{"id":2679,"date":"2020-02-26T09:15:55","date_gmt":"2020-02-26T16:15:55","guid":{"rendered":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/?p=2679"},"modified":"2022-08-23T15:09:52","modified_gmt":"2022-08-23T21:09:52","slug":"reducing-blood-sample-over-collection","status":"publish","type":"post","link":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/reducing-blood-sample-over-collection\/","title":{"rendered":"Reducing Blood Sample Over-Collection"},"content":{"rendered":"

At the ASQ Lean Six Sigma Conference in Phoenix this week, Katie Castree with Accumen presented an excellent improvement story about reducing over-collection of blood tubes in a hospital. Here’s the story:<\/p>\n

Baseline: 317 extra tubes of blood collected every day (115,705\/year)<\/p>\n

\"extrat<\/p>\n

93% of tubes were not used (clinicians thought it was much higher and resisted changing)<\/p>\n

\"not<\/p>\n

Most of the unused tubes were collected in the Emergency Department (focus on the ED, not the entire hospital).<\/p>\n

\"extrat<\/p>\n

After the countermeasure (not collecting tubes unnecessarily), extra tubes dropped from 317 per day to 118 per day saving $12,335\/year and 0.27 FTEs. Over time, extra tubes dropped to only 84 per day, a 74% reduction. This savings did not include the cost of disposal of “red bag” waste which would increase the savings. The hospital used Control Charts to monitor and sustain the improvement:<\/p>\n

\"sustain<\/p>\n

This also helps reduce hospital-acquired anemia.<\/p>\n

This is a great improvement story told with control charts and Pareto charts.\u00a0<\/strong>The root cause was simple.<\/p>\n

What if every hospital in the U.S. did this sort of analysis to reduce waste? Wouldn’t it help achieve the Trillion Dollar Checkbook goal?<\/p>\n

For future investigation: Of the 7% used for additional analysis, what were the presenting symptoms and types of patients who needed additional blood work? Is there a way to pinpoint who needs an additional tube and who doesn’t? I’ll bet there’s a Pareto pattern to this data as well.<\/p>\n

Note: These charts were created with QI Macros\u00ae.<\/p>\n","protected":false},"excerpt":{"rendered":"

At the ASQ Lean Six Sigma Conference in Phoenix this week, Katie Castree with Accumen presented an excellent improvement story about reducing over-collection of blood tubes in a hospital. Here’s the story: Baseline: 317 extra tubes of blood collected every day (115,705\/year) 93% of tubes were not used (clinicians thought it was much higher and […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[320,163,1,5,7],"tags":[166,168,140],"class_list":["post-2679","post","type-post","status-publish","format-standard","hentry","category-agile-lean-six-sigma","category-healthcare","category-jay-arthur-blog","category-qi-macros","category-six-sigma","tag-lean","tag-qi-macros","tag-quality-improvement"],"_links":{"self":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/2679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/comments?post=2679"}],"version-history":[{"count":6,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/2679\/revisions"}],"predecessor-version":[{"id":5969,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/2679\/revisions\/5969"}],"wp:attachment":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/media?parent=2679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/categories?post=2679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/tags?post=2679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}