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Producer Customer Interface:
Optimize Level of Inspection

What level of inspection is appropriate for a process? All products will eventually receive some type of inspection (possibly by the user). Options for inspection at any given place in the supply chain are no inspection, 100 percent inspection, and reducing or increasing the current level of inspection. A study of the level of inspection can potentially lead to changes that increase the quality of outcomes to the customers and/or decrease costs.




Examples of Tests of this Change

Giving insulin and other potentially hazardous drugs to patients requires a heightened level of inspection. Current practice requires that nurses double check the dose of insulin to be given with another nurse, even after the nurse has double checked his or her own calculations. This level of inspection is considered warranted because of the risks of over- or under-dosing. However, for less hazardous medications, no second double check is needed. When blood is administered to patients, the level of inspection is increased. Double checks occur three times: when the blood is prepared in the blood bank, when it is signed out to the patient unit, and when it is administered to the patient.