BB QC 2024 New

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BLOOD BANK 4th EDITION

Blood Bank
What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor

Percentage of
1 CQI 3f transfusion Numerator Denominator 100
reactions
Jan 0 0 0 100
Feb 0 0 0 100
Mar
Apr
Mar
June
July
Aug
Sep
Oct
Nov
Dec

What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor

Percentage of Number of Number of


wastage of Blood & Blood blood & blood
2 CQI 3f blood and components components 100
blood wasted among issued from
components those issued the blood bank
Jan 0 27 100
Feb 0 39 100
Mar 0 100
Apr 0 100
May 0 100
June 0 100
July 0 100
Aug 0 100
Sep
Oct
Nov
Dec

Page 1
BLOOD BANK 4th EDITION

What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor

Percentage of Number of Number of


3 CQI 3f blood blood blood & Blood 100
component components components
usage used prepared
Jan 43 43 100
Feb 37 37 100
Mar 100
Apr 100
May 100
June 100
July 100
Aug 100
Sep 100
Oct 100
Nov 100
Dec 100

What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor

Turnaround Total number


time for issue of blood and
4 CQI 3f of blood and Sum of time blood 1
blood taken components
components issued
Jan 1590 43 1
Feb 1202 37 1
Mar 1
Apr 1
May 1
June 1
July 1
Aug 1
Sep 1
Oct 1
Nov 1
Dec 1

Page 2
BLOOD BANK 4th EDITION

Blood Bank
What Type of
and QPS Standard/Measurable element Measure
Who (Indicator)
Measure (Owner-Staff Process/ Sample Size
(Indicator) Original name/Title) Outcome/
Result Target/Thresh Unit Source of Structure/
old/Benchmar measure Process
k outcome
Patient files /
transfusion Incharge Blood Continuous
#REF! % Bank Out come 100%
forms
0

Type of
What Measure
and QPS Standard/Measurable element (Indicator)
Who
Measure (Owner-Staff Process/ Sample Size
(Indicator) Original name/Title) Outcome/
Result Target/Thresh Unit Source of Structure/
old/Benchmar measure Process
k outcome

Blood Bank &


#REF! ≤2.5 % Patient care Incharge Blood Outcome 100%
areas Bank

0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0

Page 3
BLOOD BANK 4th EDITION

What Type of
and QPS Standard/Measurable element Measure
Who (Indicator)
Measure (Owner-Staff Process/ Sample Size
(Indicator) Original name/Title) Outcome/
Result Target/Thresh Unit Source of Structure/
old/Benchmar measure Process
k outcome
Blood Bank & Incharge Blood Process&outco
#REF! >/= 95 % Patient care Bank me 100%
areas
100
100
100
100
100
100
100
100
100
100
100
100

What Type of
and QPS Standard/Measurable element Measure
Who (Indicator)
Measure (Owner-Staff Process/ Sample Size
(Indicator) Original name/Title) Outcome/
Result Target/Thresh Unit Source of Structure/
old/Benchmar measure Process
k outcome

#REF! 120 min Blood bank Incharge Blood Process 30%


Bank

36
32

Page 4
BLOOD BANK 4th EDITION

Page 5
BLOOD BANK 4th EDITION

Page 6
BLOOD BANK 5th EDITION

Blood Bank
PSQ3a. Percentage of transfusion reactions

Measure Category (Clinical) and QPS Standard/Measurable element


Measure (Indicator)
Target/Threshold/Benchmark - 3%
Original Source of measure- Patient files /
transfusion forms
S. No. Sample Size- Continuous 100%

Denominat Multiplicati
Standard Numerator Result
or on factor

Total Total
number of number of
1 PSQ3a 100 #REF!
transfusion units
reactions transfused
Jan 0 43 100 0.0
Feb 0 37 100
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec

PSQ3c. Turnaround time for issue of blood and blood componen


Measure Category (Clinical) and QPS Standard/Measurable element
Measure (Indicator)
Target/Threshold/Benchmark - 40min
Original Source of measure- Blood bank
S. No. Sample Size- 100%

Page 7
S. No. BLOOD BANK 5th EDITION

Denominat Multiplicati
Standard Numerator Result
or on factor

Total
number of
blood and
Sum of time blood
2 PSQ3c 1 #REF!
taken components
cross
matched/re
served
Jan 1590 143 1 11
Feb 1202 145 1
Mar 1
Apr 1
May 1
June 1
July 1
Aug 1
Sep 1
Oct 1
Nov 1
Dec 1

Page 8
BLOOD BANK 5th EDITION

fusion reactions

urable element
Measure (Indicator) Type of
Measure
easure- Patient files / Who (Indicator)
(Owner-
s 100% Staff
name/Title)
Process/
Outcome/
Unit Structure/
Process
outcome

Incharge
% Out come
Blood Bank

ood and blood components


urable element
Measure (Indicator) Type of
Measure
re- Blood bank Who (Indicator)
(Owner-
Only includes PRBC
Staff
name/Title)

Page 9
Who
(Owner-
Only
BLOOD includes
BANK PRBC
5th EDITION
Staff
name/Title) Process/
Outcome/
Unit Structure/
Process
outcome

