A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies

The process of procuring several units of red blood cells for red cell exchange can sometimes take several hours to days, especially for patients with multiple clinically significant red cell alloantibodies. This can introduce delays, inconveniences, and even health challenges for the patient. For m...

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Main Authors: Damodaran Narayanan, Noreen B. Hogan, Karen A. Schaser, Patricia Ruegsegger, William Nicholas Rose
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2022/1562921
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author Damodaran Narayanan
Noreen B. Hogan
Karen A. Schaser
Patricia Ruegsegger
William Nicholas Rose
author_facet Damodaran Narayanan
Noreen B. Hogan
Karen A. Schaser
Patricia Ruegsegger
William Nicholas Rose
author_sort Damodaran Narayanan
collection DOAJ
description The process of procuring several units of red blood cells for red cell exchange can sometimes take several hours to days, especially for patients with multiple clinically significant red cell alloantibodies. This can introduce delays, inconveniences, and even health challenges for the patient. For most planned exchanges, these delays are preventable with some foresight and process modifications that are relatively minor yet high leverage. We report a case study of process improvement whereby the apheresis nurse sends an e-mail to the blood bank when the nurse makes the patient’s next red cell exchange appointment as the signal to order blood about 6–8 weeks before the exchange.
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institution Kabale University
issn 2090-6579
language English
publishDate 2022-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-f4eb59e31e274dccb0cf9c39a9a5e2702025-02-03T01:04:46ZengWileyCase Reports in Hematology2090-65792022-01-01202210.1155/2022/1562921A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell AlloantibodiesDamodaran Narayanan0Noreen B. Hogan1Karen A. Schaser2Patricia Ruegsegger3William Nicholas Rose4Department of PathologyDepartment of NursingDepartment of NursingDepartment of PathologyDepartment of PathologyThe process of procuring several units of red blood cells for red cell exchange can sometimes take several hours to days, especially for patients with multiple clinically significant red cell alloantibodies. This can introduce delays, inconveniences, and even health challenges for the patient. For most planned exchanges, these delays are preventable with some foresight and process modifications that are relatively minor yet high leverage. We report a case study of process improvement whereby the apheresis nurse sends an e-mail to the blood bank when the nurse makes the patient’s next red cell exchange appointment as the signal to order blood about 6–8 weeks before the exchange.http://dx.doi.org/10.1155/2022/1562921
spellingShingle Damodaran Narayanan
Noreen B. Hogan
Karen A. Schaser
Patricia Ruegsegger
William Nicholas Rose
A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
Case Reports in Hematology
title A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
title_full A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
title_fullStr A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
title_full_unstemmed A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
title_short A Case Study in Process Improvement to Minimize Delays from Obtaining Blood for Red Cell Exchange for a Patient with Sickle Cell Disease and Multiple Red Blood Cell Alloantibodies
title_sort case study in process improvement to minimize delays from obtaining blood for red cell exchange for a patient with sickle cell disease and multiple red blood cell alloantibodies
url http://dx.doi.org/10.1155/2022/1562921
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