Improving ferritin testing result management Dr Amanda Allen – Lead Medical Officer (Queensland) ECLP Cohort 14 E: [email protected] P: 07 3838 8219 Patrick Harper – Project Coordinator / Business Process Analyst ECLP Cohort 20 E: [email protected] P: 08 6213 5912 Australian Red Cross Blood Service CHANGE IDEAS DISCUSSION BASELINE DATA Australian governments fund the Australian Red Cross Blood Service to provide blood, blood products and services to the Australian community. AIM STATEMENT Increase the number of correctly processed ferritin test results to 100% by end December 2018. • All donors are tested for haemoglobin levels via either capillary and / or venous haemoglobin testing. • Donors may receive ferritin testing on a venous haemoglobin sample. • Ferritin tests are frequently ordered incorrectly by staff in donor centres or are missed. • Erroneous ‘ferritin untested’ letters are generated which require time- consuming investigation and rework by Medical Services, Donor Services and Manufacturing staff. STRATEGIC LINK PROJECT TEAM Sponsor: Eric Emerick National Planning and Medical Services Manager Project team members: Dr Amanda Allen / Patrick Harper – Co-project Lead Mandy McIlroy – Medical Services Admin Lead (Queensland) Kasey Buchan – Donor Services Representative (Queensland) Tracey Manwaring – Laboratory Representative (Queensland) Patient / consumer involvement: Management of the test results is an internal process and is corrected prior to sending letters to donors. Consumers are principally represented by members of the project team, specifically Dr Amanda Allen and Mandy McIlroy. SUSTAINING CHANGE • Results indicate that change efforts relating to training have had limited impact in reducing errors. • Change efforts relating to the National Blood Management System appear positive based on early ferritin error data indications. Data analysis via Pareto Chart identified 3 key areas to focus change ideas. DRIVER DIAGRAM Change Idea 1 – Engage with Skills Coach Assessors / Clinical Nurse Advisors to highlight issues with ferritin management Change Idea 2 – Identify and deliver training for managing ferritin test requests Change Idea 3 – Change electronic Technical Questionnaire in NBMS to improve and enable compliance STRATEGIC FOUNDATION IMPROVING THE BUSINESS We focus our efforts to reduce complexity and continually look to improve the way we operate. RESULTS Process measures: - Complete staff training by end Oct 2018 - Complete changes to National Blood Management System (NBMS) Dec 2018 Outcome measures: • Ongoing monitoring of the issues will be required to see if sustained change has been achieved. • Further changes to the technical questionnaire wording are already planned (long lead time). • Reinforce training for targeted donor centres with consistently high error rates. • Review remaining issues (e.g. plasma centre NBMS build) to address errors.

Cohort 20 - ECLP Poster - Patrick Harper - Dr Amanda Allen · 2019. 3. 13. · Title: Microsoft PowerPoint - Cohort 20 - ECLP Poster - Patrick Harper - Dr Amanda Allen Author: 40049335

Download PDF Report

Upload
others
View
2
Download
0

Embed Size (px)

Citation preview

Page 1: Cohort 20 - ECLP Poster - Patrick Harper - Dr Amanda Allen · 2019. 3. 13. · Title: Microsoft PowerPoint - Cohort 20 - ECLP Poster - Patrick Harper - Dr Amanda Allen Author: 40049335

CHANGE IDEAS

DISCUSSION

BASELINE DATA

Australian governments fund the Australian Red Cross Blood Service to provide blood, blood products and services to the Australian community.

AIM STATEMENTIncrease the number of correctly processed ferritin test results to 100% by end December 2018. • All donors are tested for haemoglobin levels via either capillary and / or

venous haemoglobin testing.• Donors may receive ferritin testing on a venous haemoglobin sample.• Ferritin tests are frequently ordered incorrectly by staff in donor centres or are

missed.• Erroneous ‘ferritin untested’ letters are generated which require time-

consuming investigation and rework by Medical Services, Donor Services andManufacturing staff.

STRATEGIC LINKPROJECT TEAMSponsor: Eric EmerickNational Planning and Medical Services ManagerProject team members:Dr Amanda Allen / Patrick Harper – Co-project LeadMandy McIlroy – Medical Services Admin Lead (Queensland)Kasey Buchan – Donor Services Representative (Queensland)Tracey Manwaring – Laboratory Representative (Queensland)Patient / consumer involvement:Management of the test results is an internal process and is corrected prior to sending letters to donors. Consumers are principally represented by members of the project team, specifically Dr Amanda Allen and Mandy McIlroy.

SUSTAINING CHANGE• Results indicate that change efforts relating to training have had limited impact in reducing

errors. • Change efforts relating to the National Blood Management System appear positive based on

early ferritin error data indications.

Data analysis via Pareto Chart identified 3 keyareas to focus change ideas.

DRIVER DIAGRAMChange Idea 1 –

Engage with Skills Coach Assessors / Clinical Nurse Advisors to highlight issues with ferritin management

Change Idea 2 –

Identify and deliver training for managing ferritin test requests

Change Idea 3 –

Change electronic Technical Questionnaire in NBMS to improve and enable compliance

STRATEGIC FOUNDATION

IMPROVING THE BUSINESS

We focus our efforts to reduce complexity and continually look to improve the way we operate.

RESULTSProcess measures: - Complete staff training by end Oct 2018 - Complete changes to National Blood Management System (NBMS) Dec 2018

Outcome measures:

• Ongoing monitoring of the issues will be required to see if sustained change has been achieved.

• Further changes to the technical questionnaire wording are already planned (long lead time).• Reinforce training for targeted donor centres with consistently high error rates.• Review remaining issues (e.g. plasma centre NBMS build) to address errors.