To avoid delays in the availability of compatible blood for elective surgery patients requiring transfusion, a type and screen specimen should be completed at least 24 hours prior to surgery. Baseline metrics in an acute care inpatient blood bank demonstrated a significant number of cases with no type or screen completed.
The objective of this KPI was to prevent any delays in providing compatible blood products to scheduled surgical patients. Several internal and external system issues were identified as a result of a root cause analysis and a number of actions were initiated.
Outcomes have been positive. Data collection post KPI implementation has demonstrated a significant increase in type and screens completed within the 24 hour window mandate.
To further streamline the process, work is ongoing to develop a master surgical list of procedures requiring type and screen into the workflow.
NorDx Blood Bank Staff; Pelletier, Haley; Nayak, Suneela; Tyzik, Stephen; and Hanselman, Ruth, "Improving Type And Screen Specimen Collection Prior To Elective Surgery" (2017). Maine Medical Center. 3.
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