Incharge
min Process
Blood Bank

Page 10
TR

Collection tool to monitor Percentage of tran


Measure Code: PSQ3a

Measure Description: Percentage of blood transfusion reactions


Sample Size- 100 %

Name of the Location/


S No. MRN Age/Sex
patient Ward

Collection tool to monitor Percen


Measure Code: PSQ3a

Measure Description: Percentage of blood transfusion reactions


Sample Size- 100 %

Name of the
S No. MRN Age/Sex
patient

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TR

to monitor Percentage of transfusion reactions


Auditor Name & ID
Month-
ctions

Date & time


Date & time Date & Time Date & time
of receiving Corrective &
of issue of of of Reporting Reason for
fresh blood Preventive
blood transfusion to blood reaction
sample in action taken
component reaction bank
Blood Bank

ection tool to monitor Percentage of transfusion reactions


Auditor Name & ID
Month-
ransfusion reactions

Date & time


Date & time Date & Time Date & time
of receiving Corrective &
Location/ of issue of of of Reporting Reason for
fresh blood Preventive
Ward blood transfusion to blood reaction
sample in action taken
component reaction bank
Blood Bank

Page 12
TAT

C
Collection tool to monitor Turn around time for issue of blood compon
ure Code: PSQ3c Auditor Name & ID
Month-JANUARY 202
Measure Description: Turn around time for issue of blood components
Sample Size- 100 %

Type Date of request


S Compon
Name of the Patient MRN Location/Ward (Routine/ received in
No. ent Type
Emergency) Blood Bank

1 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/01/24


2 B/O PRERNA SAWANT 309757 PRBC NICU ROUTINE 01/01/24
3 B/O NITI MUSALE 310270 PRBC, FFP NICU ROUTINE 01/01/24
4 B/O RASHMI BHANDARI 309031 PRBC NICU ROUTINE 01/01/24
5 SHIRISH GUPTA 310296 PRBC PICU ROUTINE 01/02/24
6 YUKTI SAJNANI 310308 PRBC TWIN ROUTINE 01/03/24
7 SIA SOLANKI 310314 PRBC TWIN ROUTINE 01/03/24
8 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/04/24
9 SHIRISH GUPTA 310296 FFP PICU ROUTINE 01/04/24
10 B/O HANSA PATEL 310339 PRBC NICU ROUTINE 01/05/24
11 AARADHYA GHADI 309148 PRBC PICU ROUTINE 01/06/24
12 THRIDA JADAV 310361 PRBC SINGLE AC ROUTINE 01/06/24
13 GEETA SHAH 310357 RDP ICU ROUTINE 01/06/24
14 GEETA SHAH 310357 SDP ICU ROUTINE 01/07/24
15 B/O SHEETAL JAIN 309658 PRBC NICU ROUTINE 01/09/24
16 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/10/24
17 REYANSH KAMBLE 310426 PRBC PICU ROUTINE 01/11/24
18 B/O KAVI PATHAK 310440 PRBC NICU ROUTINE 01/12/24
19 MOHAMMAD TAMIM 310463 PRBC OT ROUTINE 01/13/24
20 HARAK JAIN 310467 PRBC TWIN ROUTINE 01/13/24
21 BABY AVIVA DUA 310021 PRBC NICU ROUTINE 01/14/24
22 ANISHA NILIJIKAR 310481 PRBC TWIN ROUTINE 01/14/24
23 ANISHA NILIJIKAR 310481 PRBC TWIN ROUTINE 01/14/24
24 B/O JENIE MEHTA 310030 PRBC NICU ROUTINE 01/15/24
25 URMILA TIWARI 310419 PRBC SINGLE AC ROUTINE 01/16/24
26 BABY AADHYA SANGHVI 310515 PRBC NICU ROUTINE 01/17/24
27 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/19/24
28 SHIKHA JAISWAL 310595 PRBC TWIN ROUTINE 01/21/24
29 B/O SHIKHA JAISWAL 310596 PRBC,FFP NICU ROUTINE 01/21/24
30 SAIYAMAI DEULKAR 310476 PRBC PICU ROUTINE 01/23/24
31 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/23/24
32 B/O SHIKHA JAISWAL 310596 PRBC NICU ROUTINE 01/24/24
33 SUSHIL ARORA 310651 PRBC ICU ROUTINE 01/24/24
34 SUSHIL ARORA 310651 PRBC ICU ROUTINE 01/24/24
SUSHIL ARORA 310651 PRBC ICU ROUTINE 01/25/24

Page 13
TAT
35 B/O SHIKHA JAISWAL 310596 PRBC NICU ROUTINE 01/25/24
36 B/O NITI MUSALE 310270 PRBC NICU ROUTINE 01/26/24
37 B/O SHIKHA JAISWAL 310596 PRBC NICU ROUTINE 01/27/24
38 AMINA SHAIKH 310710 PRBC PICU ROUTINE 01/27/24
39 B/O ANMOL PABALE 310694 PRBC,FFP PICU ROUTINE 01/28/24
40 B/O SHEETAL JAIN 309658 PRBC NICU ROUTINE 01/29/24
41 SAILESH KELSHIKAR 30686 PRBC ICU ROUTINE 01/30/24
42 SARITA SINGH 310724 PRBC SINGLE AC ROUTINE 01/30/24
43 SARITA SINGH 310724 PRBC SINGLE AC ROUTINE 01/31/24
44

