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blood bank workflow ppt

ABSTRACT This study compared the estimated costs and times required for ABO/Rh(D) typing and unexpected antibody screening using an automated system and manual methods.
The total cost included direct and labor costs. Labor costs were calculated on the basis of the average operator salaries and unit values (minutes), which was the hands-on time required to test one sample. To estimate unit values, workflows were recorded on video, and the time required for each process was analyzed separately.
The unit values of ABO/Rh(D) typing using the manual method were 5.65 and 8.1 min during regular and unsocial working hours, respectively. The unit value was less than 3.5 min when several samples were tested simultaneously. The unit value for unexpected antibody screening was 2.6 min. The unit values using the automated method for ABO/Rh(D) typing, unexpected antibody screening, and both simultaneously were all 1.5 min. The total cost of ABO/Rh(D) typing of only one sample using the automated analyzer was lower than that of testing only one sample using the manual technique but higher than that of testing several samples simultaneously. The total cost of unexpected antibody screening using an automated analyzer was less than that using the manual method.ABO/Rh(D) typing using an automated analyzer incurs a lower unit value and cost than that using the manual technique when only one sample is tested at a time. Unexpected antibody screening using an automated analyzer always incurs a lower unit value and cost than that using the manual technique

MEDITECH's Blood Bank solution tightly integrates donor, unit, transfusion, and patient history information with data in the MEDITECH EHR. The solution—which is FDA regulated—promotes patient safety and reduces turnaround times by flagging abnormal test results, reporting test and transfusion results, minimizing product waste, utilizing expert rules when recording, and performing error checks.
Highlights:
• Centralize access to common routines and reports via roles-based desktops.
• Recruit donors and track appointments for blood collection.
• Track Blood Bank units through inventory management and utilization reports.
• Electronically crossmatch Blood Bank units to patients.
• Verify and document Blood Bank unit and patient data on-line during transfusion via integration
with the Patient Care and Patient Safety solution.
• Efficiently report and track Blood Bank services across multiple facilities.
• Manage work performed in Blood Bank via extensive reporting capabilities.
Blood Bank Enables Lab Technicians, Scientists, and Other Staff to:
Optimize Workflow with Roles-based Desktops
Roles-based desktops streamline laboratory workflow by enabling all users to access their most commonly used
routines from a central location. Several desktops are shared among MEDITECH’s Laboratory applications,
including desktops for: Data Processing, Infection Control, Patient Reports, Management Reports, Requisitions, and
Specimens. Additional desktops are designed to meet the specialized needs of Blood Bank personnel and include the
following:
• Unit Desktop: Enter, issue, assign, transfuse, and inquire about units, as well as print unit labels
and track inventory
• History Desktop: Edit, release, print, and back up history data
• Donor Desktop: Enter, view, delete, merge, and unmerge donor records
• QC Desktop: Track quality control performed in the Blood Bank
• Analyzer Desktop: Receive test results from analyzers and record the verified results to individual
specimens
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Effectively Recruit and Manage Blood Donors
The Donor feature allows your staff to efficiently recruit donors and track their appointments for blood collection.
In addition, your organization can maintain a current donor database to track blood donor information. Using
MEDITECH’s donor management capabilities, staff has the ability to:
• Maintain blood types, antigen/antibody profiles.
• Track donor schedules and information.
• Evaluate criteria, check eligibility, and schedule appointments.
• Organize donor recruitment phone lists and letters on-line.
• Compose user-defined donor questionnaires to streamline qualification processes.
• Define error checking logic to allow staff to compare current information against data collected
during the donor’s last appointment.
• Automatically generate deferrals when donors do not meet eligibility requirements.
• Generate donor statistical reports.
Track Inventory and Blood Utilization
Blood Bank supports comprehensive inventory management by tracking physical inventory, as well as inventory
utilization, based on pre-transfusion data. All transfusable products are tracked from the time they are entered into
inventory through final disposition. Through inventory management capabilities, staff has the ability to:
• Scan units into the inventory, either by individual unit or in batches.
• Automatically requisition for those Blood Bank units requiring testing.
• Access patient history, identifying antigens, antibodies, and markers to assure patient safety.
• Report on inventory through comprehensive reporting tools.
Simultaneously Process Multiple Specimens
Use of electronic worksheets and process screens eliminates manual entry of test results for specimens and units,
resulting in more streamlined and efficient processes, greater accuracy of information, and improved patient
safety. Specimen processing enables Blood Bank personnel to:
• Preview specimens and tests in batch format.
• Automatically release crossmatches using rules-based logic.
• Utilize process screens to quickly result and efficiently track units.
• Efficiently process multiple units or specimens at one time.
Perform Electronic Crossmatching
Electronic crossmatching saves critical testing time by checking for incompatibilities between a patient's blood and
a unit of blood or blood product prior to transfusion. The electronic crossmatching capabilities allow users to
safeguard that:
• Patient specimen and blood type results are current.
• Blood type results were confirmed by two determinations.
• Patient and donor units are ABO compatible.
• Testing for antigens and antibodies is complete.
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• Antibody screen results are not positive.
• Clinically significant antibodies are not present.
• Donor ABO group and Rh type on the unit label are confirmed.
Verify Patients and Units During Transfusion Administration
MEDITECH’s Blood Bank and Patient Care and Patient Safety solutions are fully integrated, fostering the sharing of
Blood Bank unit and patient data between the two products. All data relevant to transfusions is updated in real
time in the Transfusion Administration Record (TAR), a component of our Patient Care System. The TAR, which is
accessible to both nurses and Blood Bank personnel, provides an electronic method for documenting patient vital
signs and transfusion reactions before, during, and after blood transfusion.
The TAR provides caregivers with a central place to view information about a patient's history of blood products,
thereby simplifying workflow. When used in conjunction with MEDITECH's Bedside Verification, staff can use bar
code readers to scan and match patients with their blood products to verify the right patient, blood product, and
transfusion time, as well as donor blood type compatibility and blood product expiration dates.
Produce Comprehensive Reports
MEDITECH’s extensive reporting capabilities ensure procedures are followed and cost effectiveness is maintained.
MEDITECH provides standard and user-defined patient reports, which are available in activity or summary format
and viewable by physician, patient, or location. In addition, managers can better organize and oversee work
performed in the Blood Bank by viewing such management reports as:
• Outstanding Specimen Report
• Transfusion Report
• Inventory reports
• Unit Disposition
• Overdue Warning and Unverified Results Reports
• Crossmatch/Transfusion Ratio Statistics by location or provider
• Utilization reports to assist in reviewing and ensuring appropriate use of products
Reap the Benefits of Integration
MEDITECH’s Blood Bank solution not only enables your organization to exchange information in a safe, secure
manner across MEDITECH’s integrated Laboratory Information System, but also shares real-time Blood Bank
information with other hospital departments and MEDITECH applications. For example:
• Blood Bank test and product charges are passed to Revenue Cycle.
• Blood Bank transfusion documentation flows into Patient Care and Patient Safety.
• Blood Bank results can be viewed in the patient's record.
• Blood Bank test orders, results, and cancellation messages file back into Order Management.
• Bedside Verification matches patients to their blood products during transfusion administration.
For more information about us, contact a MEDITECH Marketing Consultant.

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http://ncbi.nlm.nih.gov/pmc/articles/PMC3698305/

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