The Microbiology Laboratory of Montefiore Medical Center is a division within the Department of Pathology. The laboratory is responsible for the delivery of the highest level of microbiological and immunological diagnostic services required by the clinicians of Montefiore Medical Center for the diagnosis of infectious diseases and related syndromes.
Microbiology is divided into the following areas: Bacteriology, Mycobacteriology, Mycology, Parasitology, Susceptibility Testing and Serology. The laboratory operates 24 hours a day, seven days a week throughout the year. The Microbiology staff consists of approximately 50 full-time employees, including five supervisors and two doctoral-level, Board-certified directors.
All levels of the microbiology staff are involved in teaching; however, residents and fellows spend a significant amount of time with the laboratory directors. This one-on-one training includes the discussion of interesting cases, slide review, didactic lectures in Microbiology, as well as the development of individualized research projects. Should a resident exhibit particular interest in microbiology research, Dr. Levi encourages further research opportunities during open rotations. All research is conducted in strict compliance with the rules and regulations of Montefiore Medical Center.
In keeping with the mission of Montefiore Medical Center and the Department of Pathology, the goals of the Microbiology Laboratory are to provide the highest level of patient care, maintain a rigorous educational, research and training program, safeguard a wholesome and safe work enviroment in compliance with all regulatory agencies, and encourage service to the community in which we live and work.
The Microbiology QA/PI Program has been designed to systematically monitor our internal and external processes by measuring, assessing and, when needed, improving performance.
Each QA/PI indicator should consider the following:
- Identify important aspects of patient care relevant to Microbiology
- Identify indicators to be used to monitor the quality of these important aspects of patient care
- Quantitatively monitor these indicators and assess the results against a known standard
- Determine if changes are needed to improve patient care; institute an improvement plan
- Report the results of the QA/QI activities to the clinical laboratory QA/QI Committee
Types of Services and Care
- Microbiological analysis of Patient patient specimens
- Antimicrobial susceptibility testing of microorganisms
- Antigen/antibody detection in body fluids
- Immunological analysis of serum, CSF, and urine
- Direct microscopic visualization of specimens
- Interpretation of data and consultation concerning data
- Environmental culturing upon request from Infection Control or other regulatory agency
- Training of laboratory technologists, medical students, Infectious Disease fellows, and Pathology residents
Important Aspects of Care
These are defined as activities that are high volume, high risk, and problem prone:
- Specimen transport
- Specimen processing
- Timeliness of completion of tests and timeliness of reporting
- Exposure and disposal of hazardous materials and general laboratory safety
- Equipment, test, and media performance
- Stat requests
- Critical laboratory result reporting
- Adherence to laboratory protocols
- Physician compliance with accepted standards for utilization of the Microbiology Laboratory