Implementing Automation in the Transfusion Service

Clinical Laboratory Science, Summer 2004 by Butch, Suzanne H

Decreased staffing levels, increasing demands for technologist time, and the availability of instrumentation have caused transfusion services to automate blood bank testing. To make the most of this opportunity, the entire process of performing blood bank testing was evaluated. Moving from manual to automated methods allowed the application of Six Sigma and Lean principles to reduce the number of steps in processing resulting in fewer opportunities for error. In addition, non-value-added steps that had crept into our processes were removed. Tools used included process mapping, value stream analysis, and failure modes and effects analysis (FMEA). The changes involved all technical areas of the transfusion service including component preparation and issuing of blood components. Increased attention could be devoted to areas of quality concern. No staff members were reassigned or reduced as a result of the implementation.

Suzanne H Butch MA, University of Michigan Health System, Ann Arbor MI.