Collection tool to monitor Turn around time for issue of blood compon
ure Code: PSQ3c Auditor Name & ID
Month-FEBRUARY 20
Measure Description: Turn around time for issue of blood components
Sample Size- 100 %

Type Date of request


S Compon
Name of the Patient MRN Location/Ward (Routine/ received in
No. ent Type
Emergency) Blood Bank

1 PRIYA VERMA 310782 PRBC TWIN ROUTINE 02/01/24


2 PRAJWAL PANDA 300941 PRBC NICU ROUTINE 02/01/24
3 PRAJWAL PANDA 300941 PRBC PICU ROUTINE 02/02/24
4 SHRUNGI KAMAT 310799 PRBC OT ROUTINE 02/02/24
5 PRIYA VERMA 310782 PRBC 2ND FLOOR ROUTINE 02/02/24
6 SHRUMGI KAMAT 310799 FFP OT ROUTINE 02/02/24
7 RUPALI DESHMUKH 0 PRBC FETAL MEDICINE ROUTINE 02/03/24
8 THRIDA JADHAV 310826 PRBC ICU ROUTINE 02/03/24
9 URMILA TIWARI 310836 PRBC 2ND FLOOR ROUTINE 02/04/24
10 URMILA TIWARI 310836 PRBC TWIN ROUTINE 02/05/24
11 YUKTI SAJNANI 310855 PRBC ICU ROUTINE 02/05/24
12 B\O NISHA JAISWAL 310809 PRBC NICU ROUTINE 02/05/24
13 ARCHIT GUPTA 310494 PRBC OT ROUTINE 02/07/24
14 ARCHIT GUPTA 310494 PRBC OT ROUTINE 02/07/24
15 ARCHIT GUPTA 310494 PRBC PICU ROUTINE 02/09/24
16 AARADHYA SHIGWAN 310943 PRBC ICU ROUTINE 02/10/24
17 AARADHYA SHIGWAN 310943 PRBC ICU ROUTINE 02/11/24
18 B\O KRTI SHUKLA TWIN 2 301013 FFP NICU ROUTINE 02/16/24

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TAT
19 B\O KRTI SHUKLA TWIN 2 301013 PRBC NICU ROUTINE 02/16/24
20 B\O POORTNIMA TWIM 2 310835 PRBC NICU ROUTINE 02/16/24
21 RUPALI DESHMUKH PRBC FETAL MEDICINE ROUTINE 02/17/24
22 B\O KRTI SHUKLA TWIN 1 301012 PRBC NICU ROUTINE 02/17/24
23 SUREKHA SHENOY 311023 PRBC ICU ROUTINE 02/18/24
24 AROHI GIRI 311011 PRBC PICU ROUTINE 02/19/24
25 B\O SHEETAL JAIN 309658 PRBC NICU ROUTINE 02/19/24
26 B\O VAISHALI JAIN 309804 PRBC NICU ROUTINE 02/19/24
27 SIA SOLANKI 311105 PRBC ICU ROUTINE 02/19/24
28 RAM RAJPAL 311127 PRBC OT ROUTINE 12/21/24
29 LAXMI NAIR 301065 PRBC OT ROUTINE 02/23/24
30 AVY KAULIGHAR 311178 PRBC ICU ROUTINE 02/23/24
31 HARAK JAIN 311203 PRBC 3rd FLOOR ROUTINE 02/24/24
32 HARAK JAIN 311203 PRBC 3rd FLOOR ROUTINE 02/25/24
33 HARAK JAIN 311203 PRBC 3rd FLOOR ROUTINE 02/25/24
34 HARAK JAIN 311203 PRBC 3rd FLOOR ROUTINE 02/26/24
35 SUCHITA BAGE 311213 PRBC TWIN ROUTINE 02/26/24
36 SUCHITA BAGE 311213 PRBC TWIN ROUTINE 02/27/24
37 B/O TEJAL AUTI 310628 PRBC NICU ROUTINE 02/27/24

Collection tool to monitor Turn around time for issue of blood compon
ure Code: PSQ3c Auditor Name & ID
Month-MARCH 202
Measure Description: Turn around time for issue of blood components
Sample Size- 100 %

Page 15
TAT

Type Date of request


S Compon
Name of the Patient MRN Location/Ward (Routine/ received in
No. ent Type
Emergency) Blood Bank

