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Reducing Blood Waste Through Interactive Dashboard
Pamela Stravitz, Monique Mohammed, Nathan McLamb MD, Kerry O’Brien MD
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Beth Israel Lahey Health
Background
Results
Blood waste is a major issue throughout all hospital networks.
The cost of these errors affect multiple aspects of an
organization, including administration and inpatient care. The
loss of such clinically vital products can also harm medical
centers’ finances, reliability, and ability to be fully equipped to
provide great patient care. Current improvement efforts focus on
retraining efforts which often only decreases blood waste for a
short while. More permanent solutions are largely unpracticed,
including consistent feedback, data monitoring, and goal setting.
In early 2019, the QI team at Beth Israel created a dashboard,
focused on interactivity and data translation, to put the affects of
blood waste into a larger perspective and one entirely focused on
improving patient care.
With the design phase completed, focus is shifted to the
proper distribution efforts of the dashboard. Future
improvements include:
• Establish consistent data review periods and contact list
• Create warning systems for high blood waste practices
• Establish goals set by the unit leaders
• Add accountable parties to unit identifiers
• Conduct more interventions associated with Patient Blood
Management2, a system adopted by the AABB
Very few institutions are currently recording blood waste data
in an accessible way. Thus, we are currently only able to make
comparisons within the medical center network. We expect
higher participation data availability in coming years.
According to the American Association of Blood Banks 31st
edition standards under section 8.2, “The following shall be
monitored: usage and discard.1” However, the lack of mandates
allowed us to represent the data in a way that unit managers most
wanted to see and answer the questions how does my team compare to
other units and where is my team making mistakes?
Date
Product
Unit
Formatted
so dates in
year 2019
required.
Drop down list:
red cell, cryo,
plasma,
platelet, RhlG
Free text,
general
location
identified
3/1/2019
Plasma
OR
Comment
Free text to
describe events
and reason for
waste
Error
Drop down
list: fever,
IV issue,
cooler etc.
No IV access
IV Issue
3/4/2019
Cryo
L&D
Left in cooler
Cooler
Issue
3/8/2019
Red Cell
EW
Lost in tube
Tube
Mechanics
Table 1. A few of the categories required when
cataloguing a blood waste incident. Three fabricated
examples show the content of the data tab, filled in by
the Blood Bank manager at BI. Waste is categorized by
month and year, product, unit, and error type.
References
1. American Association of Blood Banks Standards 31st
Edition, 2018. Print.
2. Patient Blood Management (PBM), AABB
http://www.aabb.org/pbm/Pages/default.aspx
Image A. This dashboard analyzes the blood wasted within the hospital network, classifying waste by reason, date,
product type, and location. It is currently being used to present to the floors and blood bank, showing in which units
the errors are occurring and explaining the reparations of lost blood products.
Materials & Methods
The data is categorized by the product wasted, issue type, and
unit in which the waste occurred. Details of each incident are
recorded in the “data” tab by the Blood Bank manager. The
data columns that are used to provide information for the
dashboard’s pivot tables and charts are formatted and
standardized, shown in Table 1. Other columns include
“general unit,” to further organize the waste and whole blood
number, or “WBN” to link waste to blood identification.
Because the raw data entry is not user friendly, users can access
a cleaned version of these data in by selecting their unit from
the drop down list. A new sheet auto populates a table with the
appropriate waste events, shown in Image B.
The dashboard contains four tabs:
• Data – Table 1. Tab in which the raw data is collected. Upon
release, this tab is hidden from users.
• Dashboard– Image A. Unit errors shown by reason for waste,
product, and location by month and year.
• Dropdown List– Hidden from users. Contains formulas and
lists that feed information to the dashboard.
• Unit Data– Image B. This tab is only available once a user
accesses specific unit data through the drop down menu. A
new “unit data” tab will open if a second unit is chosen.
Image B. This new tab contains all cases originating in
the OR during 2018. It comes pre-formatted as a table,
only containing relevant columns from the raw data. The
tab is created automatically upon selection of a unit from
the drop down menu on the dashboard.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Pamela Stravitz (<a href="mailto:pstravit@bidmc.harvard.edu" target="_blank" rel="noreferrer noopener">pstravit@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Pathology
Blood Bank
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Pamela Stravitz
Monique Mohammed
Nathan McLamb
Kerry O’Brien
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Reducing Blood Waste Through Interactive Dashboard
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Format
The file format, physical medium, or dimensions of the resource
pdf
Efficiency
Timeliness