Avoidable Repeat Rate for August 2017 for Newborn Blood Spot Screening - Manchester Laboratory

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Dinah Wiggins
5 years ago
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1 Rate for August 2017 for Newborn Blood Spot Screening - Manchester Laboratory The avoidable repeat rate for samples received during August 2017 is displayed by Trust in Figure 1 and by current hospital (for in-patients) in Figure 2. The raw data is provided in Tables 2 and 3. The avoidable repeat rate is calculated by dividing the total number of avoidable repeats by the number of babies tested (i.e. first samples). Please note that the Trust of sample taken data is incomplete as 309 samples (first samples and repeats) received in August had no Trust code (6%). Please write the trust code for your maternity unit/ neonatal unit in the PCT field on the blood spot card to improve the accuracy of the figures. A list of trust codes is provided in Table 1. Alternatively maternity units could stamp cards with the code prior to issuing to midwives/neonatal units, depending on local arrangements. It would also be helpful if health visitors could write HV in the PCT field, so that we can provide data specific to health visitors. Table 1 Code Trust Name RXL BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST RMC BOLTON NHS FOUNDATION TRUST RW3 CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST RXR EAST LANCASHIRE HOSPITALS NHS TRUST RXN LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST RW6 PENNINE ACUTE HOSPITALS NHS TRUST RVY SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST RWJ STOCKPORT NHS FOUNDATION TRUST RMP TAMESIDE HOSPITAL NHS FOUNDATION TRUST RM2 UNIVERSITY HOSPITAL OF SOUTH MANCHESTER NHS FOUNDATION TRUST RTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST RRF WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST 1

2 Figure 1 - repeats by Trust 2

3 Figure 2 - repeats by Current Hospital (in-patients) Blackpool Victoria, Royal Lancaster, Ormskirk & District General and Royal Blackburn Hospitals are not included on the graph as there were no avoidable repeats for these hospitals. Royal Manchester Children's Hospital was not included on the graph: 2 out 4 samples were avoidable repeats (50%). 3

4 Table 2 repeats by Trust for August 2017 Trust Number of first samples received/ babies tested Too soon after Too young ( transfusion 4 days) (<72 hours)* Damaged in Compressed/ damaged Expired card Incorrect application of blood Insufficient quantity >14 days in No NHS number Contaminate d (discrepant IRT) Missing sample date DOB missing Number of Requests Requests Rate Blackpool Teaching Hospitals NHS Foundation Trust % Central Manchester University Hospitals NHS Foundation Trust % East Lancashire Hospitals NHS Trust % Lancashire Teaching Hospitals NHS Foundation Trust % Not Stated % Health Visitor % Pennine Acute Hospitals NHS Trust % Wrightington, Wigan And Leigh NHS Foundation Trust % Bolton NHS Foundation Trust % Southport And Ormskirk Hospital NHS Trust % Stockport NHS Foundation Trust % Tameside And Glossop Integrated Care NHS Foundation Trust % University Hospital Of South Manchester NHS Foundation Trust % University Hospitals Of Morecambe Bay NHS Foundation Trust % Grand Total % *Not included in calculation of avoidable repeats 4

5 Table 3 repeats by current hospital (in-patients) for August 2017 Current Hospital Number of first samples received/ babies tested Too soon after Too young ( 4 transfusion days) (<72 hours)* Damaged in Compressed/ Damaged Expired card Incorrect application of blood Insufficient quantity >14 days in No NHS number Contaminated (discrepant IRT) Missing Dates DOB Missing Number of Requests Requests Rate Burnley General Hospital (BGH) % The Royal Bolton Hospital (BRH) % Blackpool Victoria Hospital (BVH) % Furness General Hospital (FUR) % North Manchester General Hospital (NMGH) % Not in hospital % Ormskirk & District General (ODGH) % Royal Albert Edward Infirmary (RAEI) % Royal Blackburn Hospital (RBH) % Royal Lancaster Infirmary (RLI) % Royal Manchester Children's Hospital (RMCH) % Royal Oldham Hospital (ROH) % Royal Preston Hospital (RPH) % Stepping Hill Hospital (SHH) % St Mary's Hospital, Manchester (SMH) % Tameside General Hospital (TGH) % University Hospital of South Manchester (UHSM) % Grand Total % ***Not included in calculation of avoidable repeats 5 Aisha Rahman & Beverly Hird 25/09/17 CB-REP-REP-13

6 Tips to help avoid rejection of samples: Collect sample on day 5 (date of birth is day 0) Check the expiry date on the card Wash the baby s heel with water to reduce the risk of a contaminated IRT result Ensure that blood spots are the size of the guide circles on the card Allow the blood to drop onto the card rather than touching the filter paper to the baby s heel Some brands of lancet device are more effective than others Extra blood spots, in addition to the 4 indicated by the guide circles, can be collected elsewhere on the card the test at the same visit if the spots are too small or have not soaked through to the back of the card Make sure there is a valid NHS number on the card Conclusion The avoidable repeat rate has decreased from 2.3% last month to 1.9% this month, which is within the acceptable performance threshold for the avoidable repeat standard ( 2%). Since last month insufficient samples have decreased by about a quarter. However the number of samples without a valid NHS Number has doubled and the number of samples with missing dates has remained the same. The most common reason for sample rejection was insufficient sample, followed by missing date of sample. 6 Aisha Rahman & Beverly Hird 25/09/17 CB-REP-REP-13

Avoidable Repeat Rate for June 2017 for Newborn Blood Spot Screening - Manchester Laboratory

Avoidable Repeat Rate for June 2017 for Newborn Blood Spot Screening - Manchester Laboratory The avoidable repeat rate for samples received during June 2017 is displayed by maternity unit in Figure 1,