Where do you record important BT messages on Winpath system?

[tangx]

If you are going to change the info style- this would have to be for all previous records too, and will be a lot of work,otherwise there is potential for staff to miss this important information and release unsuitable units.

IT IS a lot of work to change colour for all previous records and I don't think it is possible too. I did try and realise all previous records cannot be edited unless delete and re-type.

[Rashmi]

Hi Tangx,
Really good the consideration you have given to this and actions taken so far , now you need to escalate things outside your control:

1.Pathology / Quality managers together with your input need to assess the risk to all the patients for the period prior to your changing the font colour (probably whole of your database!).
2. If another department now adds Notes to a patient record containing transfusion details- this will still be a problem. Is the transfusion dept alerted by users who are adding new notes? if not- there are still risks because you will not have awareness to change font colours.
3. How was this change allowed to happen without consultation with Blood bank? ( yes, these things are sent to try us regularly- but unacceptable !!)
4. Is there a risk that another user can delete transfusion notes accidentally?
5. If unsuitable blood is released because staff didn’t notice the buried Notes- the RCA must mention this as possible contributory factor.
6. The Pathology risk assessment is key, and this should be on the trust risk register. Remember this is a risk to both the patient and your staff.

bw

[tangx]

Hi Tangx,
Really good the consideration you have given to this and actions taken so far , now you need to escalate things outside your control:

1.Pathology / Quality managers together with your input need to assess the risk to all the patients for the period prior to your changing the font colour (probably whole of your database!).
2. If another department now adds Notes to a patient record containing transfusion details- this will still be a problem. Is the transfusion dept alerted by users who are adding new notes? if not- there are still risks because you will not have awareness to change font colours.
3. How was this change allowed to happen without consultation with Blood bank? ( yes, these things are sent to try us regularly- but unacceptable !!)
4. Is there a risk that another user can delete transfusion notes accidentally?
5. If unsuitable blood is released because staff didn’t notice the buried Notes- the RCA must mention this as possible contributory factor.
6. The Pathology risk assessment is key, and this should be on the trust risk register. Remember this is a risk to both the patient and your staff.

bw

Many thanks for your advice Rashimi. I will escalate it to Path GM.