2017 Volume 66 Issue 3 Pages 302-307
We have conducted emergency blood preparation and transport simulation for a total of 5 times since 2007 and improved the system. In this simulation, we conducted “emergency” procedures, in which we manually prepared the product labels and delivery notes for 4 units of red blood cell products requested (2 units in 2014) without using the blood transfusion management system, and “urgency” procedures, in which we performed blood-type/cross-match tests and prepared the product labels and delivery notes through the blood transfusion management system to transport the products. In order to improve the system, we took the following measures: presented a flowchart, marks were indicated on the delivery notes for the items necessary to be filled out, one each of the necessary items was placed in plastic sleeve, the items to be confirmed were presented when delivery was requested, and papers on which a lab technician would need to fill out for the items to be confirmed was prepared. The time required for the “emergency” procedures in this simulation was 9.6 ± 2.2 minutes for the first time, followed by 7.7–7.8 ± 0.8–1.6 minutes from the second to the fourth times, and 5.5 ± 0.8 minutes for the fifth time. The process time was shortened and individual variation was reduced. The time required for the “emergency” procedures during on-call was less than 10 minutes in all simulations. For the “urgency” procedures, the process time was also shortened gradually from 9.0 ± 8.9 minutes for the first and second times to 6.6 ± 3.2 minutes after the third time. Individual variation was reduced as well.
