PMID- 22536922
OWN - NLM
STAT- MEDLINE
DCOM- 20130314
LR  - 20220331
IS  - 1537-2995 (Electronic)
IS  - 0041-1132 (Linking)
VI  - 53
IP  - 1
DP  - 2013 Jan
TI  - Blood ordering from the operating room: turnaround time as a quality indicator.
PG  - 41-8
LID - 10.1111/j.1537-2995.2012.03670.x [doi]
AB  - 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 for issuing RBCs from the blood bank to the 
      operating rooms (ORs) at Vanderbilt University Medical Center (VUMC) and Stanford 
      University Medical Center (SUMC). STUDY DESIGN AND METHODS: TAT was defined from 
      time of request to when RBCs exited the blood bank. Cases eligible for analysis 
      had completed type-and-screen results with requests for four or fewer RBC units. 
      Patients with a positive antibody screen had serologically crossmatched units 
      prepared and reserved for intraoperative use. We also e-mailed surveys to 
      academic institutions to establish the current state of TAT monitoring and to 
      anesthesiologists at VUMC to gauge the TAT expectations of the OR. RESULTS: The 
      mean TATs at the two institutions were comparable (VUMC, 10 +/- 3.8 min; SUMC, 
      14 +/- 7.2 min) for orders of RBCs. The most common reasons for delayed TAT were 
      overlapping orders, medical technologists occupied by phone calls, and 
      oversaturation of pneumatic tube stations. Only 3 of 24 surveyed institutions 
      actively monitored RBC TAT. Surveyed anesthesiologists (n = 7) reported an 
      expectation for RBC TAT of 5 to 15 minutes for urgent cases. Established internal 
      TAT policies were 15 and 20 minutes at VUMC and SUMC, respectively, for 
      crossmatched RBC requests for patients with complete diagnostic testing. 
      CONCLUSION: Many of the surveyed institutions do not monitor stat RBC issue TAT 
      as a quality indicator. This study serves as a starting point for establishing a 
      benchmark for TAT for issuing RBCs from the blood bank to ORs.
CI  - (c) 2012 American Association of Blood Banks.
FAU - McClain, Colt M
AU  - McClain CM
AD  - Department of Veterans Affairs Medical Center, Nashville, Tennessee, USA.
FAU - Hughes, Jonathan
AU  - Hughes J
FAU - Andrews, Jennifer C
AU  - Andrews JC
FAU - Blackburn, Jennifer
AU  - Blackburn J
FAU - Sephel, Stephanie
AU  - Sephel S
FAU - France, Dan
AU  - France D
FAU - Viele, Maurene
AU  - Viele M
FAU - Goodnough, Lawrence T
AU  - Goodnough LT
FAU - Young, Pampee P
AU  - Young PP
LA  - eng
PT  - Journal Article
DEP - 20120427
PL  - United States
TA  - Transfusion
JT  - Transfusion
JID - 0417360
SB  - IM
MH  - *Erythrocyte Transfusion
MH  - Humans
MH  - *Operating Rooms
MH  - Quality Indicators, Health Care
MH  - Time Factors
EDAT- 2012/04/28 06:00
MHDA- 2013/03/15 06:00
CRDT- 2012/04/28 06:00
PHST- 2012/04/28 06:00 [entrez]
PHST- 2012/04/28 06:00 [pubmed]
PHST- 2013/03/15 06:00 [medline]
AID - 10.1111/j.1537-2995.2012.03670.x [doi]
PST - ppublish
SO  - Transfusion. 2013 Jan;53(1):41-8. doi: 10.1111/j.1537-2995.2012.03670.x. Epub 
      2012 Apr 27.