scholarly journals Blood Transfusion Practice among Healthcare Personnel in Nepal: An Observational Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Abja Sapkota ◽  
Sabitra Poudel ◽  
Arun Sedhain ◽  
Niru Khatiwada
Keyword(s):  
Quality Management ◽  
Blood Transfusion ◽  
Observational Study ◽  
Vital Signs ◽  
Transfusion Practice ◽  
Blood Bank ◽  
Quality System ◽  
Healthcare Personnel ◽  
Standard Protocol ◽  
Tertiary Hospitals

Background. The complications associated with errors in transfusion practice can be minimized by assessing transfusion practices. In Nepal, there is no standard protocol on blood transfusion. So, this study was conducted with an aim to assess the blood transfusion practice among healthcare personnel. Methods. A descriptive observational study was conducted in two tertiary hospitals in Kathmandu, Nepal, over a period of 10 months. Bedside blood transfusion procedures were observed using structured checklist. Results. Altogether, 86 observations were made. Time taken from dispatch from the blood bank to transfusion was >2 hours in 53.2% of cases. In majority of the cases, blood was kept in the ward in uncontrolled and unprotected manner by the patients’ relatives. Only 8.2% of the patients and/or the relatives were informed about the reasons, associated probable risks (2.4%), and the benefits of transfusion (4.7%). Assessment of vital signs at 15 minutes of initiation of transfusion was done on about 2 to 4% of cases. Conclusion. We found a suboptimal blood transfusion practice in Nepal, which could be attributable to substantial knowledge gap among healthcare personnel and the absence of quality culture, quality system, and quality management in the area of blood transfusion practices.

A RETROSPECTIVE STUDY OF BLOOD TRANSFUSION PRACTICES IN A TERTIARY CARE HOSPITAL OF NORTH INDIA.

2021 ◽  
pp. 25-29
Author(s):  
Rakesh Kumar Sharma ◽  
Shahid Anjum Awan ◽  
Vijay Sawhney
Keyword(s):  
Blood Transfusion ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Blood Bank ◽  
Control Measures ◽  
North India ◽  
Care Hospital ◽  
Important Concern ◽  
Life Saving

INTRODUCTION: Blood transfusion is an important concern for the society, as it is life saving for patients with bleeding disorders, accidents, surgeries, inherited/acquired hematological diseases and malignancies. Generally, donors are classied into the following categories: voluntary, family replacement, remunerated or paid donors, and autologous donor. AIMS & OBJECTIVES:To understand the importance of Blood & its safe Transfusion practice in a Teaching Hospital. METHODOLOGY: An Observational study was conducted over a period of 12 months from January 2019 to December 2019 in a 750 –bedded Tertiary Care Hospital of Jammu(UT). OBSERVATIONS: In addition to providing Blood-Transfusion Services to the patients admitted in SMGS Hospital Jammu & Other Associated Hospitals of GMC Jammu, the Blood-Bank is also catering to the needs of Registered Private Nursing Homes & Hospitals of Jammu(UT).This Blood-Bank has exceptionally maintained a record of consuming the whole stock of Blood without wasting even a single pint of blood. DISCUSSION: The Aim of Blood Transfusion Services is to supply good Quality of Blood & its Components to the Patients & avoid any risk to the Donors as well as Recepients. Hence it is extremely essential to institute strict Quality Control Measures RECOMMENDATIONS: Recommended that Upgradation of Blood-Bank is essential to cater with the needs of Additional bed-strength that SMGS Hospital is going to acquire in the coming future.

scholarly journals ANALYSIS OF DISCARDED BLOOD UNITS IN A TERTIARY CARE INSTITUTE –A RETROSPECTIVE STUDY

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Chopade S W ◽  
Patil S B ◽  
Shinde A P ◽  
Bharati T ◽  
Sarate D S ◽  
...  
Keyword(s):  
Quality Management ◽  
Blood Transfusion ◽  
Whole Blood ◽  
Management System ◽  
Quality Management System ◽  
Tertiary Care ◽  
Blood Bank ◽  
Blood Products ◽  
Valuable Resource ◽  
Care Institute

