HEALTHCARIST Central Laboratory

The Central Laboratory Practice has being actively operated since 2014 under the structure of Office of Secretary General of Istanbul Northern Anatolian Association of Public Hospitals.

The system operates on two main axes. The tests and immovable materials are run for the inpatients, emergency patients, intensive care emergency patients at the laboratories established in hospitals. The clinicians may not ask for request forms from ER for each patient. The samples collected at the Central Laboratory operating on barcode system are assessed at the hospitals in accordance with the acceptance-rejection criteria, then send to the central laboratory through couriers.

The Courier System serves at times and numbers that suit the hospital's working schedule best. The courier vehicles are tracked through the RFID system from the center, and the additional vehicles are used to intervene in case of possible delays.

There are "operation executives" in charge of operating the Central Laboratory at the hospitals. There are 2 operation executives in the training and research hospitals and 1 in other kinds of hospitals.

The outputs of the Central Laboratory;

  • 65000 routine biochemical tests, hormone assays, ELISA tests, drug level tests, PCR tests, culture identification and antibiotic sensitivity tests in total are run through Online Preanalitic System (the operating and control system of all devices from the same center) at the laboratory, which receives an average of 6000 biochemical and 6000 hematologic samples per day.
  • According to the cost analysis, this practice resulted in a high profit by 27% in the entire association. The way the laboratory functions has been standardized from all aspects.
  • Now we are drawing less blood from the patients as we only take the sufficient amount of blood for our vials to run tests.
  • Each hospital uses the same request screens, this system is under the management of one center only.
  • Being the international laboratory test identification language, the pilot study of LOINC code practice has been initiated in order to achieve our objective of ensuring test request optimization.
  • That the laboratory results will be accessible from all our hospitals will optimize the test requests, and be a milestone in our laboratory history as the model practice of a study desired across the country.