ABSTRACT
To determine the affect of autonomy on clinical chemical testing in pathology department Quaid-i-Azam Medical College and to assess the change in the attitudes of laboratorians and physicians Retrospective and comparative. 1-11-93 to 01-11-03. A retrospective study was carried out from 1-11-93 to 01-1103 in which records from 1-11-93 to 1-11-03 were collected and evaluated. Separate record of each month's revenue from clinical chemistry section was calculated. In order to determine what changes have been brought about after autonomy a universal questionnaire was used to assess the attitudes of physicians and surgeons of hospital inquiring whether they noticed any improvement in the efficiency of clinical chemical test results after autonomy. 620 doctors were interviewed through structured questionnaire. The questionnaire was designed to assess the knowledge, attitude and practices of doctors towards autonomy. In order to determine that who is the most beneficent of autonomy, different records were collected and discussions were made with consultants. Autonomy brought about a healthy change in the staff of clinical chemical section. Quality control has improved the morale of lab staff since technical deviations are more readily identified and corrected within the lab, gross errors are rarely found by the clinicians and so their respect for and confidence in the lab has strengthened Replenishment of chemicals/reagents are timely made. The number of available test has significantly increased which in turn has significantly raised the revenue generated since autonomy is awarded. Pilferage of chemicals has been stopped. Turn around time has been decreased. Clinical Chemical section participates in External Quality Assessment Scheme, NEQAPP [National External Quality Assessment Program Pakistan], which is an essential pad of the routine of a well-run lab. Patient is the most beneficent since autonomy is awarded to QMC/BVH, BWP. A significant improvement in the efficiency of the analytical performance has strengthened the faith of laboratorians and physicians in the test results after autonomy