1 ANVI MORE 311330 FFP PICU ROUTINE 03/03/24


2 B/O RUPALI DESHMUKH 311342 PRBC NICU ROUTINE 03/04/24
3 B/O RUPALI DESHMUKH 311342 FFP NICU ROUTINE 03/04/24
4 AROHI GIRI 311011 PRBC OT ROUTINE 03/04/24
5 AROHI GIRI 311011 FFP OT ROUTINE 03/04/24
6 AROHI GIRI 311011 FFP OT ROUTINE 03/04/24
7 SUHASINI SAWANT 311309 PRBC 3rd FLOOR ROUTINE 03/04/24
8 HARAK JAIN 311345 PRBC 3rd FLOOR ROUTINE 03/04/24
9 KHAWISH BHARI 301115 SDP PICU ROUTINE 03/04/24
10 B/O POURNIMA TWIN 2 310835 PRBC NICU ROUTINE 03/05/24
11 B/O RUPALI DESHMUKH 311342 PRBC NICU ROUTINE 03/05/24
12 B/O RUPALI DESHMUKH 311342 FFP NICU ROUTINE 03/05/24
13 VEER AHIRWAR 311360 PRBC ICU ROUTINE 03/05/24
14 SIA SOLANKI 311385 PRBC 2ND FLOOR ROUTINE 03/06/24
15 KHWAISH BHAIR 301115 SDP PICU ROUTINE 03/06/24
16 KHWAISH BHAIR 301115 PRBC PICU ROUTINE 03/06/24
17 Dr RACHANA PATEL 311396 PRBC ICU ROUTINE 03/07/24
18 KHWAISH BHAIR 301115 SDP PICU ROUTINE 03/07/24
21 SUHASINI SAWANT 311309 PRBC OT ROUTINE 03/08/24
22 SUHASINI SAWANT 311309 PRBC ICU ROUTINE 03/09/24
23 Dr RACHANA PATEL 311396 PRBC 3rd FLOOR ROUTINE 03/09/24
24 THRIDA JADAV 311442 PRBC 3rd FLOOR ROUTINE 03/09/24
25 YUKTI SAJNANI 311472 PRBC 2ND FLOOR ROUTINE 03/11/24
26 VAIBHAV KUMBHAR 311519 PRBC ICU ROUTINE 03/13/24
27 HARAK JAIN 311345 SDP ICU ROUTINE 03/16/24
28 HARAK JAIN 311345 PRBC ICU ROUTINE 03/16/24
29 AYESHA KHAN 311544 PRBC 2ND FLOOR ROUTINE 03/16/24
30 AYESHA KHAN 311544 SDP 2ND FLOOR ROUTINE 03/16/24
31 AYESHA KHAN 311544 PRBC 2ND FLOOR ROUTINE 03/16/24
32 AYESHA KHAN 311544 PRBC 2ND FLOOR ROUTINE 03/17/24
33 HARAK JAIN 311345 FFP ICU ROUTINE 03/17/24
34 HARAK JAIN 311345 SDP ICU ROUTINE 03/17/24
35 AYESHA KHAN 311544 SDP ICU ROUTINE 03/17/24
36 HARAK JAIN 311345 PRBC ICU ROUTINE 03/17/24
37 VAIBHAV KUMBHAR 311519 FFP 3rd FLOOR ROUTINE 03/18/24
38 AARTI SHAH 311611 PRBC ICU ROUTINE 03/18/24

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TAT

39 AARTI SHAH 311611 PRBC ICU ROUTINE 03/19/24


40 VAIBHAV KUMBHAR 311519 PRBC 3rd FLOOR ROUTINE 03/19/24
41 VAIBHAV KUMBHAR 311519 RDP 3rd FLOOR ROUTINE 03/19/24
42 SIMRAN MEHRA 311641 PRBC 2ND FLOOR ROUTINE 03/21/24
43 SIMRAN MEHRA 311641 PRBC 2ND FLOOR ROUTINE 03/22/24
44 B\O NIKITASHA THAKUR 311130 PRBC NICU ROUTINE 03/22/24
45 ARUSHI SOLANKI 311689 PRBC PICU ROUTINE 03/22/24
46 MISS DENISHA 31694 PRBC TWIN ROUTINE 03/23/24
47 B/O VIBHUTI KAMATH 311024 PRBC NICU ROUTINE 03/24/24
48 DENISHA PAPNAI 31694 PRBC TWIN ROUTINE 03/26/24
49 YOGITA GAIKWAD 311750 PRBC 3rd FLOOR ROUTINE 03/26/24
50 B/O SHIKHA TWIN 1 311732 PRBC NICU ROUTINE 03/26/24
51 YOGITA GAIKWAD 311750 PRBC 3rd FLOOR ROUTINE 03/26/24
52 PUSHPA KAPUR 311751 PRBC 3rd FLOOR ROUTINE 03/27/24
53 PUSHPA KAPUR 311751 PRBC 3rd FLOOR ROUTINE 03/28/24
54 RATNAPRABHA MALI 311795 PRBC DCC ROUTINE 03/28/24
55 PRARAMJIT CHHABRA 311770 PRBC 3rd FLOOR ROUTINE 03/28/24
56 SHAMBHAVI SINGH 311781 PRBC 2ND FLOOR ROUTINE 03/28/24
57 SHAMBHAVI SINGH 311781 PRBC OT ROUTINE 03/30/24

Collection tool to monitor Turn around time for issue of blood compon
ure Code: PSQ3c Auditor Name & ID
Month-MARCH 202
Measure Description: Turn around time for issue of blood components
Sample Size- 100 %

