1034 / Implementation of Radio Frequency Identification (RFId) technologies to avoid transfusion identification errors

SPAIN
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Blood / Blood products
Medical devices / Equipment There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Current advances in haemovigilance and patient safety are new challenges for functions and organization of Transfusion and Patien Safety Committees at Hospitals.
They aim to promote safe clinical practices related to blood products and therefore to improve patient transfusion safety at our hospitals. One of the key actions engaged in recent years are implementation of Radio Frequency Identification (RFId) technologies to avoid transfusion identification errors.
Description of the Patient Safety Practice
 
To use a RFId patient identification and information system made by Veridentia SL. It is comprised of an RFID patient wristband with barcodes, a locked security container imbedded with electronic circuit boards containing microprocessors and memory, and a software system that is planned to be integrated with the hospital transfusion system. It includes a transponder which may be incorporated in a device (ie a bracelet) which may be strapped to a patient's wrist or any other part of the body. The transponder operates at a frequency standardized for this application, has a read/write memory of about at least 2000 bits, an amount sufficient to store information related to the patient's complete identification. An interrogator/reader/writer device is provided at each office of each health care provider. Once a patient's pre-transfusion testing has been completed at the bedsaite, the correct blood unit is ordered from the lab and placed in the security container. The security cap on the container cannot be released until it is within reading distance of the correct patient wristband RFID tag. Once the cap is opened, the post-transfusion data is automatically registered into the electronic circuit boards in the cap. Therefore it mitigates the significant risk of transfusion of an improper or inadequate identification of the recipient.
This technology also offers excellent data traceability of blood components.
The system is very easy to use, quickly implemented, requires minimal staff training, and is highly cost effective in comparison to other technologies on the market.






Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Not known
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
Web sites
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Other
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Ignasi Bolíbar
Country: SPAIN
Organisation: Hospital de la Santa Creu i Sant Pau
E-mail: ibolibar@santpau.cat
Phone: 34637045377
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