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NHS Connecting for Health to Pilot IT Specification for Blood Safety

September 22, 2006 // Published as a news service by IHS

 
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NHS Connecting for Health, supported by the National Patient Safety Agency (NPSA), is looking to work with one or more acute trusts in England to pilot a national information technology (IT) specification for blood tracking.

The specification was developed by the NPSA  in conjunction with the National Blood Transfusion Committee and the Serious Hazards of Transfusion (SHOT).

It is based on work carried out for NHS Connecting for Health's Do Once and Share Blood Transfusion Project.

The pilot, due to begin by March 2007, will test and develop the IT specification for blood tracking. Money is available to help fund the appropriate technology, manage the work and formally evaluate the pilot.

SHOT data shows that between 1996 and 2004, five patients died as a direct result of being given ABO incompatible blood. ABO incompatibility contributed to the deaths of nine patients and caused major morbidity in 54 patients.

The NPSA set a target of reducing the number of inadvertent ABO incompatible transfusions by 50% over three to five years from January 2005 as measured by the SHOT database.

The IT specification is one of four initiatives that have been tested and developed as part of the NPSA's Blood Safety Project. When finalised, all four initiatives will be shared with the NHS and other relevant organisations in an NPSA Safer Practice Notice. This will specify actions related to the initiatives that NHS organisations in England and Wales should put in place to help reduce ABO incompatible transfusions.

The IT specification focuses on the steps in the transfusion pathway. It is appropriate for use with bar coding and radio frequency identification (RFID) technologies, builds on the experience of users of the different systems currently available and addresses the patient safety risks identified in the transfusion process.

The specification will inform the work of NHS Connecting for Health and of commercial companies that produce hardware and software. In developing the specification, the traceability requirements of the Blood Safety and Quality Regulations have been incorporated.

An information pack with full details of the pilot, including its scope, objectives, deliverables expected, reporting arrangements, resources and how to apply formally will be available in September.

Source: Serious Hazards of Transfusion (SHOT).

Electronic Health Records Standards
ASTM E 1284
Standard Guide for Construction of a Clinical Nomenclature for Support of Electronic Health Records
ASTM E 1769
Standard Guide for Properties of Electronic Health Records and Record Systems - (Withdrawn 2004; No Replacement)
ASTM E 1869
Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
ASTM E 2184
Standard Specification for Healthcare Document Formats
ASTM E 1239
Standard Practice for Description of Reservation/Registration - Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems
ASTM E 1384 REV A
Standard Practice for Content and Structure of the Electronic Health Record (EHR)
ASTM E 1633 REV A
Standard Specification for Coded Values Used in the Electronic Health Record
ASTM E 1714
Standard Guide for Properties of a Universal Healthcare Identifier (UHID)
ASTM E 1744
Standard Practice for View of Emergency Medical Care in the Electronic Health Record
ASTM E 1762
Standard Guide for Electronic Authentication of Health Care Information
ASTM E 1769
Standard Guide for Properties of Electronic Health Records and Record Systems-(Withdrawn 2004; No Replacement)
ASTM E 1869
Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
ASTM E 2118
Standard Guide for Coordination of Clinical Laboratory Services within the Electronic Health Record Environment and Networked Architectures
ASTM E 2171
Standard Practice for Rating-Scale Measures Relevant to the Electronic Health Record
ASTM E 2183
Standard Guide for XML DTD Design, Architecture and Implementation
ASTM E 2184
Standard Specification for Healthcare Document Formats
ASTM E 2211
Standard Specification for Relationship Between a Person (Consumer) and a Supplier of an Electronic Personal (Consumer) Health Record
ASTM E 2369
Standards Specification for Continuity of Care Record (CCR)
ASTM E 2473
Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record
BSI DD ENV 12538
Medical Informatics - Messages for Patient Referral and Discharge
BSI DD ENV 12612
Medical Informatics - Messages for the Exchange of Healthcare Administrative Information
BSI DD ENV 13606-1
Health Informatics - Electronic Healthcare Record Communication - Part 1: Extended Architecture
BSI DD ENV 13606-2
Health Informatics - Electronic Healthcare Record Communication - Part 2: Domain Term List
BSI DD ENV 13606-3
Health Informatics - Electronic Healthcare Record Communication - Part 3: Distribution Rules
BSI DD ENV 13606-4
Health Informatics - Electronic Healthcare Record Communication - Part 4: Messages for the Exchange of Information
BSI DD ISO/TS 18308
Health informatics Requirements for an electronic health record architecture
CSA ISO/TS 18308:05-CAN/CSA
Health informatics Requirements for an electronic health record architecture - First Edition; ISO/TS 18308:2004
DIN V ENV 13606-1
Health informatics - Electronic healthcare record communication - Part 1: Extended architecture; English version ENV 13606-1:2000
DIN V ENV 13606-2
Health informatics - Electronic healthcare record communication - Part 2: Domain term list; English version ENV 13606-2:2000
DIN V ENV 13606-3
Health informatics - Electronic healthcare record communication - Part 3: Distribution rules; English version ENV 13606-3:2000
DIN V ENV 13606-4
Health informatics - Electronic healthcare record communication - Part 4: Messages for the exchange of information; English version ENV 13606-4:2000
DS DS/ENV 13606-1
Health informatics - Electronic healthcare record communication - Part 1: Extended architecture
DS DS/ENV 13606-2
Health informatics - Electronic healthcare record communication - Part 2: Domain term list
DS DS/ENV 13606-3
Health informatics - Electronic healthcare record communication - Part 3: Distribution rules
DS DS/ENV 13606-4
Health informatics - Electronic healthcare record communication - Part 4: Messages for the exchange of information
ISO TR 20514
Health informatics Electronic health record Definition, scope and context - First Edition
ISO TS 18308
Health informatics Requirements for an electronic health record architecture - First Edition
NCCLS LIS09-A
Standard Guide For Coordination Of Clinical Laboratory Information Services Within The Electronic Health Record Environment And Networked Architectures - First Edition
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