Eliminating Pre-analytical errors using Mobile Technologies

Transcription

1 Eliminating Pre-analytical errors using Mobile Technologies Taking a new approach to the management of the laboratory pre-analytical process

2 Pre-analytical Analytical Post Analytical Ordering Collection Transport Reception Analysis Reporting Incorrect Analysis Ordered Analytical Sample lost Preanalytical Postanalytical Test result lost No authorising doctor Sample mix-up Turn-around time Incorrect test request Equipment failure Transcription error Test request lost Analytical Error Incorrect interpretation Patient identification error Patient preparation error Sample collection error Sample label error Sample handling error Sample transport error

3 The Pre-analytical Landscape A recognised world-wide issue Most errors are now pre-analytical Testing largely automated Pre-analytical mostly manual Errors cannot be accurately measured Traced to the source Pre-analytical process extends beyond the laboratory Variable skills & process Process cannot be "actively" monitored No view of incoming test volumes No ability to proactively manage process activities

4 The Impact in Australia Test Requests (Millions) In 2015 Assuming Industry average errors at 0.4% Average of 5 tests per order 2 Samples per order 90% Errors detected by the lab Source: Medicare Statistics Will Result in 210,000 errors 20,500 undetected errors Each recollection cost $700 Total recollection cost $131M About 4.5% of revenue

5 Pre-analytical Error Puzzle Missing sample and/or test request Wrong/missing identification In vitro Haemolysis Undue clotting Wrong container Contamination from infusion route Insufficient sample Inappropriate blood to anti-coagulant ratio Insufficient mixing of the sample Inappropriate transport & storage conditions Inappropriate centrifugation conditions

6 The Source of Errors

7 The Impact Laboratory Rework = Extra Time and Cost Loss of reputation and business Clinicians Risk of incorrect diagnosis Delays in correct treatment Patients Risk to care and safety Patient anxiety and inconvenience Negative health impact

8 The Current Response Laboratory Investment in procedures, training Laboratory error detection However... Errors Continue Electronic Ordering Assists - makes orders clearer Easier to transmit to the laboratory People Inevitably Make Errors

9 Mobile Technology Offers An opportunity to revolutionise Low cost technology platform Convenient and non-threatening Wide availability Improved interactivity and information presentation Point of care support Personalised support for each individual, at each step Process management & visibility Inclusive platform for mobile and external healthcare workers Integrate order, collection, identification, sample preparation and handling Facilitate key compliance and patient safety Positive patient and sample identification Sample chain of custody management

10 Spheres of Success Integrated process management Order origination Concise Regulatory management compliance Integrated procedures dashboards & guides Electronic process ordering Configurable Guidelines for individual rules users Paper for requisitions sample Active alerts for Scheduling Training Transport & requirements Certification Patient care Designed Best practice Preparation for management Standard Testing pre-conditions Compliance Technique Handling Process Laboratories Patient labelling identification Time Test requirements Hospitals Sample management identification Inventory Procedural updates Central Clinic Collection management management Chain management of guides Sample Mobile On-time of Custody management preparation Healthcare management Point Auditable Order of of care processes Collection implementation Governance Positive Patient Identification Sample Authentication Identification access Collaborative Role based Support security Performance Privacy Statistics Integration Patient with privacy external systems Security controlled Compliance Technique Handling Compliance Technique Handling Process Compliance Technique Handling Process

11 Revolutionising Pre-analytics Scott Thomas

12 Summing Up Pre-analytical errors are a major issue for Healthcare Can result in serious impacts to patient care & safety Eliminating pre-analytical errors requires an integrated solution Pro-active solution - prevention is better than cure Inclusive of each healthcare workers contributing in the process Management & visibility of each process step Integrating process, technique, handling & compliance Mobile technologies presents A potential game changing opportunity Deliver significant advances c.f. Lab Automation advances

13 Revolutionising Pre-analytics Scott Thomas