Type Date of request


S Compon
Name of the Patient MRN Location/Ward (Routine/ received in
No. ent Type
Emergency) Blood Bank

1 DHRUV TELI 311836 PRBC PICU 04/01/24


2 SANDHYA JOGALE 311790 PRBC 3rd FLOOR 04/01/24
3 B\O SAMINDERJIT KAUR 311844 PRBC NICU 04/01/24

Page 17
TAT

4 KRISHI SHAH 311870 PRBC 04/02/24


5 RIYANSH MHATRE 301261 PRBC 04/02/24
6 KRIUTI SHAH 311883 PRBC SINGLE AC 04/03/24
7 SUMAIYA TAMWAR 311884 PRBC SINGLE AC 04/03/24
8 THRIDHA JADHAV 311894 PRBC 3rd FLOOR 04/03/24
9 YOGINI PATIL 311896 PRBC 3rd FLOOR 04/03/24
10 DURVA TELI 311836 PRBC PICU 04/03/24
11 RATNAPRABHA MALI 311897 PRBC 3rd FLOOR 04/03/24
12 RINKI JAIN 311904 PRBC SINGLE AC 04/04/24
13 SAMARSINH JADHAV 311922 PRBC NICU 04/04/24
14 AKSHATA GANJI 311906 PRBC SINGLE AC 04/04/24
15 SIA SOLANKI 311917 PRBC 2ND FLOOR 04/04/24
16 SAMARSINH JADHAV 311922 PRBC NICU 04/04/24
17 B\O AKSHATA GANJI 311920 PRBC NICU 04/04/24
18 RENU RATHANI 311924 PRBC SINGLE AC 04/05/24
19 SAONAL KACHHADIYA 311929 PRBC SINGLE AC 04/05/24
20 RASHMI PATEL 311928 PRBC 3rd FLOOR 04/05/24
21 JOYTI AGGARWAL 311927 PRBC SINGLE AC 04/05/24
22 SAMRITA JAD 311930 PRBC 3rd FLOOR 04/05/24
23 NILA BHATT 311923 PRBC 3rd FLOOR 04/05/24
24 POOJA DHAKNE 311926 PRBC SINGLE AC 04/05/24
25 ARYAN RAHATE
26 MAYA CREATHORN 311943 PRBC SINGLE AC 04/06/24
27 SAKSHI AGARWAL 311940 PRBC 3rd FLOOR 04/06/24
28 KAJAL MEHTA 311947 PRBC SINGLE AC 04/06/24
29 B\O DARSHANA
30 SAKSHI AGARWAL 311940 PRBC 3rd FLOOR 04/06/24
31 SHRISHTI MISTRY 311953 PRBC 2ND FLOOR 04/06/24
32 KAJAL MEHTA 311947 PRBC SINGLE AC 04/06/24
33 ARYAN RAHATE PRBC 04/06/24
34 GITA TIBREAL
35 JUDALINE GONSALVES 311964 PRBC 2ND FLOOR 04/07/24
36 SHYAMALA 311970 PRBC 2ND FLOOR 04/08/24
37 LAXMI JAGWANI 311971 PRBC ICU 04/08/24
38 B\O DARSHANA 311903 PRBC NICU 04/08/24
39 B\O SARA TWIN 1 311932 PRBC NICU 04/08/24
40 B\O SWATI SHAH 301297 PRBC NICU 04/08/24
41 B\O SANDHYA JOGALE 311807 PRBC NICU 04/08/24
42 BHAKTI NTHOMBARE 311980 PRBC 3rd FLOOR 04/09/24
43 VIBHA SHARMA 311984 PRBC 2ND FLOOR 04/09/24
44 MEHUL PRAJAPATI 311982 PRBC PICU 04/09/24
45 MAHTAB TARAPORE 311986 PRBC NICU 04/09/24
46 GITA TIBREWAL 311945 PRBC 3rd FLOOR 04/09/24
47 B/O MAHTAB TARAPORE 311989 PRBC NICU 04/09/24
48 B/O NISHA PATIL 311979 PRBC NICU 04/09/24
49 VIHAAN BEDEKAR 311995 PRBC PICU 04/09/24
50 JUDALINE GONSALVES 311964 PRBC 2ND FLOOR 04/10/24
51 B/O SAIMA SAYED 312002 PRBC NICU 04/10/24
52 BABY BHAVNA 311880 PRBC PICU 04/10/24

