Problems still exist. All POCT blood gas analysers on this site are networked but in most areas it's difficult to persuade ward staff to input patient id, even using barcodes, although we're making progress. Having analysers at POC does minimise the potential problems of unlabelling syringes, as described, but doesn't remove them; there are other sources of error, which are best controlled by SLAs, effective user training, constant reinforcement and sheer nagging.
Dr MJ Pearson
Department of Clinical Biochemistry & Immunology
Old Medical School
Leeds General Infirmary (Leeds Teaching Hospitals NHS Trust)
LEEDS LS1 3EX
UK
tel (44)-113-392-3945
fax (44)-113-233-5672
http://www.leedsteachinghospitals.com
>>> "Hyde Philip (ULHT)" <[log in to unmask]> 04/28/03 03:18pm >>>
That just leaves you with the problem of correctly documenting the results,
although doubtless properly interfaced BGA's will flawlessly transfer the
results to the correct EPR. Is this happening in the electronically more
enlightend areas of the NHS,e.g. Oxford, Burton ?
Philip
-----Original Message-----
From: Hogan, Tim [mailto:[log in to unmask]]
Sent: 28 April 2003 14:51
To: [log in to unmask]
Subject: Re: Labelling of blood gas syringes
We overcame this problem many years ago by removing the blood gas analysers
from the laboratory and having them all point of care. I expect the samples
are still not labelled but hopefully the person doing the test now has more
idea than we did who the blood belongs to!
Tim
[log in to unmask]
-----Original Message-----
From: Hyde Philip (ULHT) [mailto:[log in to unmask]]
Sent: 28 April 2003 14:37
To: [log in to unmask]
Subject: Re: Labelling of blood gas syringes
Kath,
Thats a very good idea in practice but doesn't necessarily get around the
issue of the human hand which still has to attach the label to the sample
correctly. We had 2 samples from our A/E Dept last week with mismatched
sticky sample labels and hand-written request cards. Despite having a Sample
Labelling Policy, we have not eliminated this type of error. Look forward to
hearing whether your system amkes any difference,
Philip Hyde
-----Original Message-----
From: KATHARINE HAYDEN [mailto:[log in to unmask]]
Sent: 28 April 2003 14:21
To: [log in to unmask]
Subject: Re: Labelling of blood gas syringes
John,
We are about to start piloting the Olympus Osiris ward ordering system. One
of the features of this system is that if a blood gas is ordered on the ward
then a PID label is printed for attachment to the syringe in the same way as
if you were ordering a U&E and attaching the label to a blood tube. We are
hoping this will get around the problem that you described. Currently our
wards attach a handwritten sticky label to syringes but this is a hassle and
does not always get adhered to. I haven't heard of companies making syringes
with labels attached.
Kath Hayden
Principal Biochemist
University Hospital Aintree
Liverpool
>>> John Kane <[log in to unmask]> 04/28/03 01:56pm >>>
I was wondering whether anybody could help us in a problem we have with the
labelling of blood gas samples. Despite extensive publicity around the
hospital
we continue to receive samples for blood gas analysis in unlabelled
syringes. It
sometimes leads to friction with our medical and nursing staff when we then
refuse to analyse the sample. We feel that one way to encourage ward staff
to
label these samples would be to have syringes with printed labels like
normal
sample tubes. However we have failed to find a supplier of these despite
extensive searches. Does anybody know of a company that will supply labelled
syringes for blood gas samples or do hospitals have other methods to ensure
that
these samples arrive in the laboratory correctly labelled.
John Kane
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