Department of Pathology and Cell Biology, Columbia University Medical Center, New York, NY
NewYork-Presbyterian Hospital, New York, NY
Corresponding author: Stefanie Forest, MD, PhD, Dept of Pathology and Cell Biology, Columbia University Medical Center, NewYork-Presbyterian Hospital, 622W 168th St, VC14-239, New York, NY 10032; email@example.com.
Stefanie K. Forest, MD, PhD, Maryam Shirazi, MD, Charlotte Wu-Gall, Brie A. Stotler, MD; The Impact of an Electronic Ordering System on Blood Bank Specimen Rejection Rates. Am J Clin Pathol 2017; 147 (1): 105-109. doi: 10.1093/ajcp/aqw204
Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period.
Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013.
Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8%) were rejected for the following reasons: 382 (54.0%) unsigned samples, 235 (33.0%) mislabeled samples, 57 (8.0%) unsigned requisitions, 18 (2.5%) incorrect tubes, and 14 (1.9%) ABO discrepancies. Of the samples, 2.5% were rejected in the year prior to implementing the electronic ordering system compared with 1.2% in the year following implementation (P < .0001).
Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.