South West Transfusion Laboratory Survey Feb 2017 present Inga - PowerPoint PPT Presentation

South West Transfusion Laboratory Survey Feb 2017 – present Inga Willett/Janet Birchall- NHSBT

Background •21 eligible Trusts/hospitals (18 NHS, 3 private) •52% (11/21) responded (10 NHS, 1 private) •33% (7/21) fully completed

Results – General Information Number of beds in hospital Number of satellite blood fridges within hospital None 1 <75 2 200-400 3 400-600 4 600-800 5 >800 6 7 Number of external locations blood provided to •36% bone marrow transplant unit (4) •36% are major trauma centre (4) 1-3 •91% obstetrics unit (10) 4-6 •64% do not provide IVIG 7-9 issue/documentation via tx lab (7) (1 N/A) >9

Results – Measure of Activity Number of group and screen tests in 2015/16 5,000- 15,000 15,000- 25,000 25,000- 50,000 >50,000 73% use 2-3 serological ab ID panels (8), 27% use > 3 (3) 73% receive < 7,000 RBCs from NHSBT/yr (8), 27% receive > 10,000 (3) 82% receive < 50 RBCs/ys from private hospitals (9) (1 N/A) 46% O- 10-13% total stock (5) (3 N/A) 73% 25-100 major haemorrhage calls/ys (8)

Results – IT Resource •Electronic Issue was available and in use in 100% of laboratories (11) •91% (10/11) blood tracking available. Remote issue only one hospital Blood tracking system used Is there a blood tracking system available? Msoft / Bloodhound Yes Haemonetics Partial BARS No N/A

Results – Laboratory Staffing • 55% (6/11) reviewed annually through local governance (3 N/A) • 45% (5/11) compliant with UK transfusion collaborative minimum standards (3 N/A) Are there any staffing issues identified on a Trust risk register? Percentage of staff turnover within last two years <25% Yes No >25% N/A N/A

Results – Incidents • 55 % (6/11) not contacted last 2 years by external quality scheme because of poor performance (3 N/A) Participation in external quality schemes - services used BTLP FMH WASP IPEX Interlab comparison •Note – 3 labs did not BioRad QC answer which external schemes (if any) they participate in

Results – Discussion • Results suggest high activity but insufficient staff resource • More meaningful if better participation. • Inga still gathering results from laboratories who have not taken part – please contact her if you know you did not participate, or if you partially completed sections.

Thank you! Any questions?