Company insight Optimising BSI workflow
Interdepartmental cooperation is key to optimising the BSI workflow. The BD consultants have been working with the nursing, ED and microbiology teams of the Madrid PDHM University hospital with the common ambition of ameliorating patient outcomes.
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loodstream infections (BSIs) and sepsis are still a leading cause of mortality. There are an estimated 3.4 million Europeans affected by sepsis each year, representing one of the most expensive medical conditions for hospitals to treat. In fact, one study estimated an average cost of €22,800 (£20,255) per cases of severe sepsis in France. On 1 March 2022 a team of experts came together to pilot the Clinical Workflow Optimisation Service (CWOS) for BSI in the Puerta de Hierro Majadahonda University hospital in Madrid. This article reports the customer feedback during the service execution early phases.
The BSI CWOS’s objectives are: to support the customer in improving the overall workflow by executing a performance assessment and identifying selected KPIs to monitor for evaluating the impact of an action plan, communicate and demonstrate the impact of the preanalytical and analytical intercorrelation and, finally, promoting the adoption of the BD BSI Solution.
The scope was to analyse and optimise the customer’s BSI workflow and to enhance the cooperation among nursing, the emergency department (ED) and the microbiology laboratory. To make this possible, the BD consultants have been working hand in hand with the
Efficiency and accuracy are a lab’s two most sought-after features in a diagnostic system.
more efficient and effective our diagnostic method is, the better,” explains Isabel Sánchez Romero, a microbiology and parasitology specialist who has been working at Hospital Puerta de Hierro for the past 16 years.
The workflow optimisation service is divided into three phases: ■
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baseline lean assessment and recommendations team education
ongoing coaching meetings and post- lean assessment
“We seek for our work to be as useful as possible for the patient, so the more efficient and effective our diagnostic method is, the better.”
Isabel Sánchez Romero, microbiology and parasitology specialist
customer with the common ambition of ameliorating patient outcomes. “We seek for our work to be as useful as possible for the patient, so the
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The baseline lean assessment During the first phase, executed between the 1–4 March 2022, BD experts conducted a set of interviews and
observations to evaluate potential critical aspects on site at the customer facilities. More than 40 samples have been tracked and seven observations of the pre-analytical phase were conducted in the ED.
The results of the analysis were presented in a report and the participants could learn about their performance in terms of adherence to best practices regarding: contamination, blood fill volume and time from collection to incubation.
“Knowing data is very important. For example, the data of the filling volume. People may not know that the blood culture vials are getting filled only by half. Knowing that we are failing, that this is happening here, is giving us very valuable information to improve. The problem on the blood fill volume is something I did not expect. I thought that we filled the blood culture vials properly,” explains Vanessa Martín, an emergency nurse that has worked at Hospital Puerta de Hierro since 2015.
Practical Patient Care /
www.practical-patient-care.com
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