Shaun Rogers
Laboratory Manager
The Bridge Centre
London, UK
Increasing efficiency and
effectiveness in the IVF Laboratory...
How often do you make mistakes?
We never
make
mistakes!
Mistakes are
very rare in
our lab...
The last
mistake was in
1989....
Witnessing in The UK
• Origin of witnessing
“Double-checking performed on all clinical and laboratory
procedures“
Electronic Witnessing
 Workload
Is double manual witnessing as effective as it should be?
Alternatives
 Distractions
 I...
RI WitnessTM
Aim
Objectives
“Introducing pre-allocated tags to a work area while a
procedure involving another patient is taking place“
Results – Mismatches/System Use
Mismatches Distribution October 2010 up to June 2014
Additional Interventions
Breakage rate - October 2010 up to June 2014
60453 used 60371 valid 82 broken
Inconvenience rate
...
Conclusions
 RI Witness records all laboratory procedures
Type of procedure + Patient + Operator + Time
 Identification ...
Is that it?
Source: Gary Larson Farside
Other tools
Competency Assessment
• Constant Monitoring
• (real time and retrospective)
• Time-stamped
• Identify the opti...
• Good practice
• Periodic audits
• Stock control
• Troubleshooting
Traceability
Cryo feature - Comprehensive
tracking of patients frozen
material
See RI team at stand E51
Data Capture – System to collec...
Patient and Staff Satisfaction
Quote from an Embryologist
“I would think twice before accepting a job in a unit, if the la...
• Detection and Prevention of errors
• Risk management/continuous
improvement
• Competency/Productivity assessment
• Trace...
Thank you for your attention
Source: Gary Larson Farside
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Increasing efficiency and effectiveness in the IVF Laboratory using RI Witness By Shaun Rogers Laboratory Manager The Bridge Centre London, UK

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Increasing efficiency and effectiveness in the IVF Laboratory using RI Witness By Shaun Rogers Laboratory Manager The Bridge Centre London, UK

  1. 1. Shaun Rogers Laboratory Manager The Bridge Centre London, UK Increasing efficiency and effectiveness in the IVF Laboratory using RI-Witness
  2. 2. How often do you make mistakes? We never make mistakes! Mistakes are very rare in our lab... The last mistake was in 1989... We think it is low...but we don’t know
  3. 3. Witnessing in The UK • Origin of witnessing “Double-checking performed on all clinical and laboratory procedures“
  4. 4. Electronic Witnessing  Workload Is double manual witnessing as effective as it should be? Alternatives  Distractions  Involuntary automaticity (Toft et al., 2005)  Paperwork Barcodes MatcherTM RFID Tags RI WitnessTM Silicon- based barcodes
  5. 5. RI WitnessTM
  6. 6. Aim Objectives “Introducing pre-allocated tags to a work area while a procedure involving another patient is taking place“
  7. 7. Results – Mismatches/System Use Mismatches Distribution October 2010 up to June 2014
  8. 8. Additional Interventions Breakage rate - October 2010 up to June 2014 60453 used 60371 valid 82 broken Inconvenience rate  Admin Assigns (1.3%)  Mismatches (0.26%)
  9. 9. Conclusions  RI Witness records all laboratory procedures Type of procedure + Patient + Operator + Time  Identification of the true mismatch rate (0.14%) Error Rate Type of study Author 6% Mismatches using barcode based system (MatcherTM ) Schnauffer et al. 0.2% 1000 drugs administration (by 2 nurses) Krause et al. 7 - 10 % Pathology studies Elson D. 0.3 % Mistakes in 4 hospital departments Carraro et al. 0.8 % Data input: keyboard vs. Barcode system Shaw et al. 0.1% Wristband mix-ups involving 2 patients Valenstein P.
  10. 10. Is that it? Source: Gary Larson Farside
  11. 11. Other tools Competency Assessment • Constant Monitoring • (real time and retrospective) • Time-stamped • Identify the optimal duration and timing of procedures Workload planning • Numbers of procedures per Embryologist • Time required for critical procedures • Number of Embryologists per procedures
  12. 12. • Good practice • Periodic audits • Stock control • Troubleshooting Traceability
  13. 13. Cryo feature - Comprehensive tracking of patients frozen material See RI team at stand E51 Data Capture – System to collect information at each step of an IVF cycle Capture images and vidoes from every microscope in the laboratory
  14. 14. Patient and Staff Satisfaction Quote from an Embryologist “I would think twice before accepting a job in a unit, if the lab did not have RI Witness”
  15. 15. • Detection and Prevention of errors • Risk management/continuous improvement • Competency/Productivity assessment • Traceability • Patient and staff satisfaction Summary
  16. 16. Thank you for your attention Source: Gary Larson Farside

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