Bold

1
Worabe Comprehensive Specialized Hospital

2015 1? ?? ?????? ??????? ????? ????
By Behre Dari

• Worabe , Ethiopia
• Oct , 2022

2
2015 ???? ?????? ?????? ????

• 100 hormone anaysis test with cor
• Urine 24 Hours test
• Bone marrow test
• ???? ?????? ???? ????? ????? ???? ???? ?????
• 100 ???????? K, Na, Cl, Mg, PHOs, Ca
• ?????? ?100 vital laboratory test ?????? ?????
  ???????

3
????? ????? ??? ??????

• ???? ??????? ??? ??? ?? ?????? ?????..
• ??? ???? ????? ?????? ????? ?????? ????? ??? ????
  ???????
• ???? ????? ????? ???? ???? ?????? ?????? NICU
  laboratory ?????? ?? ???????
• ????? ?????? ????/??? ?? ????? ????? ????
  ?????????
• ????? ?????? ???? ?????? ? ????? ??? ??? ????
  ???? ?????? ?????????

4
Cont

• ??? ??? ??? ????? ????? ?????? ??????? ?? ????
  ??????
• ?????/???? ????? ???? ??? ?? ?????? ???????
  ???? ??? ????????
• ??? ???? ?????? ????? ????? ??? 88 ?? 96 ????
  ????? ??????

5
????? /???? ????? ??????

• ???? ?? ?????? ??? ??? ?????? ?????? ???? ??????
  ???? ????? ?????
• ?2015 ?????? ??? ???? ?????? ?? ??? ??????
• 2015 ???? ?? ??? ??? ??? ?????????
• ???? ??? ???? ?????? ????? ??? ??? ?? ????? ?????
  ???? ??? ?? ???? ?????
• ??? ????? ???? ????? ??????? ???? ????? ??
  ????????

6
???? ???? ??????

• ????? ?????? ????? ????? ????? ????? ?????
  ???????
• ? EHSTG internal audit ?????? 100 ???? ???????
• ???? ??? ???? 100 ???? ?????
• ??? ??? ???? /EQA/ 94 ????? ??????
• Daily preventive maintenance ??? ????? ??????
  100 ?????????
• ???? ????????? ?????? ??? ?????? ????? ?? ??????

7
Laboratory Quality indicator
SN Quality Indicator Target Achievement () Achievement () Achievement ()
SN Quality Indicator Target lt70 70-80 80-90
1 Preventive maintenance 100 100
2 IQC done 100 100
3 Turnaround time gt 85 91
4 EQA result Feed back gt80 94
5 Equipment down time lt 3 0
6 Specimen rejection lt1 0.13
7 Reagent stock out lt 3 0
8 Number of complaints None 0.04
8
? I-care, EBC and SBFR ????? ??????

• ???? ?????? ?????? ??? ?? ????? ????? ????????
  ??? ??? ?? ?? ?????????? ????
• ???? ?????? ?????? clear job description..
• ?????? ??????? ?????? ?????? TAT ???? ???? ???
  ????.
• ???? ???? ????? ???? ??? ???? ??? /?????? ?????

9
Conti.

• ?????? ???? ???? ???? ?? ?????? ???? ??? ???????
• Neonatal sepsis and risk factors ??? ??? ???
  ????? ??? ?????? ?????
• Major laboratory equipment calibrated and
  service ???????
• ???? ?????? ?????? ?? ????? ?????

10
QI projected ??????

• Dalliance of laboratory result 72 -91 ????
  ?????
• ????? ??????? ?? ??? ?????? ?????? ?????? ??
  ??????
• Back up ??? ????? ?? ????? ?????

11
QI conti

• ??????? ??? ??? /??? ????/ ????? ??????
• ??? ??? ??? ??????
• ?OPD ????? ???? ??? ??????? ??? ?????? ??????
• LIS system all OPD functional ???? ??????

12
Result with TAT
13
??? ????? ??????
14
TB prevalence
15
HBV prevalence
16
Malaria
17
Covid-19 antigen test

• Sero-prevalence rate
  0.31

18
?2015 1? ?? ??? ?????? ???? ??????
19
Strength

• Available essential laboratory test (Consumption
  based plan)
• Gradual increment of laboratory quality activity
• Equipment preventive maintenance and proper
  handling
• Fully Functioning laboratory case team
• CASH activity and weakly mass cleaning campaign
  

20
Challenge

• Gene Xpert Machine test interruption
• Poor documentation
• Back up machine like CBC, ESR and Coagulation
  machine
• ???? ?? ???? ?????? ???????
• CPD training

21
2nd quarter plan

• Cytomagaolo, Rubella virus IgG and IgM and
  anemia panel
• Start CRP Quantitative
• Start Blood gas analysis
• Fully function LIS system in all laboratory case
  team
• Accreditation on clinical chemistry and
  hematology test
• Purchasing additional machine ESR, CBE and
  Chemistry

22

• THANK
  YOU!
• 
  

11/8/2022