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Page.1
An 8 year snapshot of insightful data using RI Witness™:
an absolute necessity for your IVF laboratory
Dr Stephen T...
Page.2
Declaration of interests
Page.3
Page.4
Page.5
0
100
200
300
400
500
600
700
800
900
A B C Near miss Not an
incident
Numberreported
Grade of incident
Number and g...
Page.6
2002
Page.7
Page.8
2013
Page.9
2015
Page.10
2016
Page.11
Page.12
Manual witnessing
Page.13
• Distracting
• Resource implications
• Time-consuming
3827 events in 227 cycles witnessed
@ ~ 60 secs /event
=
64...
Page.14
When humans are involved …
Page.15
Count the number of people in the picture,
wait until they move, then count them again.
Page.16
Prof Brian Toft OBE
Involuntary automaticity
Page.17
Advisory Group on Safety and New Technologies
(SANT)
2004-2006
• Consider the role of new technologies
• Reduce th...
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RFID technology
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RFID safety
~2400 MHz
800 – 2100 MHz
13 MHz
Page.20
RI Witness™
(installed in all IVI UK labs)
RFID tag everything ...
Page.21
RI Witness™
(installed in all IVI UK labs)
Install RFID readers ...
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RI Witness™
(installed in all IVI UK labs)
Mistakes will be detected ...
Page.23
Will it fit my own laboratory?
• Customise
• Set-up = 4-6 hrs
• Knowledge within RI
Page.24
‘Active’ vs ‘passive’
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Mr A
Mr C
Mr B
Mrs A
Mrs B
Mrs C
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Mr A
Mr C
Mr B
Mrs A
Mrs B
Mrs C
Mismatch example 1
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Mr A
Mr C
Mr B
Mrs A
Mrs B
Mrs C
Mismatch example 2
Page.28
How often do we make a ‘minor’ mistake?
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
J12
F
M
A
M
J
J
A
S
O
N...
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Thank You
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ESHRE 2017 Presentation: An 8 year snapshot of insightful data using RI Witness™: an absolute necessity for your IVF laboratory, by Dr Stephen Group, IVI UK

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Talk by Dr Stephen Troup, given at ESHRE 2017 in Geneva, that highlights the number and recency of adverse incidents taking place in fertility clinics, and how they can be avoided using the RI Witness system.

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ESHRE 2017 Presentation: An 8 year snapshot of insightful data using RI Witness™: an absolute necessity for your IVF laboratory, by Dr Stephen Group, IVI UK

  1. 1. Page.1 An 8 year snapshot of insightful data using RI Witness™: an absolute necessity for your IVF laboratory Dr Stephen Troup Scientific Director IVI UK ESHRE 2017, Geneva
  2. 2. Page.2 Declaration of interests
  3. 3. Page.3
  4. 4. Page.4
  5. 5. Page.5 0 100 200 300 400 500 600 700 800 900 A B C Near miss Not an incident Numberreported Grade of incident Number and grade of incident reported (Jan 2010 - Dec 2012) 0 10 20 30 40 50 60 Clinical Laboratory Administration Other % Where did these incidents happen?
  6. 6. Page.6 2002
  7. 7. Page.7
  8. 8. Page.8 2013
  9. 9. Page.9 2015
  10. 10. Page.10 2016
  11. 11. Page.11
  12. 12. Page.12 Manual witnessing
  13. 13. Page.13 • Distracting • Resource implications • Time-consuming 3827 events in 227 cycles witnessed @ ~ 60 secs /event = 64 hours = ~20 mins witnessing per cycle! Manual witnessing
  14. 14. Page.14 When humans are involved …
  15. 15. Page.15 Count the number of people in the picture, wait until they move, then count them again.
  16. 16. Page.16 Prof Brian Toft OBE Involuntary automaticity
  17. 17. Page.17 Advisory Group on Safety and New Technologies (SANT) 2004-2006 • Consider the role of new technologies • Reduce the risk of mismatching • Guidance for clinics • Evidence base
  18. 18. Page.18 RFID technology
  19. 19. Page.19 RFID safety ~2400 MHz 800 – 2100 MHz 13 MHz
  20. 20. Page.20 RI Witness™ (installed in all IVI UK labs) RFID tag everything ...
  21. 21. Page.21 RI Witness™ (installed in all IVI UK labs) Install RFID readers ...
  22. 22. Page.22 RI Witness™ (installed in all IVI UK labs) Mistakes will be detected ...
  23. 23. Page.23 Will it fit my own laboratory? • Customise • Set-up = 4-6 hrs • Knowledge within RI
  24. 24. Page.24 ‘Active’ vs ‘passive’
  25. 25. Page.25 Mr A Mr C Mr B Mrs A Mrs B Mrs C
  26. 26. Page.26 Mr A Mr C Mr B Mrs A Mrs B Mrs C Mismatch example 1
  27. 27. Page.27 Mr A Mr C Mr B Mrs A Mrs B Mrs C Mismatch example 2
  28. 28. Page.28 How often do we make a ‘minor’ mistake? 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 J12 F M A M J J A S O N D J13 F M A M J J A S O N D J14 F M A M J J A S O N D J15 F M A M J J A S Number of witness points 0 1 2 3 4 5 6 7 8 9 10 Number of mismatch events Data from Hewitt Fertility Centre, UK
  29. 29. Page.29
  30. 30. Page.30 Thank You

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