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Aim: In the era of automation, the modalities available for analysis of samples for a clinical chemistry laboratory include both wet chemistry and dry chemistry analyzers. Wet chemistry systems are routinely used in small to large clinical chemistry laboratories whereas dry chemistry analyzers are restricted to large laboratories. Cost analysis is a system that is used for providing financial information to make financial projections. Aim of the study was to compare the cost analysis of wet chemistry and a dry chemistry analyzer. Materials and methods: Apart from the cost of the basic kits, a large number of controls, calibrators, consumables, and fluids are procured to run the various tests in the laboratories. A cost analysis of the wet chemistry analyzer and the dry chemistry analyzer available with us was performed to compare both the systems. Results: The cost per test (CPT) of the parameters on the wet chemistry analyzer was lower as compared to the dry chemistry analyzer. On factoring the cost of controls, calibrators, tubings, accessories and other consumables for both the systems, a figure of ` 8.91 as the cost of consumables per test for the wet chemistry analyzers and ` 0.40 for the dry chemistry analyzer was reached. On the further calculation of the cost per reproducible test (CPRT), it was seen that the wet chemistry analyzer had CPRT of ` 26.43 and the dry chemistry analyzer had `23.5. Conclusion:The results point towards the dry chemistry analyzer as being cheaper to a wet chemistry analyzer if the workload of samples being analyzed on them is high. Clinical importance: A thorough cost analysis is imperative to be done for any clinical chemistry laboratory to determine the cost-effectiveness of a system so that an informed decision can be made to incorporate new methods if required.

INTRODUCTION: Medical record enable healthcare professionals to plan, evaluate a patient's treatment and ensures continuity of care. In a health care setting it is very crucial to maintain proper medical records as these documents are prerequisite for planning patient care and have legal ramications. Therefore, medical audit plays an important role in continuous quality improvement. AIM & OBJECTIVE:To carry out the Medical Audit of Inpatient Medical Records in a Tertiary Care Hospital and to identify the deciencies and to propose recommendations. MATERIAL & METHODS: It was a retrospective and descriptive study. The quality assessment was performed using a 54 Parameters tool divided into 9 domains of Protocols & Policies. The sample size of 220 case sheets from all departments was taken. RESULTS:In our study the time in initial notes was missing in (79%) and time in daily notes was missing in (83%).The diet recommended was not mentioned in (75%). In daily notes, specialist notes were missing in (59%). In the daily clinical progress charts, patient particulars were incomplete/ missing in (72%) while weight of the patient was not endorsed in (99%). In discharge slip, the International Classication of Diseases (ICD) is missing in (44%). Recommendations: A standard discharge document check list performa has been designed and to be attached with all case sheets of the hospital. CONCLUSION: Medical records are technically valid health records which provide documentary basis for planning patient care and treatment by the physician and are vital for legal purposes.

Abstract:Purpose: To determine the correlation of central corneal thickness (CCT)

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