Using RI Witness as a Quality Control tool, Dr Cristina Hickman, The Fertility Partnership
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Transcript of Using RI Witness as a Quality Control tool, Dr Cristina Hickman, The Fertility Partnership
Using RI Witness as a QC tool
Dr Cristina Hickman, Head of [email protected]
Using RI Witness as a QC tool
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Over 6000 patients per yearLargest Provider of IVF in the UK
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Tags
Embryology Work Area
Monitors the work area without the need for user intervention 24/7
Records what, when, who, why and where a sample was processed
Andrology Work Area
Micromanipulation Work Area
Process Map
Does not allow procedures to take place without the correct samples in the work area
Does not allow the user to skip steps either accidentally or deliberately
Promotes protocol compliance
Quality ControlFACT: Non-conformities will happen!!!Identify non-conformities. minimising impact on your results/Patient Care as early as possible (particularly if small clinics).
The essence of quality controlThe more you record, the better
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Monitoring Known VariantsPractitionerConsumablesPatient
Balance
TIME
TIME
Sensitivity of detection of issuesInformation available during investigations to identify the true root cause3 examples of how RI Witness allows to increase data quality whilst saving time
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Straw Labelling by hand
Accuracy?
Legibility?
Amount of Information
Time ConsumingEXAMPLE 1
Extra barcode information
EXAMPLE 1
Recording Images and Videos
EXAMPLE 2
Recording Images and Videos
EXAMPLE 2
Witnessing Procedure takes seconds
EXAMPLE 3
Data Collector
Patient and Partner NamePatient and Partner Date of BirthPatient and Partner AgeCycle TypeSample images and gradeAll Patient DemographicsPractitioner Name (with certainty)Witness NameTime dishes on stage (i.e. out of incubator)Technique (Videos)Consumable type used (RI Traceability)Date of ExpiryLot NumberSupplier
Procedure Type (For all procedures)Procedure DateProcedure TimeProcedure Videos (RI Imaging)
WorkstationHoodHeated StageIncubator
DateTimeLocation(Temperature)
EXAMPLE 3
Date, time & location of each step Staff involved at each step Sample Grading info (RI Data) Image capture (RI Imaging)Consumables used in the cycle (RI Traceability)
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Data Organiser
Data Organiser
Data Reporter (per patient)
Data Reporter (for QC)
Information collected by the system can be used to improve SOPs and staff trainingPrevention Before the issue gets a chance to affect success rates (root cause)Maximise Success Rates
From Report Data to Success RateTime Logs Consumables VideosTemp/CO2/VOC/Particle CountFert Rates, Blast Rates, Biopsy survivalPregnancy Rates, Miscarriage Rates
Ensure correct data is collectedDate and Time of ProceduresReduce Audit non-conformities
Ensure correct data is collectedDate and Time of ProceduresReduce Audit non-conformitiesCannot perform procedure outside normal steps
Monitoring Tool
Activity at each workarea is updated in REAL TIME & can be viewed from lab, office, conference, anywhere
DISHRFID TagLabelCARDRFID ReaderNotesInvestigation tool for Mismatch incidents
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DISHNotesLabelCARDRFID ReaderXRFID TagInvestigation tool for Mismatch incidents
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Fix Now: RI witness confirms identity
Reassurance for Lab and PatientPowerful traceability system, providing confidence in the contents of the dish
Even with 2 witnesses, not 100% sure (Independent redundancy& involuntary automaticity)
RI Witness is:-An RFID tracking system to prevent the accidental mixing up of patient materialA management tool to allow lab managers to see what is going on in their labA reporting tool that can be used to compile a range of reports relating to patients, cycles, staff and moreOptional extras include:-RI Cryo - A barcoding system to track material going into and coming out of cryo storageRI Traceability A consumables manager that can track which patients have come into contact with which consumables as well as help with stock managementRI Imaging A link between RI Witness and cameras in the lab that allows the adding of images and videos on to cycle reportsRI Data A system that allows the digitising of lab sheets, helping the lab to go paper-freeRI Witness is bespoke for each installation and comprises of a range of hardware which works with a range of consumable RFID tags and Brady labels
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Research Tool
PN Check16-17hpiPN CheckAnytime
ART Lab Management system
Protects Reassures Records
DATA COLLECTOR ORGANISER REPORTER MONITORING INVESTIGATION RESEARCH
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Ludwig Van BeethovenDo not only practice your art,But force your way Into its secrets
For it and knowledgeCan raise menTo the divine
Embryologists:Oriol OlianaSandy ChristiansenDanielle GwinnettThomas Wilkinson
Thank you
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