Increasing efficiency and effectiveness in the IVF Laboratory using RI Witness By Shaun Rogers Laboratory Manager The Bridge Centre London, UK
The Bridge Centre
Increasing efficiency and
effectiveness in the IVF Laboratory
How often do you make mistakes?
very rare in
mistake was in
We think it is
Witnessing in The UK
• Origin of witnessing
“Double-checking performed on all clinical and laboratory
Is double manual witnessing as effective as it should be?
Involuntary automaticity (Toft et al., 2005)
“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
Breakage rate - October 2010 up to June 2014
60453 used 60371 valid 82 broken
Admin Assigns (1.3%)
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.
• Constant Monitoring
• (real time and retrospective)
• Identify the optimal duration and timing of
• Numbers of procedures per Embryologist
• Time required for critical procedures
• Number of Embryologists per procedures
• Good practice
• Periodic audits
• Stock control
Cryo feature - Comprehensive
tracking of patients frozen
See RI team at stand E51
Data Capture – System to collect
information at each step of an
Capture images and vidoes
from every microscope in the
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
• Detection and Prevention of errors
• Risk management/continuous
• Competency/Productivity assessment
• Patient and staff satisfaction
Thank you for your attention
Source: Gary Larson Farside