NCT03476005

Proficiency Based Training to Investigate WBIT

Completed NA Last updated 5 July 2018

What this trial tests

NA trial testing proficiency based progression training in Transfusion Related Complication in 94 participants. Completed in 3 July 2018.

Timeline

5 July 2017

Primary endpoint
3 July 2018

3 July 2018

Quick facts

Lead sponsor	Patrick Henn
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	sequential
Masking	none
Primary purpose	prevention
Enrollment	94
Start date	5 July 2017
Primary completion	3 July 2018
Estimated completion	3 July 2018
Sites	1 location across Ireland

Drugs / interventions tested

• proficiency based progression training

Conditions studied

• Transfusion Related Complication — all drugs for Transfusion Related Complication →
• Wrong Blood in Tube — all drugs for Wrong Blood in Tube →

Sponsor

Patrick Henn

Who can join

Eligibility, any sex, with Transfusion Related Complication or Wrong Blood in Tube. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Incorrect labelling of blood samples occurs at a rate of 1% in the general laboratories and 6% in Blood Transfusion Laboratories. The most serious error 'Wrong Blood in Tube' (WBIT) occurs when blood is taken from the intended patient, but labelled with another patient's details. Consequences may include, misinterpretation of a patient's diagnosis or clinical status, incorrect referral or treatment of a patient, or in the worst case scenario, incorrect cross matching for blood of the wrong blood group, which may lead to catastrophic outcomes, including death.

The root causes for these errors is failure to identify the patient correctly and failure to correctly label the blood tubes at the bedside. To date, despite significant initiatives, it has proved very difficult to eradicate or reduce the error rate. Our project involves a novel, technology enhanced learning approach using proficiency based progression in a prospective randomised controlled methodology to significantly reduce this error.

This approach to learning is more efficient and effective than the traditional approach of repeated practice and is made possible with metric-based simulations. This project will reduce the incidence of adverse events and avoidable medical errors associated with sampling and labelling errors including WBITs. This will be achieved by training healthcare practitioners to a proficiency standard in venepuncture. Thereby minimising the failure of health care professionals to identify the patient correctly and failure to correctly label the blood tubes at the bedside.

This project's impact will deliver reduced sampling and labelling errors -including WBITs by a factor of 40-69%. Reductions of this magnitude will have profound national and international implications on how these types of skills are acquired and quality assured. This would result in improved patient safety and savings of over €500,000 at Cork University Hospital and if applied nationally result in exchequer savings of millions of euro annually.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.