The blood bank relocated to a new hospital facility while the labor and delivery (L&D) unit remained in the older facility, which was a 10- to 12-minute walk on the same hospital campus. The pneumatic tube system was the primary blood product transport method; however, the tube system was frequently out of service. The organization recognized a risk to obstetrical patients because it lacked a standardized process for blood product transport when the tube system was unavailable. Additionally, it found that a number of L&D staff was inadequately trained in the massive transfusion protocol (MTP).
The goal was to improve the safety and efficiency of an L&D MTP event and to reduce the turnaround time for blood product receipt if the tube system was unavailable. The organization used unannounced patient care simulations and quality improvement tools such as process mapping and failure modes and effects analysis (FMEA) during implementation. The turnaround time for receiving blood products in L&D decreased by 32 percent by using a runner, from 31 minutes to 21 minutes.