Alleviating Error During the Blood Administration Process in the Clinical Setting

POSTER

Alleviating errors during the blood administration process in the clinical setting Nicollette Kichi RN BSN Graduate Student MS- Nursing Informatics Background • A large academic healthcare setting in the Intermountain West is seeing documented incidence of errors being reported involving blood product administration that is associated with barcode EMAR scanning. • No formal workflow written into policy or established for administration of blood products without the use of EMAR scanning • Lack of guidance is causing delays in care for patients Project aim- • Develop a standardized workflow for clinical staff to follow when they encounter a barcode scanning error event, using participatory design. Methods 1. Literature review 2. Data Analysis of RL6 reports 3. Target topic establishment 4. Prior policy and workflow analysis 5. Creation of new workflow 6. Implementation of workflow amongst select end users 1. End user feedback gathered Results Conclusions • This analysis focused on issues related to blood product administration seen in RL6 error reports, which were narrowed down to issues related specifically to scanning blood products to administer them. • Due to the limitations of this analysis, no meaningful conclusions regarding the data were able to be drawn. • Out of the ten surveys that were sent out, only two were received back for analysis. • End user confidence increased after reviewing the educational material and workflow tip sheet • The table above illustrates the detailed survey questions and their mean numerical response. COLLEGE OF NURSING