proUsing
a project specific checklist during debriefings allows the
perinatal team to assess how new interventions are being
incorporated into workflow and practice.
cess that was cumbersome and required many
steps. The team worked with the blood bank manager,
and the entire process was streamlined. With
this improved process, the blood bank personnel
start the required paperwork and complete the
two-person verification, which ensures the blood
is immediately available when the runner arrives
at the blood bank. With subsequent real-time obstetric
hemorrhage and in situ simulation debriefings,
additional refinements have been made to
the process for the emergency release of blood.
An emergency hotline was created between labor
and delivery and the blood bank units to improve
communication during all massive hemorrhages,
and additional changes improved the documentation
process for the release of blood packs.