Karolinska Universitetssjukhuset

Zebra® Printing Solutions Improve Patient Security and Efficiency


Karolinska Universitetssjukhuset is one of Europe's largest hospitals. It wanted to simplify and improve its process efficiency for blood, plasma and tissue testing. In any given day, the hospital is responsible for 3800 patients, more than 250 procedures and 1600 hospital beds. In addition it processes daily analyses from 10,000 test tubes from the numerous departments. As with any other hospital, it is vital to have full control of all tests administered by its staff. The hospital wanted to ensure that the process of blood, plasma and tissue testing, carried out by its various laboratories, was as efficient as possible, removing the risk of mistakes and ensuring greater patient security.

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The Story

THE CHALLENGE

Patient security is a key medical sector challenge. It includes verifying and identifying everything that can affect a patient during their hospital stay. Good patient security guarantees that the right patient gets the correct diagnosis and treatment. Having an integrated system for marking, identifying and tracking blood tests is a significant step towards being able to guarantee that patients receive their relevant test results. This in turn leads to appropriate treatment at the correct dose.

Previously, when Karolinska doctors sent blood, plasma or tissue to the laboratory, this was a manual process. Laboratory orders labels were printed from a regular laser printer. A whole sheet of labels was needed just to print a single label. This was an unnecessary waste of resources. Additionally the printed labels were not logged into the hospital's journal system. This resulted in mistakes.

THE SOLUTION

More efficient handling of laboratory tests 
Karolinska needed to improve their handling of tests sent to laboratories. Back in 2003, Karolinska Sjukhuset in Solna went from using regular laser printers for blood test labelling, to using Zebra® desktop printers. The system was gradually expanded and now covers all of Karolinska Universitetssjukhuset. A cost effective and safe solution was needed. The Zebra® TLP 2844 desktop printer was chosen as ideal for printing test tube labels, emergency room ID tags and patient records. Today Karolinksa deploys more than 2000 TLP 2844 desktop printers!

A journal system called TakeCare enables Karolinska hospital personnel to follow up on a patient's health care history, from anywhere in the hospital that it's held. This greatly reduces the risk for providing the wrong treatment due to incomplete information. Zebra® printers are used for labelling orders for blood, plasma and tissue tests to be sent for analysis. They are also used for patient labels and ID-bands for acute cases. When a doctor orders a blood, plasma or tissue test, he enters the order into the TakeCare system, which in turn generates a barcode and a LID (laboratory identity) number.

The doctor chooses which tests should be done and the number of labels to be printed. He then attaches each label to a test tube and sends them off to the lab. The barcode also incorporates a unique directory code, which identifies each of the more than 10,000 tubes sent to the laboratories each day and assures every sample is correctly distributed.

By integrating orders with the journal system, the process has become transparent. It is easier to see if and why a test has not been analysed. Also, as each test is directly linked to a specific patient's journal, the possibility of incorrectly identifying the results or the patient is almost completely removed.

The fact that all orders have been integrated with the TakeCare system also makes it easier for everyone to process the large amount of daily tests. "The Zebra® printers are stable, user friendly and safe to operate, which is of critical importance to us," said Svante Lewald, Systems Technician at Karolinska. "When you work in a hospital environment it's important to properly understand the problems associated with handling such a high volume of identical looking items. Our largest challenge was finding a single labelling solution suitable for all the diverse hospital areas. We received a lot of help from our local systems integrator with this. However, you rarely receive positive acknowledgement for technical healthcare solutions – if it works and no one is put at risk, no one notices, you just keep going," Svante Lewald continued.

Functional labelling 
Karolinksa's systems integrator is a specialist at integrating label and barcode systems and has helped the hospital implement and integrate this healthcare labelling solution with its TakeCare system. The Zebra® desktop printers' reliability and user friendliness is also of great importance in an environment where the smallest mistake could have significant consequences.

"We noted Karolinska's user requirements and then produced a label material that works with Zebra® printers. Previous experience helped us a lot in this process, so that we could ensure it would be a material that Karolinska would approve. Today we deliver 4.8 million labels a year to Karolinska," Kjell Forsberg, who works at Karolinska's systems integrator continued.

This new system has brought us yet another step closer to more secure and efficient healthcare. Zebra® printing solutions and the integration with our TakeCare hospital journal system has made it easier for our doctors and nurses to administer necessary tests to patients, as well as reducing the time it takes to get results back to the medical staff.

Svante Lewald, Systems Technician,
Karolinska

 

RESULTS

Solution benefits 
By reducing the manual work involved in handling tests, Karolinska has managed to improve overall efficiency and reduce the workload of overstretched doctors and nurses. Consequently, doctors and other hospital staff now have more time to do their job – namely taking care of patients. "This new system has brought us yet another step closer to more secure and efficient healthcare. Zebra® printing solutions and the integration with our TakeCare hospital journal system has made it easier for our doctors and nurses to administer necessary tests to patients, as well as reducing the time it takes to get results back to the medical staff,' Svante Lewald concluded.

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