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Shorter turn-around-time and improved patient care in peripheral blood progenitor cell collection procedures
- Source :
- Journal of clinical apheresis. 14(1)
- Publication Year :
- 1999
-
Abstract
- The collection of peripheral blood progenitor cells (PBPC) requires the combined efforts of the Transfusion Medicine/Hemapheresis and Hematology/Oncology services and HLA/Progenitor Cell and Immunology laboratories. Coordination and communication among these different services and laboratories are key to attaining an optimal collection in a timely manner for the patient undergoing PBPC collection. In an effort to improve patient care by same-day decision to cease or continue collections avoiding unnecessary collections, needless patient trips to the hospital and ultimately increasing patient satisfaction, a flow chart was used to capture the sequence of events. The flow chart served as a powerful tracking tool that defined system process and steps to attain enumeration of CD34+ cells the same day of collection. It provided documentation of work flow from each of the independent operations involved in progenitor cell collection and enumeration turn-around-time including attending and staff time involvement. By using the flow chart, potential and actual problem areas were demonstrated and this allowed for creative thinking and problem solving by individual sections rather than recriminations. Finally, it focused all the staff involved in the common goal of a shorter turn-around-time for CD34+ cell enumeration the same day of collection. This allowed a prompt decision for subsequent leukapheresis as improved service to oncology patients and their physicians. J. Clin. Apheresis 14:35–41, 1999. © 1999 Wiley-Liss, Inc.
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
Medical Records Systems, Computerized
New York
Efficiency
Turnaround time
Patient care
Citric Acid
Hospitals, University
Appointments and Schedules
Leukocyte Count
Documentation
Patient satisfaction
Phlebotomy
Software Design
Neoplasms
medicine
Ambulatory Care
Humans
Leukapheresis
Progenitor cell
Child
Problem Solving
Patient Care Team
business.industry
Hematopoietic Stem Cell Transplantation
Anticoagulants
Time Management
Transfusion medicine
Hematology
General Medicine
medicine.disease
Peripheral blood
Surgery
Time and Motion Studies
Blood Banks
Medical emergency
business
Case Management
Subjects
Details
- ISSN :
- 07332459
- Volume :
- 14
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of clinical apheresis
- Accession number :
- edsair.doi.dedup.....e56c85779bb10462b4b4ddd04052c5ad