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Quality improvement can decrease blood delivery turnaround time: Evidence from a single tertiary-care academic medical center
Department of Anesthesia, ICU and Perioperative Medicine, Hamad Medical Corporation, Doha, Qatar / Weill Cornell Medicine Qatar, Doha, Qatar.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Surgery, Hamad General Hospital, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar. (Individ och samhälle (VIDSOC), Individual and Society)ORCID iD: 0000-0003-0961-1302
Department of Anesthesia, ICU and Perioperative Medicine, Hamad Medical Corporation, Doha, Qatar / Weill Cornell Medicine Qatar, Doha, Qatar / Department of Anesthesia and SICU, Tanta University, Egypt.
Sidra Medicine, Doha, Qatar.
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2018 (English)In: Middle East Journal of Anesthesiology, ISSN 0544-0440, Vol. 25, no 3, p. 273-281Article in journal (Refereed) Published
Abstract [en]

Context: Blood transfusion services are critical to any hospitals’ functioning, and timely blood/ component therapy resuscitation is lifesaving. Yet, few blood delivery turnaround time (TAT) studies have been undertaken. Aims: We assessed blood delivery TAT at our institution before and after implementing an intervention. Settings and Design: This before-after study assessed blood delivery TAT at our institution at baseline (first audit, December 2015 - February 2016); analyzed the causes of any delays and implemented a multipronged organizational, educational and operational remedial actions for risk mitigation for 3 months, aiming to shorten the blood delivery TAT; and then 9 months later assessed the blood delivery TAT again (second audit, November 2017 - December 2017). Methods and Material: For each of the two audits, we assessed three indices that comprise TAT: Response time (time from doctor’s request until blood is ready for collection, T1); processing time (time from the arrival of technician to blood bank and start of paperwork processing at the blood bank’s front desk until actual collection of the blood, T2); and, Transport time (time from blood bank to arrival to operating theatre, T3). Statistical analysis used: The observed proportions for categorical variables were reported as percentage and compared using Chi square test. Results: After implementing the remedial actions, the second audit confirmed considerable improvements across all three components that comprise the blood TAT. The transport time significantly decreased from an initial majority of > 15 mins duration, to a majority of < 15 mins transport time after the second audit; there was a 50% improvement in 30 mins response time; and the percentage of requests processed in < 10 mins were significantly higher after the second audit. Conclusions: Our program and its findings in terms of much improved blood delivery TAT after implementing this quality improvement approach represent an appropriate and effective solution to the challenge of making blood available fast enough to meet true hemorrhagic emergencies.

Place, publisher, year, edition, pages
American University of Beirut , 2018. Vol. 25, no 3, p. 273-281
Keywords [en]
Blood banking/ transfusion medicine, Blood components, Intraoperative, Monitoring, Turnaround time
National Category
Occupational Health and Environmental Health
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-17422Scopus ID: 2-s2.0-85067838516OAI: oai:DiVA.org:his-17422DiVA, id: diva2:1336559
Available from: 2019-07-09 Created: 2019-07-09 Last updated: 2019-11-11Bibliographically approved

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El Ansari, Walid

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