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How do we improve blood product administration audit rates
Jessica L Morrow1, Jessica Szydlowski Pitman1, Ryland Elliott2
1Nurse Anesthesia Program, Duke University School of Nursing, Durham, North Carolina, USA.
Transfusion
|September 12, 2022
Summary
An electronic paging system improved blood product administration audits, with 96.5% completion. However, significant gaps in verifying patient identification and blood product compatibility were observed, highlighting the need for ongoing surveillance.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety
- Health Informatics
Background:
- Non-compliance with blood product administration standards presents patient safety risks.
- Monitoring adherence is crucial for patient safety and regulatory compliance.
Observation:
- An electronic paging system was implemented to aid perioperative blood product administration audits.
- A quality improvement project evaluated the system's effectiveness.
Findings:
- 96.5% of 57 audits were fully completed using the electronic system.
- Patient identification verification (name/MRN) against the product ID tag occurred in only 36.5% of audits.
- Matching armband information with the blood product compatibility label occurred in 23% of audits.
Implications:
- Ongoing surveillance of blood product administration is essential.
- Continuous monitoring promotes patient safety and regulatory compliance.
- Addressing identified gaps can prevent financial penalties associated with noncompliance.
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