Eshre 2011 Rachel Cutting RI Witness Presentation

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Rachel Cutting, Principal Embryologist / Quality Manager, Sheffield Teaching Hospital, UK, presentation at ESHRE 2011

Response to HFEA witnessing recommendations

Policy was reviewed to take into account traceability requirements of the EU Tissues and Cells Directive, use of electronic systems for witnessing (bar coding and radio frequency identification

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  • Although freezing embryos has been part of our clinical practice it is important to remember
  • Eshre 2011 Rachel Cutting RI Witness Presentation

    1. 1. RI Witness™ Security in the laboratory Rachel Cutting Principal Embryologist
    2. 2. Sheffield Experience <ul><li>Response to HFEA witnessing recommendations </li></ul><ul><li>Policy was reviewed to take into account traceability requirements of the EU Tissues and Cells Directive, use of electronic systems for witnessing (bar coding and radio frequency identification </li></ul><ul><li>8 th Code of Practice </li></ul>
    3. 3. Risk assessments <ul><li>Risk Assessment carried out </li></ul><ul><ul><li>Manual </li></ul></ul><ul><ul><li>Bar codes </li></ul></ul><ul><ul><li>RFID </li></ul></ul>
    4. 4. Why the extra expense? <ul><li>Toft Report 2004 </li></ul><ul><ul><li>Involuntary automaticity </li></ul></ul><ul><li>Errors reported to Serious Hazards of Transfusion Medicine Programme </li></ul><ul><ul><li>Patient ID </li></ul></ul><ul><ul><li>Distractions occurring during checks </li></ul></ul><ul><ul><li>Label discrepancies </li></ul></ul><ul><li>HFEA Alerts </li></ul><ul><ul><li>Repeated incidents with witnessing procedures </li></ul></ul>
    5. 5. RFID <ul><li>Reader sends out electromagnetic waves </li></ul><ul><li>RFID tag draws power from the field to power a microchip circuit </li></ul><ul><li>Microchip modulates the waves and tag sends back it’s unique id back to reader </li></ul>
    6. 6. Why RFID <ul><li>Constant monitoring of the workspace </li></ul><ul><ul><li>Not reliant on bringing samples together </li></ul></ul><ul><li>Easily tailored to your own process flow </li></ul><ul><ul><li>System individualised to work with your procedures </li></ul></ul><ul><li>Forcing function </li></ul><ul><ul><li>Can not proceed with a procedure until all witnessing is complete </li></ul></ul>
    7. 7. Integration into Clinical Practice <ul><li>Training February 2008 </li></ul><ul><li>Installation March 2008 </li></ul><ul><li>Individualisation of flow charts to work with our system </li></ul><ul><li>Training </li></ul><ul><li>Validation </li></ul><ul><ul><li>Concurrent manual and electronic witnessing for 20 cases </li></ul></ul>
    8. 8. Components
    9. 11. The benefits
    10. 12. Double Witnessing <ul><li>Reduced the requirement </li></ul><ul><li>However, double witness points still carried out </li></ul><ul><ul><li>Assigning female ID card, sperm pot </li></ul></ul><ul><ul><li>Insemination (IVF/ICSI) </li></ul></ul><ul><ul><li>Embryo transfer / IUI </li></ul></ul><ul><ul><li>Removal and storage of cryopreserved samples </li></ul></ul><ul><ul><li>Disposal of embryos </li></ul></ul>
    11. 13. Traceability <ul><li>Each operator has a unique user name and pass number </li></ul>
    12. 14. Reducing Error
    13. 15. Patient Safety <ul><li>Patients given their ID card </li></ul><ul><li>Reassurances </li></ul><ul><li>Don’t mind the extra cost per cycle </li></ul><ul><li>Positive feedback </li></ul>
    14. 16. Workload Planning <ul><li>Reduced need for witnessing especially at a weekend </li></ul><ul><ul><li>1 embryologist only required for fertilisation checks on Sundays </li></ul></ul><ul><li>Quicker </li></ul><ul><ul><li>Dishes are not left out of incubator as long - waiting for a witness </li></ul></ul>
    15. 17. Conclusion <ul><li>Reduced risk </li></ul><ul><li>Easy and simple to use </li></ul><ul><li>Security for both staff and patients </li></ul>

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