Prepared byJohn Grant-CaseyProject ManagerOctober 2009National Blood ServiceNational Comparative Audit of Blood TransfusionThe National Comparative Audit ProgrammeBackground informationA series of audits designed to look at the use and administration of blood and blood componentsOpen to all NHS Trusts and Independent hospitals in the UKCollaborative programme between NHS Blood and Transplant & Royal College of PhysiciansEndorsed by the Care Quality Commission National Blood ServiceNational Comparative Audit of Blood TransfusionAudit of Blood CollectionWhy was this audit necessary?The SHOT Haemovigilance Scheme shows that, in the Incorrect Blood Component Transfused category (IBCT),errors can often be traced to the wrong blood being collected from the issue fridge An audit of the process of collecting blood from the issue fridge contributes to our knowledge about this error-prone part of the transfusion process as well as allowing us to demonstrate whether electronic tracking systems, introduced in part to reduce fridge collection errors, are effective.National Blood ServiceNational Comparative Audit of Blood TransfusionAudit of Blood CollectionWhat were the aims of this audit?The audit aimed to ascertain if, at the time a unit of red cells is collected from a hospital s main blood fridge, the person collecting the unit has adequate written patient details and completes the procedure for collection.National Blood ServiceNational ...
National Comparative Audit of Blood TransfusionPrepared byJohn Grant-CaseyProject ManagerOctober 2009National Blood Service
The National Comparative Audit ProgrammeBackground informationA series of audits designed to look at the use and administration of blood and blood componentsOpen to all NHS Trusts and Independent hospitals in the UKCollaborative programme between NHS Blood and Transplant & Royal College of PhysiciansEndorsed by the Care Quality Commission National Comparative Audit of Blood TransfusionNational Blood Service
Audit of Blood CollectionWhy was this audit necessary?The SHOT Haemovigilance Scheme shows that, in the Incorrect Blood Component Transfused category (IBCT),errors can often be traced to the wrong blood being collected from the issue fridge An audit of the process of collecting blood from the issue fridge contributes to our knowledge about this error-prone part of the transfusion process as well as allowing us to demonstrate whether electronic tracking systems, introduced in part to reduce fridge collection errors, are effective.National Comparative Audit of Blood TransfusionNational Blood Service
Audit of Blood CollectionWhat were the aims of this audit?The audit aimed to ascertain if, at the time a unit of red cells is collected from a hospitals main blood fridge, the person collecting the unit has adequate written patient details and completes the procedure for collection.National Comparative Audit of Blood TransfusionNational Blood Service
Audit of Blood CollectionParticipationWe invited175 NHS Trusts / hospitals38 Independent hospitalsWho took part140 (80%) NHS hospitals sent information28 (74%) Independent hospitals sent informationNumber of transfused units auditedNationally =5059 North West RTC = 745National Comparative Audit of Blood TransfusionaNitnolaBoldoSreivec
AMuetdhito odfolBolgoyod CollectioneHvoesnptista(losrwifelreessasthkaendt4o0athuedint4al0ltchoallteccatinonbe reasonably audited) during the month of June 2009. Auditors were asked to exclude batch transfer of units to other fridges, transfer to other hospitals and emergency issue.National Comparative Audit of Blood TransfusionNational Blood Service
SAtuadnitdaorf dBslouosdedCollectionStandard OneA staff member removing blood from the transfusion department issue fridge hasdocumentation containing the patients identification details by means of a bloodcollection slip, prescription chart or patients notes. Standard TwoThe patient identification details are checked against the details on the compatibility label attached to the unit of blood and, where in use, the compatibility report form or issue slipStandard ThreeThe withdrawal of the unit(s) of blood is documented including name of staff memberand time the blood was removed.National Comparative Audit of Blood TransfusionNational Blood Service
SAtuadnitdaorf dBslouosdedCollectionStandard FourStaff members collecting blood for transfusion are trained to undertake this task and thistraining takes place annuallyStandard FiveStaff members collecting blood for transfusion are assessed as competent to undertake thistask and this assessment takes place every 3sraeyNational Comparative Audit of Blood TransfusionNational Blood Service
Audit of Blood CollectionPlease note:The remainder of the slides show results per hospital to allow comparison with regional and national percentages.Hospitals were able to opt out of being named in the slideshow, and data for those who opted not be included is omitted from these slides.Regional percentages are therefore understated.National Comparative Audit of Blood TransfusionNational Blood Service
Audit of Blood CollectionNumber of collections auditedAintree University HospitalAlder Hey Children's HospitalChristie HospitalCountess of Chester Hospital NHS Foundation TrustCumberland InfirmaryEast Lancashire Hospital NHS TrustGlan Clwyd HospitalLancashire Teaching Hospitals NHS Foundation TrustLeighton HospitalLiverpool Heart and Chest Hospital NHS TrustLiverpool Womens HospitalRNoobylaelsBHolotosnpitHaloIssplietaolfManSalford Royal NHS Foundation TrustSSoPIutRhEpoCrtheasnhdirOerHmosskpiritkalHoWsaprirtianlgtNoHnSTrustTrafford Healthcare NHS TrustUniversity Hospitals of Morecambe Bay NHS TrustUniversity Hospitals of South Manchester NHS Foundation TrustWarrington & Halton NHS Foundation TrustWirral University Teaching Hospital NHS Foundation TrustWrexham Maelor HospitalWrightington Wigan and Leigh NHS TrustYsbyty Gwynedd HospitalNational Comparative Audit of Blood Transfusion0404230302140432040212610302049040460404047304National Blood Service
A% uPdeirtgorfadBleos oodf sCtaoflfleccotllieocnting blood PorterNurseDoctorNational34380.3Regional31380AAilndterreeHeUyniCvheirlsdirteyn'HsosHpoitsaplital00235503ChristieHospital44250CountessofChesterHospitalNHSFoundationTrust0670ECausmtbLearnlacnadshIinrfeirHmoasrypitalNHSTrust90555602GlanClwydHospital0330LancashireTeachingHospitalsNHSFoundationTrust0700LeightonHospital3330LiverpoolHeartandChestHospitalNHSTrust50200LiverpoolWomensHospital0480NoblesHospitalIsleofMan01000RoyalBoltonHospital3400SSoaluftohrpdoRrtoaynaldNOHrmSsFkoiruknHdaotsiopintaTlrNusHtSTrust00748500SPIRECheshireHospitalWarrington01000TraffordHealthcareNHSTrust3480UUnniivveerrssiittyyHHoossppiittaallssooffSMoourtehcaMmabnechBeasyterNHNSHSTrFuostundationTrust100050800Warrington&HaltonNHSFoundationTrust2080WirralUniversityTeachingHospitalNHSFoundationTrust5380WrexhamMaelorHospital01000YWsribgyhttyinGgtwoynneWdidgaHnoasnpidtaLleighNHSTrust05574500HCA = Healthcare Assistant ODA = Operating Department AssistantNational Comparative Audit of Blood TransfusionACH22220657823307356035652250750532005530375505381ODAOther2424000030000022030000000000000500000080000003003803National Blood Service