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TAT

53 PRBC
54 REKHA DOSHI 312012 PRBC 04/10/24
55 GITA TIBREWAL 311945 PRBC 3rd FLOOR 04/10/24
56 LAXMI JAGWANI 311971 PRBC ICU 04/10/24
57 NEHA THAKARE DHAKE 312018 PRBC 2ND FLOOR 04/10/24
58 B/O SAIMA SAYED 312002 PRBC NICU 04/10/24
59 JANVI CHIRAG PATEL 312006 PRBC OT 04/10/24
60 KRITIKA SRIVASTAVA PRBC 3rd FLOOR 04/11/24
61 SEJAL JETHWA PRBC
62 SHAURYA SINGH 312026 PRBC 2ND FLOOR 04/11/24
63 KHUSHALI THAKKER 312043 PRBC ER 04/11/24
64 LAURA SHEFFIELD 312044 PRBC SINGLE AC 04/11/24
65 SHRUTI DEDHIA 312045 PRBC SINGLE AC 04/11/24
66 KANCHAN VIPAT 312015 PRBC 2ND FLOOR 04/11/24
67 B/O SAIMA SAYED 312002 PRBC NICU 04/11/24
68 SEJAL JETHWA 312039 PRBC ER 04/11/24
69 JYOTI PATIL 312055 PRBC 2ND FLOOR 04/11/24
70 DEEPAL SHAH 312056 PRBC 2ND FLOOR 04/12/24
71 SEERAT JUNEJA 312059 PRBC 3rd FLOOR 04/12/24
72 SOBHI ALEXANDER 312001 3rd FLOOR 04/12/24
73 B\O TEJASVI BOBADE 312050 NICU 04/12/24
75 YUKTI SAJNANI
76 TAMANNA DEY 312083 SINGLE AC 04/13/24
77 LAXMI JAGWANI
78 RAAVYA TALREJA
79 HARDIK PANJWANI
80 VARSHA NAGDA
81 LAKSHMI SHUKLA
82 PAKIJA SHAIKH
83 YASHWANTI POOJARY
84 TARUNA PATEL
85 KAVYA DHANGAR
86 PRIYANKA JAIN
87 KANIKA PAUL
KANIKA PAUL
KANIKA PAUL
KANIKA PAUL
LALITA KOTHARI
FORUM TURAKHIA
KANIKA PAUL DEBNATH
PARIDHI AMAN BANSAL
KANIKA PAUL DEBNATH
SWAPNA SETPAL
MARY JACQUELINE
RUSHIKA MISTRY
RUSHIKA MISTRY
UPASANA PANDYA
ALISHA AHMED
RICHA DAGA

Page 19
TAT

AMRUTA JOSHI
KARIMAR CHARI
RATNAPRABHA MALI
PRATEEKSHA AHUJA
NETRA AYARE
NETRA AYARE
ADITI DEOTALE
KRISHNABEN PATEL
JINAL JOSHI
JINAL JOSHI
JINAL JOSHI
JINAL JOSHI
KRUPA DWIVEDI
KRUPA DWIVEDI
BABA SAMARSINGH JADHAV
SHIFA SHAIKH
SANA ASIF ASAMADI
SHAMBHAVI SINGH
NISHITA SHAH
NISHITA SHAH
NISHITA SHAH
NISHITA SHAH
NISHITA SHAH
VAIBHAV KUMBHAR
VAIBHAV KUMBHAR
SMITA VAZE
ANKITA SONDIGALA
NISHITA SHAH
VAIBHAV KUMBHAR
VAIBHAV KUMBHAR
DHRUVI THAKKAR
NEHA YADAV
NEHA YADAV
HARSHADA YADKIKAR
SANDRA RODRIGUES
SANDRA RODRIGUES
VAIBHAV KUMBHAR
VAIBHAV KUMBHAR
SUKANYA MUKHARJEE
SUKANYA MUKHARJEE
SHAMBHAVI SHARMA
FATIMA TOOBA
FATIMA TOOBA
ARTI POOJARI
VAIDEHI KUMBHAR
NIKITA GUPTA
RATNAPRABHA MALI
SUMITRA SARKAR
RUBINA ANSARI

Page 20
TAT

RUBINA ANSARI
LARRISA D,MELLO
RUBINA ANSARI
ADAM DSOUZA
TAMANNA DEY
RESHMA SHIRKE
BABY ALIZA SHAIKH
PURVI SHAH
MITA VIRA
MITA VIRA
MIHIKA PADALKAR
TANIYA AGARWAL
SHILPA MAJUMDAR
SUKANYA MUKHARJEE
SVETA ALCASOAS
JIYA YOGESH SHINDE
KHUSHBOO AGARWAL
B/O NAYANA GUPTA
B/O NAYANA GUPTA
PRATIBHA WADEKAR
DHARIYA GAITONDE
ALIZA SHAIKH
ZUBA KHATIB
ALIZA SHAIKH
ALIZA SHAIKH
ALIZA SHAIKH
ALIZA SHAIKH
B/O AFREEN OVES KHAN
B/O AFREEN OVES KHAN

Page 21
TAT

d time for issue of blood components


Auditor Name & ID
Month-JANUARY 2024

Time of Date of Time of


Corrective &
request component component Reason for
T2 – T 1 Preventive
received in reaching the reaching the delay if any
action taken
Blood Bank clinical unit clinical unit

