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Blood Services Group

SINGAPORE

Mr. NG KOK QUAN

Use of ISBT 128 Labeling System

XXth Regional Congress of the ISBT, Asia

November 14-18, 2009, Nagoya, Japan.

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CONTENTS

• Reasons for the change

• Developing the change strategy

• Implementation plan

• Key steps in implementation

• Conclusion and future developments

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REASONS FOR CHANGE

• Restrictions in ABC Codabar standard – possibility that a repeat unit number might happen.

• Old component code system is unable to systematically naming modified products with multiple attributes

- Autologous deglycerolized leuco-reduced RBC irradiated divided unit.

• Improve donations look back system– Donation Identification number (DIN) system

• ISBT 128 standard will be the global standard– ABC Codabar symbology will be phased out

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DEVELOP CHANGE STRATEGY• Study the ISBT standard technical specifications

from ICCBBA web-site

– Learned from other blood banks & attending

international conferences

• ISBT 128 standard affects many blood bank

processes

• Blood bank computer system is pertinent to

implementation of ISBT standard

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CHANGE STRATEGY

• To implement when installing new computer

system

• System accommodates the ABC Codabar and

ISBT128 standard

– Minimize component conversion

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1. Set-up project team

2. Train project team

3. Register with ICCBBA

4. Objective statement

5. Project Gantt chart

6. Develop testing plan & obtain approval

IMPLEMENTATION PLAN

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7. Testing and validation processes

8. Training Users – internal and external

9. Risk management and impact analysis.

10. Execution of plan

11. Post implementation feedback

IMPLEMENTATION PLAN (cont)

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Establish a safe, smooth and risk free transition together with

the new computer system by June 2006

OBJECTIVE OF IMPLEMENTATION PLAN

ISBT 128

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Projection team training

• To identify processes’ critical control points• To study the project risks• To look at the computer hardware / software

compatibilities issues• To draw up training strategies

KEY STEPS IN IMPLEMENTATION

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• Reformat the DIN set- Walking through the processes with users

• Work closely with vendor • Use of different flag characters

KEY STEPS – Redesign DIN Set

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Product Code Mapping – from old to new

KEY STEPS – Product Mapping

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• Test Analyzer with new DIN

• Analyzer’s vendor to assist in validating the DIN

• Adjust the sensitivities of analyzer scanner and decoder

• Assess instrument failure rate

• Feedback to the label printer and vendor

• Perform dry run to test and fine tune workflow

KEY STEPS – Analyzers

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1. Conduct training for hospital IT teams and lab users, nurses and doctors who handle blood components

2. Put up posters in laboratories, hospital wards and ICUs

KEY STEPS – Communication with Customers

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Internal processes

Project Team

Customers

Analyzers

Labels

RisksRisks

Knowledge

Computer

Testing

Process validationVendors

Change control

Users

Communication

Training

Risks

Risks

KEY STEPS – Risk Management

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Issue dummy blood components with the ISBT base label to hospitals in order to test their computer system, workflow and billing system

KEY STEPS – Risk Management (cont)

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• Application of 4 x 4 base label on a frozen plasma

• Re-validate base label materials and printer ribbon

• Flatten product surface to increase contact

• Overcome high humidity in our environment – Wrap FFP with fitting plastic bag

CHALLENGE – Base Label

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ISBT 128 WORKFLOWDonation Identification number DIN

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WORK-IN-PROCESS COMPONENTS

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Labeling withISBT 128base label

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Frozen product is kept in a plastic bag

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Blood components with ISBT 128 label

1. Standard layout

2. Information clearly print in black & white

3. Storage condition

4. Expiration date

5. Red cells antigens

BENEFITS – Blood Pack Label

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Effective use of Antigen typed blood

• A pool of red cell antigen typed blood

• Reduced the time to find antigen matched blood for patients

• Maintenance a pool of special donors

BENEFITS – Antigen Typed Blood

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• Assess to International product reference database - maintained by ICCBBA

• Request of new product code • Accessible to members-only• Opportunity to learn different blood

components used in the world

BENEFITS – Access to Product Code Database

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• Include plasma derivates in ISBT 128 product code database

• Incorporate RFID microchip in the ISBT DIN label to track product location

LOOKING AHEAD

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ACKNOWLEDGEMENT

• All project team members and users for their dedication and hard work

• Vendors and ICCBBA for their valuable advice.

Thank You !Thank You !“Safe blood, Save Lives”