The impact of an electronic ordering system on blood bank specimen rejection rates

Stefanie K. Forest, Maryam Shirazi, Charlotte Wu-Gall, Brie A. Stotler

Research output: Contribution to journalArticle

Abstract

Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period. Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013. Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8%) were rejected for the following reasons: 382 (54.0%) unsigned samples, 235 (33.0%) mislabeled samples, 57 (8.0%) unsigned requisitions, 18 (2.5%) incorrect tubes, and 14 (1.9%) ABO discrepancies. Of the samples, 2.5% were rejected in the year prior to implementing the electronic ordering system compared with 1.2% in the year following implementation (P<.0001). Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalAmerican journal of clinical pathology
Volume147
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Blood Banks

Keywords

  • Barcode
  • Blood transfusion
  • Electronic order
  • Medical errors/prevention and control
  • Wrong blood in tube

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

The impact of an electronic ordering system on blood bank specimen rejection rates. / Forest, Stefanie K.; Shirazi, Maryam; Wu-Gall, Charlotte; Stotler, Brie A.

In: American journal of clinical pathology, Vol. 147, No. 1, 01.01.2017, p. 105-109.

Research output: Contribution to journalArticle

Forest, Stefanie K. ; Shirazi, Maryam ; Wu-Gall, Charlotte ; Stotler, Brie A. / The impact of an electronic ordering system on blood bank specimen rejection rates. In: American journal of clinical pathology. 2017 ; Vol. 147, No. 1. pp. 105-109.
@article{e553a65194aa44938633e082a2e1a945,
title = "The impact of an electronic ordering system on blood bank specimen rejection rates",
abstract = "Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period. Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013. Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8{\%}) were rejected for the following reasons: 382 (54.0{\%}) unsigned samples, 235 (33.0{\%}) mislabeled samples, 57 (8.0{\%}) unsigned requisitions, 18 (2.5{\%}) incorrect tubes, and 14 (1.9{\%}) ABO discrepancies. Of the samples, 2.5{\%} were rejected in the year prior to implementing the electronic ordering system compared with 1.2{\%} in the year following implementation (P<.0001). Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.",
keywords = "Barcode, Blood transfusion, Electronic order, Medical errors/prevention and control, Wrong blood in tube",
author = "Forest, {Stefanie K.} and Maryam Shirazi and Charlotte Wu-Gall and Stotler, {Brie A.}",
year = "2017",
month = "1",
day = "1",
doi = "10.1093/AJCP/AQW204",
language = "English (US)",
volume = "147",
pages = "105--109",
journal = "American Journal of Clinical Pathology",
issn = "0002-9173",
publisher = "American Society of Clinical Pathologists",
number = "1",

}

TY - JOUR

T1 - The impact of an electronic ordering system on blood bank specimen rejection rates

AU - Forest, Stefanie K.

AU - Shirazi, Maryam

AU - Wu-Gall, Charlotte

AU - Stotler, Brie A.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period. Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013. Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8%) were rejected for the following reasons: 382 (54.0%) unsigned samples, 235 (33.0%) mislabeled samples, 57 (8.0%) unsigned requisitions, 18 (2.5%) incorrect tubes, and 14 (1.9%) ABO discrepancies. Of the samples, 2.5% were rejected in the year prior to implementing the electronic ordering system compared with 1.2% in the year following implementation (P<.0001). Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.

AB - Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period. Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013. Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8%) were rejected for the following reasons: 382 (54.0%) unsigned samples, 235 (33.0%) mislabeled samples, 57 (8.0%) unsigned requisitions, 18 (2.5%) incorrect tubes, and 14 (1.9%) ABO discrepancies. Of the samples, 2.5% were rejected in the year prior to implementing the electronic ordering system compared with 1.2% in the year following implementation (P<.0001). Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.

KW - Barcode

KW - Blood transfusion

KW - Electronic order

KW - Medical errors/prevention and control

KW - Wrong blood in tube

UR - http://www.scopus.com/inward/record.url?scp=85017497290&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017497290&partnerID=8YFLogxK

U2 - 10.1093/AJCP/AQW204

DO - 10.1093/AJCP/AQW204

M3 - Article

C2 - 28158445

AN - SCOPUS:85017497290

VL - 147

SP - 105

EP - 109

JO - American Journal of Clinical Pathology

JF - American Journal of Clinical Pathology

SN - 0002-9173

IS - 1

ER -