Performance Report, Laboratory Department

2.0

Service Outputs

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

Month
Year
2013

Jan

Feb

March

April

May June

July

Aug

Sept

Oct

Nov

Dec

TOTAL

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

Monthly Laboratory Attendance Compared: 2013,

2012 & 2011
2500

No of Patients

2000
1500
1000
500
0

JAN

FEB

MAR

APRI

MAY

JUN

JULY

AUG

SEP

OCT

NOV

DEC

2013

1279

1410

1423

1290

1635

1453

1749

1361

1482

1747

1666

1556

2012

1286

1203

1516

1306

1460

1582

1212

2171

1479

1667

1521

1384

2011

1130

873

901

951

1253

1213

1483

1579

1559

1735

1536

1113

2013 Annual Performance Report, Laboratory Department

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

Section

Haematology

Serology

Test
Haemoglobin

1418

3447

4891

Sickling

1079

1235

1498

ABO Grouping

296

562

1218

G6PD

124

Full Blood Count (FBC)

291

1838

CD4 Count

HBsAg Screening

884

909

1067

HIV 1 & 2 Screening

321

382

760

Widal Test

5413

4705

3811

18

388

751

HCV

76

656

Liver Function Test (LFT)

25

Lipid Profile

BUN & Creatinine

Fasting Blood Sugar

301

673

596

Random Blood Sugar

360

942

1277

UPT for HCG

3167

4102

4065

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

29,182

31,368

34,957

VDRL

Clinical Chemistry

Microbiology

No. of Tests Performed

2011
2012
2013

TOTAL

2013 Annual Performance Report, Laboratory Department

Table 2c: Positive Cases for major Laboratory Investigations: 2013.

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

13

Sputum for AFB

Fig 2b: Positive cases for major Laboratory investigations in 2013

Positive Cases for Major investigations in 2013

12000

10000

8000

6000

Total
Pos

4000

2000

2271

2230
131

0
BF for MPs

HBsAg

155
HIV 1&2

59
HCV

2013 Annual Performance Report, Laboratory Department

23
VDRL

126

1007

Sickling Pregnancy Widal Test Sputum for

Test
AFB

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

No. of times Blood issued

100
90
80
70
60
50

No. of times Blood issued

40
30
20
10
0
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

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.

2013 Annual Performance Report, Laboratory Department

Table 3a. Monthly Blood Bank Investigations

Test

4.0

HIV

HBsAg

HCV

Syphilis

Month

Total

Pos

Total

Pos

Total

Pos

Total

Pos

January

24

22

20

20

February

39

44

42

36

March

52

15

46

43

42

April

36

33

33

31

May

30

27

24

23

June

61

10

59

58

56

July

63

14

63

59

59

August

12

11

11

11

September

18

14

14

14

October

23

24

21

20

November

91

11

90

13

86

85

December

57

13

52

53

17

47

TOTAL

506

90

485

52

464

46

444

19

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