Introduction: Blood is a valuable resource & Ideally  in  a  good  set  up,  wastage  of  blood  and  blood products should never occur. But to maintain balance between demand and supply of blood and blood products blood banks have to keep adequate and satisfactory stock of blood all the time, still a very small amount of blood wasting in blood bank can occur. Aims & objectives: Present study was undertaken to analyse the causes of discarded whole blood units, discard rate and the measures to reduce number of discard in blood bank attached to tertiary care institute. Material and Methods: In present study yearly data of whole blood discarded units & yearly collection of 10 years from 2010-2019 was collected from the discard registers & yearly reports of blood bank, govt. medical college, akola and analysed. Results & Conclusion: It has been found that out of total 77514 whole blood units which were collected, 2276 (2.93%) whole blood units were discarded. Of the total discarded whole blood units, 966 (42.44%) were discarded due to seropositivity for TTI, 801 (35.19%) due to insufficient quantity, 378 (16.61%) due to expiry, 112 (4.92%) due to other causes & 19 whole blood units were hemolysed. Blood stock and quality management system, Trained, dedicated & adequate staff, properly functioning blood transfusion committee to monitor activities of blood transfusion service and timely implementation of guidelines are the pre-requisites to provide safe and effective blood and to minimize discard of blood. Keywords: Blood, valuable resource, discard, TTI, quality management system

scholarly journals Patterns of pre-donation deferral in voluntary blood donors with its impact on the donor pool- A study in a tertiary care hospital

2021 ◽  
Vol 7 (1) ◽  
pp. 55-59
Author(s):  
Dr. Reshma Anegundi ◽  
◽  
Dr. Divyashree B N ◽  
Keyword(s):  
Blood Transfusion ◽  
Blood Donation ◽  
Tertiary Care ◽  
Vital Signs ◽  
Blood Bank ◽  
Care Hospital ◽  
Donor Pool ◽  
Blood Transfusion Service ◽  
Donor Deferral ◽  
Blood Grouping

Background: The prime responsibility of a Blood Transfusion Service is to provide a very safe,sufficient and timely supply of blood and its components to those in need. In fulfilling thisresponsibility, the Blood Transfusion Service should ensure that the act of blood donation is safe andcauses no harm to the donor. Aims and objectives: To estimate the incidence of pre-donationdeferral in a tertiary care institute and to estimate various factors for donor deferral. Material andmethodology: A retrospective analysis of donors data was collected from January 2019 toDecember 2019 from the donor deferral registry maintained in the blood bank. In this study, thesubjects who visited our blood bank or arrived at a voluntary blood donation camp for purpose ofdonating blood were screened by donor questionnaire and basic physical examination done withrecording vital signs(temperature, blood pressure, pulse rate) followed by hemoglobin estimationand blood grouping. Results: In the present study, 456 donors were deferred from donation. Thedeferral rate was 13.6%. Deferral rate was high among males. The majority of deferrals, weretemporary deferrals, 380(83.33%) and 76(16.66%) were permanent deferrals. Anemia was themost common cause among temporary deferrals constituting 56.05% of temporary deferrals and46.71% of total deferrals. Conclusion: Attempts should be made to create awareness amongpotential donors by conducting health talks, distributing educational pamphlets, counselling donorsduring donation and encouraging them for future donations.

INCREASING THE EFFICIENCY OF MANAGERIAL DECISION THROUGH THE IMPLEMENTATION OF A BUILT-IN QUALITY SYSTEM

2020 ◽  
Vol 1 (11) ◽  
pp. 54-59
Author(s):  
E. S. GUROVA ◽  
◽  
E. P. ZNAMENSKAYA ◽  
Keyword(s):  
Quality Management ◽  
Management System ◽  
Quality System ◽  
Enterprise Management ◽  
Management Decision ◽  
Managerial Decision ◽  
High Quality ◽  
Supporting System ◽  
Enterprise Management System

