DOI 10.15372/SSMJ20190120
OPTIMIZATION OF MEDICAL EXAMINATION OF BLOOD DONORS AS AN ELEMENT OF LEAN HEALTHCARE IN NOVOSIBIRSK CLINICAL BLOOD CENTER
Author Affiliations1Novosibirsk Clinical Blood Center 630054, Novosibirsk, Serafimovich str., 2/1$ Novosibirsk State Medical University 630091, Novosibirsk, Krasny av., 52
2Novosibirsk State Medical University 630091, Novosibirsk, Krasny av., 52$ Ministry of Health of Novosibirsk region 630007, Novosibirsk, Krasny av., 18
3Novosibirsk State Medical University of Minzdrav of Russia 630091, Novosibirsk, Krasny av., 52
Abstract
Objective was to assess the possibility of optimizing the process of medical examination of blood donors and its components based on the principles of lean health care, to reduce the average working time of the sites involved in the procedure of medical examination of donors. Material and methods. The analysis of the general timing of procedures of medical examination of registration of donors, primary clinical and laboratory research, medical examination in two non-conjugated groups of donors in the amount of 200 people, the results of a sociological survey of donors of the blood Center in the amount of 1137 people has been carried out. Results and discussion. In order to reduce the time spent by donors at the donor center, the organization of donor flows during registration and medical examination has been changed in the blood center, for which various administrative decisions have been taken and implemented. The areas of work were: the creation of the necessary infrastructure, the introduction of an open registry, electronic document management, reducing queues, waiting time for a transfusiologist and clinical and laboratory studies, the formation of a comfortable environment for donors in the Novosibirsk clinical blood center. The activities carried out allowed to optimize the processes of interaction with blood and its components donors, to improve the quality of donor service and to reduce the total time of medical examination: the average time of medical examination for donors was reduced by 2.2 times – from (51.9 ± 0.8) minutes to (23.6 ± 0.5) minutes, the capacity of the registry was increased by 1.6 times, the area of recruitment of donor personnel and the laboratory was reduced by 1.8 times, the satisfaction of donors with the conditions provided in the blood Center was increased by 23.1 %. Conclusion. The introduction of the principles of lean health care into the routine practice of donor admission allowed the Novosibirsk clinical blood center to improve the work of medical personnel, optimize the process of medical examination, accelerate the execution of tests, simplify the registration for donation and, as a result, increase donor satisfaction with the conditions of donation provided in the Novosibirsk clinical blood center.
Key words
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About Authors (Correspondence):
Moor Yu.V. – acting chief physician, e-mail: nbb@nso.ru
Full Text
Received: 27/02/2019
Accepted: 27/02/2019
