We are trying to start an audit system however i have no idea hw to go about it. wat sections should be audited?? wat abt phlebotomy section and procedures. hw to get checklist for that?

wat should be the frequency of the audit?

I would suggest complete process audit. Take one transfusion and follow it at the bed side---this way you will audit nursing/blood administration(do not forget to check infusion pump).

GO back to blood bank and follow the specimen used for crossmatch===specimen receipt, processing etc....Make sure to look at all the records involved in processing that specimen (eg. reagent QC, reaget receipt, if any equipment used, check equipment PMs, also do not forget to check donor records(invoice, retype etc.)

Also check competancy fo the staff involved in processing that specimen...

This way you will be able to audit your whole system.

thanks.. but hw many transfusions should i audit per month for this??

It depends on how many Tx a month..the inspector was satisfied with 5 %.

You will find audit material at the Library on this site.

The AABB has Assessment Guidelines which detail how they inspect a facility and what they expect to see. They will even offer Assessor training. You can review the material and then set up your Audit Schedule. Also, check out www.asq.org for the American Society for Quality. They literally have all kinds of information on auditing including certification of individuals as auditors. You need to research first then develop the Audit Plan that will work for your blood bank with the staffing that you have. Start small and slow and then build would be my best suggestion. Audit of compliance to your existing SOP's is a great starting point.

[ATTACH]435[/ATTACH]Hi, I had previously uploaded an audit checklist, but as with all quality, it is a work in progress. So attached is another.

Please feel free to change or do with it as you like. Remember, it is against standards here in Ireland, but you will get some ideas about the process from it.

Work outside the procedures gets captured as non-conformances and are dealt with through that system.

Cheers

Eoin

BSG-QA-SOP-030 Attachment 64 Rev 2 Checklist for Vertical Audit.doc

thnx..