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3/14/2011
1
Do I Really Need Automation inAutomation in Blood Bank?Greg Harris, MT (ASCP)March 24, 2011
Do I Really Need Automation In Blood Bank?
I. Introduction
Problems with transfusions
• Non-hemolytic transfusion reactions
• Febrile non-hemolytic
• Allergic
• Anaphylactic
• TRALI
• Hemolytic transfusion reactions
• Delayed
• Acute
Statistics
Source: Fatalities Reported to FDA Following Blood Collection and Transfusion – Annual Summary for Fiscal Year 2009
Statistics
Source: Fatalities Reported to FDA Following Blood Collection and Transfusion – Annual Summary for Fiscal Year 2009
Do I Really Need Automation In Blood Bank?
I. Introduction
II. What is automation?
3/14/2011
2
Do I Really Need Automation In Blood Bank?
I. Introduction
II. What is automation?
III Wh h ld I idIII. Why should I consider automation?
a. Improved patient care
ExamplesDo I Really Need Automation In Blood Bank?
I. Introduction
II. What is automation?
III Wh h ld I idIII. Why should I consider automation?
a. Improved patient care
b. Improved laboratory operations
Improved laboratory operations
1.Improved productivity
2.Improved efficiency
3 I d lit3.Improved quality
4.Decreased costs
Efficiency
• Manual• Label tubes
• Add reagent to tubes
• Add reagent to gel
• TANGO• Load sample
• Validate sample
• Export to LIScard
• Make suspension
• Add patient sample
• Spin
• Read and record results.
• Unload samples
3/14/2011
3
71
6358
69
61
72
77 78 73
70
80
90
100
ssed
on
TA
NG
O Target = 90%
Efficiency
12 9
3944
0
10
20
30
40
50
60
1 2 3 4 5 6 7 8 9 10 11 12 13
% o
f P
atie
nt
Sam
ple
s P
roce
s
Week Number
Productivity
• More time to work up complicated patients
• Phenotyping units• Phenotyping units
• Better equipped to multi-task
Quality
• More QA projects and studies
• Able to attend more continuing education eventseducation events
• Able to evaluate current processes for potential process improvement
Costs
• Manual• Tubes
• Pipets
• Saline
• TANGO• Reagent plates
• Liquid reagent
• Analyzer
• Liquid reagent
• Gel cards
• Incubators, centrifuges, cell washer
Do I Really Need Automation In Blood Bank?
I. Introduction
II. What is automation?
III Wh h ld I idIII. Why should I consider automation?
IV. How do I get it?
Do I Really Need Automation In Blood Bank?
I. Introduction
II. What is automation?
III Wh h ld I idIII. Why should I consider automation?
IV. How do I get it?
V. Conclusion