RI Witness™ as a Laboratory Management Tool

Dr Alan ThornhillThe London Bridge Fertility,

Gynaecology and Genetics Centre

Background• Established 1988• 1,500 IVF/ICSI cycles p.a. (capacity 2000 +) ; 600 IUI cycles p.a.• IVF, ICSI, PGD/PGS, Egg freezing, Gamete/Embryo

Cryopreservation• 60% Private : 40% NHS• Full 7-day a week service• Proven track record, large experience working with satellite

(7) and transport (4) partners – QMH since 1994• ISO 9001;2000 certified, HFEA/CQC licensed, EUTD compliant• 3 full-time sub-specialty trained consultants + Male Fertility

specialist• Experienced Laboratory Team (12 Full-time)• World leaders in Reproductive Genetics• Full-time Board-Certified Genetic Counsellor

How often do you make mistakes?

We never make mistakes in our lab!

Mistakes are very rare in our lab...

The last mistake was in 1989...

We think it is low...but we don’t know

Total Work – 1507 yellow buttons

Assign Sperm Pot

Transport Egg Collection Further Culture Further Culture

Others?Frz Hb Sperm Step 1

Sperm Prep Step 1

Sperm Prep Step 2

Pre ICSI/Sperm Fishing

Assign IUI sperm pot

IUI Hb Step 1

IUI Sperm Prep step 2

PB Boipsy

Post Biopsy

PN Thaw

D3 Biopsy

TE Biopsy

Egg Freeze

ICSI Holding

ICSI

Embryo Surrogate Set-up

PN Thaw

Embryo Thaw

IUI D Step 1

Frz D Sperm Step 1

Egg Donation

Total Work Load

BC35321- Dish III not tagged

Summary

• Detection and Prevention of errors• Risk management/continuous improvement• Traceability• Competency assessment• Productivity• Identify training needs• Etc etc......