Clinical Pathology Quality Dashboard. October 2012. Clinical Pathology Quality and Performance Blood Bank. *Blood product waste refers to outdated and improperly handled units within the blood bank, by clerks, nursing, medical staff, the pneumatic tube system losses and expired units.
*Blood product waste refers to outdated and improperly handled units within the blood bank, by clerks, nursing, medical staff, the pneumatic tube system losses and expired units.
Goal: Inpatient/Outpatient STATs=60 minutes; Internal project to reach 45 minutes. Routines=120 minutes.
*Data compiled using PT/PTT, WBC, Gluc data, which are components of high volume testing. Draws begin at 4am. Mott draws begin at 6am.
* CAP=College of American Pathologists
Each month Pathology staff conducts a survey in the inpatient units, and records the following information for POC Glucose reagents :
Inspections are focused on the following items.
1. Are opened glucose reagents marked with an open and/or expiration date?
Reagents are marked with an “opened date” if expiration is not affected by opening bottle/container. If reagent is affected by opening container (example: good for 14 days after opening) it is marked with “expiration date”.
2. Reagents in use are prior to expiration date.
Compliance is calculated as a percentage of all inpatient units within UMHS.
Blood Bank has implemented quarterly gemba walks with input from front line staff. Examples of outcomes are listed below.