دورية أكاديمية
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Six Sigma in blood transfusion services: A dream too big in a third world country?

التفاصيل البيبلوغرافية
العنوان: Six Sigma in blood transfusion services: A dream too big in a third world country?
المؤلفون: Jindal A; Department of Transfusion Medicine, SPS Hospitals, Ludhiana, India., Maini N; Department of Biochemistry, Dayanand Medical College and Hospital, Ludhiana, India.
المصدر: Vox sanguinis [Vox Sang] 2022 Nov; Vol. 117 (11), pp. 1271-1278. Date of Electronic Publication: 2022 Sep 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 0413606 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0410 (Electronic) Linking ISSN: 00429007 NLM ISO Abbreviation: Vox Sang Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : Oxford, UK : Blackwell Science
Original Publication: Basel : Karger
مواضيع طبية MeSH: Total Quality Management* , Developing Countries*, Humans ; Prospective Studies ; Automation ; Blood Transfusion
مستخلص: Background and Objectives: Transfusion errors can occur anywhere from blood donation to final blood transfusion. They are a source of increased cost and patient mortality. Automated workflows can reduce transcription errors, but resource-poor centres still use semi-automated/manual method for testing including manual labelling of column agglutination cards/testing tubes. Missing out any details on these cards can lead to errors in reporting results, wastage and loss of resources and effort. The aim of this study was to implement Six Sigma DMAIC (Define, Measure, Analyse, Improve and Control) methodology to reduce transcription errors while labelling gel card in immunohaematology lab to zero defect.
Materials and Methods: In this prospective study, transcription errors while manually performing 200 tests with 1400 opportunities were analysed. Baseline variables like number of errors, defects per million opportunities and sigma level in our current setup were measured. With the application of DMAIC methodology, root cause analysis for each error using Ishikawa diagram and structured Interviews were done to identify causes. A multipronged approach to deal with errors was done to improve critical areas using brainstorming sessions and developing training sheets for practice. After implementing the changes, baseline variables were reanalysed.
Results: Application of DMAIC resulted in an overall reduction in defects from 34.86% to 0.56% with sigma level improvement from 1.89 to 4.08.
Conclusion: Six Sigma methodology can be used in a resource-poor setting even with lack of automation to ensure error-free process flow.
(© 2022 International Society of Blood Transfusion.)
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فهرسة مساهمة: Keywords: Six Sigma; blood centre; quality; resource poor; transfusion
تواريخ الأحداث: Date Created: 20220914 Date Completed: 20221118 Latest Revision: 20221118
رمز التحديث: 20231215
DOI: 10.1111/vox.13349
PMID: 36102136
قاعدة البيانات: MEDLINE
الوصف
تدمد:1423-0410
DOI:10.1111/vox.13349