10.33AM 01/01/24 11.18AM 45MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
9.30AM 01/01/24 9.45AM 15 MIN
4.33PM 01/01/24 4.41PM 8 MIN
5.43PM 01/01/24 5.50PM 7 MIN
11.45PM 01/02/24 12.05AM 20 MIN
12.54PM 01/03/24 2.00PM 66 MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
2.00PM 01/03/24 2.10PM 10 MIN
10.30AM 01/04/24 10.44AM 14 MIN
1.30PM 01/04/24 2.32PM 62 MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
11.51AM 01/05/24 12.05M 6 MIN
11.52AM 01/06/24 12.05PM 13 MIN
12.56PM 01/06/24 2.05PM 69MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
10.36AM 01/06/24 10.42AM 6 MIN
2.47PM 01/07/24 4.10PM 83 MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
9.05AM 01/09/24 10.05AM 60MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
12.0PM 01/10/24 12.23PM 23 MIN
11.20AM 01/11/24 12.45AM 25 MIN
9.42AM 01/12/24 6.04PM 502MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
4.51PM 01/13/24 4.55PM 4 MIN
4.42PM 01/13/24 6.18PM 96MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
12.35PM 01/14/24 12.45PM 10 MIN
4.51PM 01/14/24 4.55PM 4 MIN
5.18PM 01/14/24 5.20PM 2 MIN
11.58AM 01/15/24 12.09PM 11 MIN
4.42PM 01/16/24 4.50PM 8 MIN
3.20PM 01/17/24 3.33PM 13 MIN
11.35AM 01/19/24 11.40PM 5 MIN
5.01PM 01/21/24 5.08PM 7 MIN
5.35PM 01/21/24 6.10PM 35MIN
9.37AM 01/23/24 9.42AM 5 MIN
10.07AM 01/23/24 10.10AM 3 MIN
10.58AM 01/24/24 11.40AM 42 MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
7.12PM 01/24/24 7.50PM 38 MIN
10.20PM 01/24/24 10.30PM 10 MIN
9.27AM 01/25/24 9.32PM 5 MIN

Page 22
TAT
11.03AM 01/25/24 11.15AM 12 MIN
6.10AM 01/26/24 6.30AM 20 MIN
6.31PM 01/27/24 6.50PM 19 MIN
6.33PM 01/27/24 8.25PM 112MIN AS THEY SENT ISSUE REQUEST BUT THEY NEED BLOOD BAG AFTER SOME TIME
3.51PM 01/28/24 4.00PM 9 MIN
10.57AM 01/29/24 11.05AM 8 MIN
9.28AM 01/30/24 10.04AM 36MIN
2.27PM 01/30/24 2.35PM 8 MIN
8.28AM 01/31/24 9.02AM 34 MIN

1590 MIN

d time for issue of blood components


Auditor Name & ID
Month-FEBRUARY 2024

Time of Date of Time of


Corrective &
request component component Reason for
T2 – T 1 Preventive
received in reaching the reaching the delay if any
action taken
Blood Bank clinical unit clinical unit
3.34PM 02/01/24 4.19PM 45MIN
9.00PM, 02/01/24 9.30PM 30MIN
12.40PM 02/02/24 12.50PM 10 MIN
1.23PM 02/02/24 1.31PM 8 MIN
2.31PM 02/02/24 4.10PM 99MIN
3.07PM 02/02/24 4.05PM 58MN
3.30PM 02/03/24 3.35PM 5 MIN
5.06PM 02/03/24 5.49PM 43MIN
11.39AM 02/04/24 1.43PM 64MIN
9.00AM 02/05/24 9.56AM 56MIN
11.23AM, 02/05/24 12.05PM 42 MIN
2.04PM 02/05/24 2.13PM 9 MIN
1.18PM 02/07/24 1.22PM 4 MIN
3.30PM 02/07/24 3.34PM 4 MIN
7.58PM 02/09/24 8.54AM 56MIN
6.50AM 02/10/24 8.18AM 78MIN
9.36AM 02/11/24 10.53AM 77MIN
3.00PM 02/16/24 3.15PM 15 MIN

Page 23
TAT
4.00PM 02/16/24 5.08PM 68MIN
7.50PM 02/16/24 8.15PM 25 MIN
4.00PM 02/17/24 4.57PM 57MIN
6.00PM 02/17/24 6.15PM 15 MIN
11.54AM 02/18/24 12.15PM 21MIN
7.43AM 02/19/24 8.20AM 38 MIN
9.50AM 02/19/24 10.07AM 17MIN
10.23AM 02/19/24 10.34AM 11 MIN
1.55PM 02/19/24 2.50PM 55MIN
3.18PM 02/21/24 3.21PM 3 MIN
11.03AM 02/23/24 11.11AM 7 MIN
3.31PM 02/23/24 3.35PM 4 MIN
9.32PM 02/24/24 11.00PM 88MIN
11.12AM 02/25/24 11.18AM 6 MIN
8.41PM 02/25/24 8.50PM 9 MIN
1.35PM 02/26/24 1.40PM 5 MIN
7.15PM 02/26/24 7.40PM 25 MIN
7.18AM 02/27/24 7.29AM 11 MIN
12.07PM 02/27/24 12.41PM 34 MIN

1202MIN

d time for issue of blood components


Auditor Name & ID
Month-MARCH 2024

Page 24
TAT

Time of Date of Time of


Corrective &
request component component Reason for
T2 – T 1 Preventive
received in reaching the reaching the delay if any
action taken
Blood Bank clinical unit clinical unit

