Blood ordering from the operating room: turnaround time as a quality indicator.

摘要: BACKGROUND: Quality indicators in transfusion medicine are necessary for patient safety and customer satisfaction. The turnaround time (TAT) of issuing red blood cells (RBCs) has emerged as a quality indicator but is not an established benchmark. We examined the TAT RBCs from bank to operating rooms (ORs) at Vanderbilt University Medical Center (VUMC) Stanford (SUMC). STUDY DESIGN AND METHODS: was defined request when exited bank. Cases eligible analysis had completed type-and-screen results with requests four or fewer RBC units. Patients positive antibody screen serologically crossmatched units prepared reserved intraoperative use. also e-mailed surveys academic institutions establish current state monitoring anesthesiologists VUMC gauge expectations OR. RESULTS: mean TATs two were comparable (VUMC, 10 ± 3.8 min; SUMC, 14 ± 7.2 min) orders RBCs. most common reasons delayed overlapping orders, medical technologists occupied by phone calls, oversaturation pneumatic tube stations. Only 3 24 surveyed actively monitored TAT. Surveyed (n = 7) reported expectation 5 15 minutes urgent cases. Established internal policies 20 respectively, patients complete diagnostic testing. CONCLUSION: Many do monitor stat issue indicator. This study serves starting point establishing benchmark ORs.