RR1 Posted November 5, 2010 Share Posted November 5, 2010 Please could you tell me what categories you use to for trend analysis of your deviations/incidents/complaints Thanks Link to comment Share on other sites More sharing options...
bmsjbatt Posted November 8, 2010 Share Posted November 8, 2010 Hi Rashmi,Recent Inspection, we were commended on the groups we have been using so far, but were also recommended to clearly separate the incidents identified internally and those identified external to the department.our groups so far are.CodeTrend analysis code 2010A PersonnelB ReagentC EquipmentD Training- lab staffE Process/ Failure to follow Trust GuidelinesF CommunicationG Concessionary Release / deviationH DelayIRecallJ Wrong patient bled/ details written onK Training- porters/ nurses/ drs/ driversL TraceabilityM Hospital patient numbering problemsN SLA HospitalO NBS errorsP ProductQ WinpathR ComplaintsS Cold ChainT Inappropriate product issued/transfusedU None assigned/ not applicableV Clerical ErrorsHope these help.Jo Link to comment Share on other sites More sharing options...
Eoin Posted November 9, 2010 Share Posted November 9, 2010 Hi Rashmi,Main categories used here areA = General Equipment FailureB = Sampling ErrorC = Date Entry / Clerical ErrorD = Reagent / Material ProblemE = IT ProblemF = Test Method Failure; QC FailureG = Miscellaneous Failure (Specify)H = Product LabellingI = Inadequate Stock Levels (Consumables)J = Administration Service FailureK = Documentation Control FailureL = Security IssuesM = External FailuresN = Planned DeviationO = Cleaning IssuesP = Non Adherence to ProcedureR = Test Result Reporting IssuesS = Inadequate Training of StaffT = EQA IssuesU = Proficiency Testing FailureV = Environment for Testing FailingSometimes needs further breakdown.Cheers Eoin Link to comment Share on other sites More sharing options...
RR1 Posted November 9, 2010 Author Share Posted November 9, 2010 Hi Jo and Eoin, thanks for sharing your trend codes, certainly helps with further developing our systems.Here are the categories I currently use:A=Equipment failure (all)B=Cold Chain failureC=Traceability FailureD=Process failure (Lab areas)E=Process Failure (Clinical areas)F=ComplaintsG=RecallsH=Concessionary testing/releaseI=Transfusion ReactionsJ=Quality System FailuresK=Quality ImprovementsL=Audit Non-conformances.Some of my categories tend to overlap a bit- so I may need to further specify. Thanks for the ideas! Link to comment Share on other sites More sharing options...
ABIDer Posted November 10, 2010 Share Posted November 10, 2010 What do you do with your information once you have it? Do you follow-up on each one and do a root cause or do you set a threshold and then once passed do a more in-depth look? Link to comment Share on other sites More sharing options...
RR1 Posted November 10, 2010 Author Share Posted November 10, 2010 (edited) That's a very good point lucylou,I personally get a lot of satisfaction just looking at the nice colourful graphs! But seriously, at the moment we just review some of the reports of a particular trend to see if there are patterns.Recently, some of our process failures indicated that patient demographic errors were repeat events, and when we looked at each of these a bit more there was a theme of either clinicians incorrectly identifying the correct number of digits in the hospital record number when completing forms and labelling samples,or the lab entering these onto the LIMS incorrectlyWe have subsequently re-designed our blood request forms to make it easier for everyone to identify whether the number used is a local hospital number or a new NHS number (different number of digits) by just sequencing the boxes on the form in groups of 3 with a final single box for the 10 digit NHS number being more widely used in the UK.I suppose we should write a summary to explain tends for each category - which should reduce if the corrective actions were effective. There obviously has to be a risk based approach to doing this due to time constraints.I would find it very helpful to know how other handle their trending data too. Edited November 10, 2010 by RR1 Link to comment Share on other sites More sharing options...
EMB4879 Posted November 12, 2010 Share Posted November 12, 2010 Thanks so much...I recently entered a position and am in charge of this, and there was no real system to follow, kinda was on a whim. I am revamping it and this is great! Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 12, 2010 Share Posted November 12, 2010 What worries me a bit Rashmi, is that your list only goes from A to L.................!!!!!!!!:haha::devilish::haha: Link to comment Share on other sites More sharing options...
RR1 Posted November 12, 2010 Author Share Posted November 12, 2010 What worries me a bit Rashmi, is that your list only goes from A to L.................!!!!!!!!:haha::devilish::haha:Ha, Ha, Ha....I didn't think it would be appropriate to include M-Z as they were all various categories for NBS problems, with M trend = "Malcolm"!!!!!!!!!:p:p:p:p Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 12, 2010 Share Posted November 12, 2010 Ha, Ha, Ha....I didn't think it would be appropriate to include M-Z as they were all various categories for NBS problems, with M trend = "Malcolm"!!!!!!!!!:p:p:p:pTOUCHE!!!!!!!!!!!!!!!! :highfive::highfive: Link to comment Share on other sites More sharing options...
RR1 Posted November 14, 2010 Author Share Posted November 14, 2010 Further to this trending stuff, I am trying to learn about performing a Pareto analysis of our problems using the trending data. As far as I can tell, individual trends should be placed in % order of the total number (highest to lowest), and the incident categories that make up 80% of recorded problems are further analysed to direct more specific actions.Just wondering if anyone else uses a formal Pareto analysis approach to this...any advice on getting this right would be appreciated!!!Thanks Link to comment Share on other sites More sharing options...
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