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Despite the lack of an instigating event, verification of blood type before blood transfusion was successfully implemented. An impact on resources and benchmark indicators such as TAT can be anticipated and managed. Further process improvement efforts will be needed to ensure safety (e.g., at time of blood transfusion) for patients receiving blood transfusions. ABO/Rh verification may be necessary even after future implementation of bar coding and/or RFID chips, because human errors continue to occur even with systems improvements.

Successful QI in the TS improves processes that promote efficiency, effectiveness, and patient safety.

Vasopressor infusions are commonly used for hemodynamic support in the intensive care unit, especially in patients with septic shock and refractory hypotension. The duration of IV vasopressors is variable and often require careful and specialized monitoring by highly skilled critical care staff. Midodrine, as a pure alpha 1 agonist, has been shown to shorten the time septic shock patients need to be on vasopressor support.

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