Laboratory Medicine, Queen Elizabeth Hospital Birmingham

Laboratory medicine provides a high quality, cost-effective service to the University Hospital Birmingham NHS Foundation Trust, GPs and community hospitals within Birmingham and Solihull and is a referral centre for specialist services for other local; national Trusts and international users.


News

  • Change of Analysers at QE Laboratories

    From Monday May 6th the QE Laboratories will now be using the Abbott Alinity analysers to provide biocehmistry and serology services. The results are largely comparable to the previous Roche results, however some reference ranges and interpretation guidance has changed.

    For the core routine analytes the laboratory has adopted the nationally agreed Pathology Harmony reference ranges:

    The reference ranges for 

    PTH: 1.6 - 7.2 pmol/L

    CA199: < 37 KU/L

    have changed.

    High Sensitive Troponin T has changed to High Senstive Troponin I

    1.  “Result is > 99th centile.  In cases of chest pain this could be indicative of an ACS.  Requires clinical assessment by cardiologist or cardiology nurse practitioner”
    2.  “Result indicates a detectable troponin level but  below 99th percentile.  No evidence of an ACS but a second sample 1-3 hours apart  is required to rule out myocardial infarction.
    3. Result indicates no detectable troponin (<5).  If the chest pain was > 6 hours ago this result makes an ACS unlikely and in the absence of high clinical suspicion no further troponin test is required.  

    Troponin results cannot be used in isolation to diagnose or rule out an ACS.  Please use the HEART score and refer to cardiologist or cardiology nurse practitioner if advice is required.

    However, these assays now lie outside our scope of accreditation as assessed by UKAS. UKAS have been informed and will assess the assays on the new instrumentation as an extension to scope of our accreditation in Autumn 2019. This is normal procedure when changing platforms.

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  • Add on tests

    Add-on tests If extra tests are required which were not already on the request form received, these can be added by sending a new request form to the laboratory. This must have the relevant patient details, date, time and in the clinical details section state: “Add-on test”. The plastic bag should be closed and sealed to avoid confusion about a missing specimen. These tests will be processed as routine. We regret that the laboratory currently has no means of processing urgent add-on tests.

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  • Add on tests Microbiology

    Add on tests Microbiology

    Microbiology will endeavour to perform additional tests on specimens (except Serology) at the request of medical staff and if we are contacted within 48 hours of receipt. Serology specimens are processed, in most cases, by Biochemistry and so are an exception unless from an out-patient where the test would affect their management.

    The feasibility of performing extra tests on a specimen is reliant on there being sufficient material, that the specimen is appropriate for the test and that it is still available. Consideration should be given to resubmitting specimens that can easily be obtained unless, in the interim, antibiotics have been administered.

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  • Updates On Lipid Testing

    Lipid test changes and add-on tests now available Lipid test change to support clinicians Lipid requests, provided by Clinical Laboratory Services at QEHB, will now include HDL and calculated LDL result. This additional reporting will support clinicians in having the fullest possible picture of their patient.

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Site specific information

Queen Elizabeth pathology services are are based at Queen Elizabeth Hospital - University Hospitals Birmingham - Edgbaston. The laboratories are part of a wider laboratory grouping for University Hospitals Birmingham, which includes laboratories from Heartlands Hospital, Good Hope Hospital and Solihull Hospital (HGS Laboratories). All laboratories are ISO 15189 accreditated for their listed repertoire, unless otherwise noted. Site specific information can be accessed below.

Site Specific Information

General Information

General information about the website and its content

Location of Laboratories

Where the laboratories are located and information about the services offered at each laboratory