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70-85% of clinical decisions based on information derived from laboratory test results

Bangalore: It is estimated that 70-85 per cent of clinical decisions are based upon information derived from laboratory test results so ensuring optimal sample quality is crucial to the patient, clinician and the efficiency of any hospital, according to BD India.

Dr Elizabeth Frank, director, Biochem Diagnostics Laboratory, Mysore addressing the seminar

In its endeavour to stay aligned with emerging trends and customer needs, BD India organised a seminar on ‘Safety and quality improvement in laboratory medicine’ in Bangalore on February 18.

According to BD, the seminar was attended by eminent pathology experts including Dr Elizabeth Frank, director, Biochem Diagnostics Laboratory, Mysore who spoke on the pre-analytical challenges.

Dr Swati Pai, consultant haemato-pathologist and lead assessor-NABL (National Accreditation Board for testing and calibration Laboratories), Manipal Hospitals, Bangalore emphasized on the quality assurance in laboratory practices.

According to BD India, clinical laboratories, like other parts of the healthcare system, are striving to provide high-quality services in the face of ever-shrinking resources and increasing regulatory demands.

Lab directors and managers are viewing the pre-analytical phase of laboratory testing as a critical area for improvement that can drive not only better patient care and satisfaction, but also productivity gains and cost savings.

While quality, effectiveness and impact on outcomes continue to emerge as value-added services for the laboratories, a comprehensive quality control programme, along with pre-analytical awareness and training can prove to be valuable tools to improve specimen quality and subsequently patient care.

Good practices and compliance can significantly reduce errors and laboratory costs. It is well realized by laboratory experts that pre-analytical errors can contribute to costs by impacting:

  • Quality of Patient Care – erroneous medical diagnosis, and delayed results
  • Safety – needle-stick injuries to patients or staff
  • Time – increased turnaround times and repeat sample collections
  • Resources and Budget – staff and equipment
  • Reputation – with patients and fellow colleagues

Dr Ana Stankovic, world wide vice president, medical affairs, BD Diagnostics – Pre-analytical Systems, elaborated on the importance of pre-analytical processes in achieving quality healthcare and the role of BD Laboratory Consulting Services.

She said, “Laboratories today are increasingly taking initiatives to improve patient care. BD can help identify the problem areas in a laboratory and show the benefits from overall improvements gained in sample quality, workflow, turnaround time, patient safety and employee satisfaction.”


  1. Dr K.Gowrinath Dr K.Gowrinath Monday, February 25, 2013

    One can not treat lung TB without sputum test as per central government run TB control programme.One has to depend upon sputum test to make the diagnosis of lung TB.In the same way,nobody can start treatment for lung cancer without biopsy report.In case of suspected heart attack,the clinical diagnosis alone is not enough,one has to do ECG and blood test for troponins.Every complaint of nonhealing ulcer requires blood test to confirm or rule out diabetes if the patient[s age is above 40 years age.Depending on tests which are necessary to prove the clinical diagnosis will help the patient. Giving treatment with clinical examination alone is not possible in many cases in allopathic medicine

  2. Prof. Manoj Sharma Prof. Manoj Sharma Sunday, February 24, 2013

    Is it due to medico legal reason and doctors own safety or it is because not enough of clinical sense is developed during undergraduate and post graduate teaching.
    I know of several medical colleges were evening clinics do not happen for UG and PG students, scheduled clinical classes are left to amateurish fist and second year resident doctors.!!
    Naturaly one will hide his face behind clinical test results.

    One out cry doctors not willing to go to smaller towns and villages . They are totally dependent on lab reports and have no confidence with their clinical expertise and excellence.
    Teachers are not teaching in medical sciences. Corporates are busy making quick buck That is

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