12.25PM 03/03/24 1.15PM 50MIN


10.47AM 03/04/24 1.05PM 138MIN
10.47AM 03/04/24 1.05PM 138MIN
2.06PM 03/04/24 2.11PM 5MIN
3.13PM 03/04/24 3.37PM 24MIN
3.13PM 03/04/24 3.37PM 24MIN
2.48PM 03/04/24 4.15PM 87MIN
5.21PM 03/04/24 5.32PM 11MIN
9.20PM 03/04/24 9.30PM 10MIN
12.24PM 03/05/24 12.34PM 10MIN
1.00PM 03/05/24 2.13PM 73MIN
1.00PM 03/05/24 2.13PM 73MIN
7.08PM 03/05/24 7.14PM 6MIN
12.58PM 03/06/24 1.50PM 52MIN
11.40AM 03/06/24 11.46AM 6MIN
7.25PM 03/06/24 7.28PM 3MIN
12.10PM 03/07/24 12.18PM 8MIN
6.19PM 03/07/24 6.25PM 6MIN
4.52PM 03/08/24 4.54PM 2MIN
7.09AM 03/09/24 7.20AM 11MIN
12.07PM 03/09/24 1.41PM 96MIN
2.15PM 03/09/24 3.03PM 48MIN
2.00PM 03/11/24 2.05PM 5MIN
6.27PM 03/13/24 7.19PM 42 MIN
4.55PM 03/16/24 4.59PM 4 MIN
4.55PM 03/16/24 6.26PM 91MIN
8.30PM 03/16/24 8.35PM 5 MIN
8.30PM 03/16/24 8.35PM 5 MIN
4.02AM 03/16/24 4.25AM 23 MIN
11.50AM 03/17/24 12.48PM 58MIN
3.20PM 03/17/24 4.18PM 58MIN
3.20PM 03/17/24 6.18PM 162MIN
7.34PM 03/17/24 7.45PM 11 MIN
9.11PM 03/17/24 9.15PM 4 MIN
3.06PM 03/18/24 4.25PM 79MIN
5.15PM 03/18/24 5.49PM 34 MIN

Page 25
TAT

9.48AM 03/19/24 9.55AM 7 MIN


3.52PM 03/19/24 5.00PM 8 MIN
10.10PM 03/19/24 10.20PM 10 MIN
10.44AM 03/21/24 10.49AM 5 MIN
11.51AM 03/22/24 1.28PM 77MIN
1.33PM 03/22/24 1.47PM 14 MIN
10.55PM 03/22/24 11.30PM 35MIN
2.39PM 03/23/24 2.45PM 6 MIN
9.14AM 03/24/24 9.27AM 13 MIN
10.25PM 03/26/24 12.08PM 103MIN
12.44PM 03/26/24 2.06PM 72MIN
7.00AM 03/26/24 7.20AM 20 MIN
8.55PM 03/26/24 9.00PM 5 MIN
3.15PM 03/27/24 5.35PM 135MIN
9.52AM 03/28/24 9.56AM 4 MIN
12.41PM 03/28/24 2.00PM 79MIN
2.16PM 03/28/24 2.20PM 4 MIN
4.25PM 03/28/24 5.57PM 92MIN
12.25PM 03/30/24 12.30PM 5 MIN
2156MIN

d time for issue of blood components


Auditor Name & ID
Month-MARCH 2024

Date of Time of
Time of
component process of Corrective &
request Reason for
and patient cross match T2 – T 1 Preventive
received in delay if any
sample cross performed action taken
Blood Bank
matched

8.16AM
10.12AM
10.30PM

Page 26
TAT

8.29AM
11.10PM
8.06AM
8.28AM
5.20PM
4.35PM
10.10PM
11.30PM
7.52AM
8.30AM
10.21AM
2.25PM
5.47PM
11.00PM
7.10AM
9.10AM
9.56AM
9.50AM
410.48AM
11.58AM
8.30PM

6.35AM
7.48AM
12.06PM

41.40PM
2.50PM
6.25PM
9.30PM

6.30PM
9.30AM
12.15AM
8.30PM
8.30PM
8.30PM
10.00PM
7.00AM
9.45AM
11.58AM
8.30AM
1.55PM
1.45PM
5.30PM
10.30PM
12.50PM
1.30PM
11.22AM

Page 27
TAT

2.08PM
3.00PM
3.22PM
6.31PM
8.35PM
9.52PM
8.15AM

10.37AM
12.27PM
1.28PM
5.11PM
5.11PM
2.00PM
11.30PM
11.30PM
00:00.00
11.52AM
11.54AM
6.30PM

2.63PM

Page 28
TAT

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Page 29
TAT

BAG AFTER SOME TIME

BAG AFTER SOME TIME

BAG AFTER SOME TIME

BAG AFTER SOME TIME

BAG AFTER SOME TIME


BAG AFTER SOME TIME

BAG AFTER SOME TIME

BAG AFTER SOME TIME

BAG AFTER SOME TIME

Page 30
TAT

BAG AFTER SOME TIME

Page 31
TAT

++++++++++++++++++++++++++++++

Page 32

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