BB QC 2024 New
BB QC 2024 New
BB QC 2024 New
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
Page 1
BLOOD BANK 4th EDITION
What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor
What
Measure Category (Clinical) and QPS Standard/Measurable element
S. No.
Standard PM Name Numerator Denominator Multiplication
factor
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
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
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
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
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
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
Name of the
S No. MRN Age/Sex
patient
Page 11
TR
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 %
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 %
Page 14
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
Page 16
TAT
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 17
TAT
Page 18
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
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
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
Page 24
TAT
Page 25
TAT
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
Page 30
TAT
Page 31
TAT
++++++++++++++++++++++++++++++
Page 32