1All Rights Reserved 2007 Health Sciences Authority

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.

2All Rights Reserved 2007 Health Sciences Authority

CONTENTS

• Reasons for the change

• Developing the change strategy

• Implementation plan

• Key steps in implementation

• Conclusion and future developments

3All Rights Reserved 2007 Health Sciences Authority

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

4All Rights Reserved 2007 Health Sciences Authority

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

5All Rights Reserved 2007 Health Sciences Authority

CHANGE STRATEGY

• To implement when installing new computer

system

• System accommodates the ABC Codabar and

ISBT128 standard

– Minimize component conversion

6All Rights Reserved 2007 Health Sciences Authority

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

7All Rights Reserved 2007 Health Sciences Authority

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)

8All Rights Reserved 2007 Health Sciences Authority

Establish a safe, smooth and risk free transition together with

the new computer system by June 2006

OBJECTIVE OF IMPLEMENTATION PLAN

ISBT 128

9All Rights Reserved 2007 Health Sciences Authority

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

10

All Rights Reserved 2007 Health Sciences Authority

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

• Work closely with vendor • Use of different flag characters

KEY STEPS – Redesign DIN Set

11

All Rights Reserved 2007 Health Sciences Authority

Product Code Mapping – from old to new

KEY STEPS – Product Mapping

12

All Rights Reserved 2007 Health Sciences Authority

• 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

13

All Rights Reserved 2007 Health Sciences Authority

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

14

All Rights Reserved 2007 Health Sciences Authority

Internal processes

Project Team

Customers

Analyzers

Labels

RisksRisks

Knowledge

Computer

Testing

Process validationVendors

Change control

Users

Communication

Training

Risks

Risks

KEY STEPS – Risk Management

15

All Rights Reserved 2007 Health Sciences Authority

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)

16

All Rights Reserved 2007 Health Sciences Authority

• 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

17

All Rights Reserved 2007 Health Sciences Authority

ISBT 128 WORKFLOWDonation Identification number DIN

18

All Rights Reserved 2007 Health Sciences Authority

WORK-IN-PROCESS COMPONENTS

19

All Rights Reserved 2007 Health Sciences Authority

Labeling withISBT 128base label

20

All Rights Reserved 2007 Health Sciences Authority

Frozen product is kept in a plastic bag

21

All Rights Reserved 2007 Health Sciences Authority

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

22

All Rights Reserved 2007 Health Sciences Authority

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

23

All Rights Reserved 2007 Health Sciences Authority

• 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

24

All Rights Reserved 2007 Health Sciences Authority

• Include plasma derivates in ISBT 128 product code database

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

LOOKING AHEAD

25

All Rights Reserved 2007 Health Sciences Authority

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”