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SIPOC templates

SIPOC — Blood Bank Unit Issue

Scopes red cell issue from an authorised request to a unit collected at the fridge across seven steps, scoring a 96-minute request-to-collection time against a 60-minute target and a 2.9% wastage rate.

SIPOCLean & FlowSIPOC syntax docs
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Red cell issue — hospital blood bankScope · Authorised transfusion request received → Unit released to the collectorProcess ownerTransfusion laboratory m…Request to collection96target 60 · +36 minRed cell wastage2.9%target 1.5% · +1.4%Samples rejected on receipt8.4%target 2% · +6.4%SSuppliers4IInputs5PProcess7OOutputs4CCustomers4Ward medical teamPhlebotomy serviceBlood service supplychainPorteringAuthorised transfusion requestNames the indication and the numberof units, signed by a prescriberCorrectly labelled crossmatchsampleCTQFully handwritten at the bedsidewith no amendmentsPatient historical transfusionrecordStock of group-matched red cellsCollection slipCrossmatched red cell unitsCTQGroup-compatible, in date, andkept below 6 C in transitCompatibility reportAvailable in the record beforethe unit leaves the laboratoryIssue audit entryRejected sample notificationWard nursing teamPatientHaemovigilance leadBlood service1Receive the authorisedrequest and book in thesample2Check historical record3Group and antibody screen4Perform electroniccrossmatch5Reserve and label units6Record issue in the LIMS7Release unit to thecollector4 suppliers · 5 inputs · 7 process steps · 4 outputs · 4 customers3 of 5 inputs have no stated requirement: “Patient historical transfusion record”, “Stock of group-matched red cells”, “Collection slip”.2 of 4 outputs have no stated requirement: “Issue audit entry”, “Rejected sample notification”.Scope starts at “Authorised transfusion request received”, matching step 1 “Receive the authorised request and book in the sample”.Scope ends at “Unit released to the collector”, matching the last step “Release unit to the collector”.Metric “Request to collection” misses target: 96 against 60, a gap of 36 min.Metric “Red cell wastage” misses target: 2.9% against 1.5%, a gap of 1.4 %.Metric “Samples rejected on receipt” misses target: 8.4% against 2%, a gap of 6.4 %.

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title "Red cell issue — hospital blood bank"
scope "Authorised transfusion request received" -> "Unit released to the collector"
owner "Transfusion laboratory manager"
metric "Request to collection" target: 60 actual: 96 unit: min
metric "Red cell wastage" target: 1.5% actual: 2.9%
metric "Samples rejected on receipt" target: 2% actual: 8.4%

suppliers: Ward medical team, Phlebotomy service, Blood service supply chain, Portering
inputs:
  - Authorised transfusion request
  - Correctly labelled crossmatch sample
  - Patient historical transfusion record
  - Stock of group-matched red cells
  - Collection slip
process: Receive the authorised request and book in the sample -> Check historical record -> Group and antibody screen
         -> Perform electronic crossmatch -> Reserve and label units -> Record issue in the LIMS
         -> Release unit to the collector
outputs: Crossmatched red cell units, Compatibility report, Issue audit entry, Rejected sample notification
customers: Ward nursing team, Patient, Haemovigilance lead, Blood service

requirement input "Correctly labelled crossmatch sample": "Fully handwritten at the bedside with no amendments" (CTQ)
requirement input "Authorised transfusion request": "Names the indication and the number of units, signed by a prescriber"
requirement output "Crossmatched red cell units": "Group-compatible, in date, and kept below 6 C in transit" (CTQ)
requirement output "Compatibility report": "Available in the record before the unit leaves the laboratory"