The article considers one of the important criteria for improving the enterprise management system – making a high-quality management decision. This criterion affects the development of the organization's management system. The proposed method, using the implementation of the built-in quality system, will increase the number of high-quality decisions made, increase the ability of the management system to adapt to external changes, and contribute to the formation of a self-supporting system by using the internal reserves of the organization.

scholarly journals A Prospective Multicenter Observational Study of Venous Thromboembolism after Gastric Cancer Surgery (SHISA-1601)

2021 ◽  
pp. 1-10
Author(s):  
Sachiko Kaida ◽  
Toru Miyake ◽  
Satoshi Murata ◽  
Tsuyoshi Yamaguchi ◽  
Takeshi Tatsuta ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Venous Thromboembolism ◽  
Blood Transfusion ◽  
Observational Study ◽  
Characteristic Curve ◽  
Cancer Surgery ◽  
Gastric Cancer Surgery ◽  
Multicenter Observational Study ◽  
Prospective Multicenter Observational Study ◽  
D Dimer

Introduction: This study aimed to clarify the frequency and risk factors of intercurrent venous thromboembolism (VTE) in patients undergoing major curative gastric cancer surgery. Methods: This prospective, multicenter, observational study included patients with gastric cancer who underwent radical gastrectomy at 5 hospitals between June 2016 and May 2018. Patients who were preoperatively administered anticoagulants were excluded. Results: A total of 126 patients were eligible to participate. VTE occurred within 9 days postoperatively in 5 cases (4.0%; 2 symptomatic and 3 asymptomatic). Postoperative day (POD) 1 plasma D-dimer and soluble fibrin (SF) levels were significantly higher in the VTE group than in the non-VTE group. Receiver-operating characteristic curve (ROC) analysis indicated a statistically significant ability of POD 1 D-dimer and SF levels to predict postoperative VTE development after gastrectomy; this finding was reflected by an area under the curve (AUC) of 0.97 (95% CI 0.92–1.0) and 0.87 (95% CI 0.74–1.0), respectively. Cutoff values of D-dimer (24.6 µg/mL) and SF (64.1 µg/mL) were determined. Intraoperative blood transfusion (odds ratio [OR] 7.86), POD 1 D-dimer ≥24.6 µg/mL (OR 17.35), and POD 1 SF ≥64.1 µg/mL (OR 19.5) were independent predictive factors for postoperative VTE (p < 0.05). Conclusion: VTE occurred in 4.0% patients (1.6% symptomatic and 2.4% asymptomatic) after gastric cancer surgery; however, with an early diagnosis and anticoagulant therapy, no patients experienced progression. Careful observation of patients with a high risk for VTE, including intraoperative blood transfusion and high POD 1 D-dimer or SF levels, would contribute to the early detection of VTE.

Development of a Quality Manual for Radioisotope Production Plants

2014 ◽  
Author(s):  
Yasser E. Tawfik
Keyword(s):  
Quality Management ◽  
Product Quality ◽  
Management System ◽  
Quality Management System ◽  
Quality System ◽  
Atomic Energy ◽  
Production Plant ◽  
Production Facility ◽  
Radioisotope Production ◽  
Atomic Energy Authority

The purpose of issuing a quality manual for the radioisotope production plants is to define and describe the quality system implemented by the plant. It provides general procedures for all activities comprising the quality system, defines the authorities and responsibilities of all personnel affected by the system and provides a way to inform our customers of the specific controls that are in place at radioisotope production plants to assure continued product quality. Such a quality manual is regularly updated to depict the quality management system implemented by radioisotope production plant as accurately as possible. Example of this type of quality manual is developed for the radioisotope production facility (RPF) located in ETRR-2 Complex site – Egyptian Atomic Energy Authority – Inshas-EGYPT.

New Perspectives in Blood Transfusion Practice

Vox Sanguinis ◽  
1969 ◽  
Vol 16 (4-5) ◽  
pp. 247-251
Author(s):  
T.J. Greenwalt
Keyword(s):  
Blood Transfusion ◽  
Transfusion Practice
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