scholarly journals Improving blood safety: Errors management in transfusion medicine

2014 ◽  
Vol 142 (5-6) ◽  
pp. 384-390
Author(s):  
Nevenka Bujandric ◽  
Jasmina Grujic ◽  
Mirjana Krga-Milanovic
Keyword(s):  
Blood Transfusion ◽  
Blood Donor ◽  
Quality Management System ◽  
Transfusion Practice ◽  
Near Miss ◽  
Transfusion Medicine ◽  
Blood Safety ◽  
Working Process ◽  
Potential Health ◽  
One Year

Introduction. The concept of blood safety includes the entire transfusion chain starting with the collection of blood from the blood donor, and ending with blood transfusion to the patient. The concept involves quality management system as the systematic monitoring of adverse reactions and incidents regarding the blood donor or patient. Monitoring of near-miss errors show the critical points in the working process and increase transfusion safety. Objective. The aim of the study was to present the analysis results of adverse and unexpected events in transfusion practice with a potential risk to the health of blood donors and patients. Methods. One-year retrospective study was based on the collection, analysis and interpretation of written reports on medical errors in the Blood Transfusion Institute of Vojvodina. Results. Errors were distributed according to the type, frequency and part of the working process where they occurred. Possible causes and corrective actions were described for each error. The study showed that there were not errors with potential health consequences for the blood donor/patient. Errors with potentially damaging consequences for patients were detected throughout the entire transfusion chain. Most of the errors were identified in the preanalytical phase. The human factor was responsible for the largest number of errors. Conclusion. Error reporting system has an important role in the error management and the reduction of transfusion-related risk of adverse events and incidents. The ongoing analysis reveals the strengths and weaknesses of the entire process and indicates the necessary changes. Errors in transfusion medicine can be avoided in a large percentage and prevention is costeffective, systematic and applicable.

Blood Requests and Utilization in Elective Surgical Patients in a Nigerian Teaching Hospital

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S168-S168
Author(s):  
A T Olatinwo ◽  
A Bolarinwa ◽  
T Adeyemo
Keyword(s):  
Blood Transfusion ◽  
Tertiary Hospital ◽  
Transfusion Practice ◽  
Surgical Patients ◽  
Surgical Interventions ◽  
Elective Surgical Procedures ◽  
Blood Transfusion Service ◽  
One Year ◽  
Transfusion Ratio ◽  
Transfusion Guidelines

Abstract Introduction/Objective Although requesting for blood is a very common practice for patients for surgical interventions, the average requirement for a particular procedure is usually based on subjective anticipation of blood loss rather than on evidence based estimates. Over-ordering of blood components results in wasting of technical time, reagents and imposes extra cost on patients. The objective of this study is to assess blood ordering and utilization in a Nigerian Tertiary Hospital. Methods A review of one year data collected from the records of all discharged surgical patients and blood bank registers was done. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (%T), and transfusion index (TI). Results A crossmatch request for 1,228 units for 569 patients was made. Requests was higher for gynaecological cases (24.8 %) followed by orthopaedic procedures and least for cardiothoracic and urological surgeries (1.4 % each). Out of the crossmatched units, 880 units was transfused for 373 patients. The overall of C/T, %T, and TI were 1.4, 65.6%, and 1.55 respectively. The highest C/T was observed in elective caesarean sections (2.25) and neurosurgeries (2.2) while the lowest C/T was observed in oral maxillofacial surgeries (1.09) Conclusion Unnecessary crossmatching with minimal transfusion practice was observed in many elective surgical cases. Blood request pattern for elective surgeries needs to be revised and unnecessary requests minimized. There is a need for a Hospital blood transfusion committee which should come up with blood request policies and transfusion guidelines for elective surgical procedures and also conduct regular blood transfusion service audits.

scholarly journals Malaria Seroprevalence in the Blood Donors of Malaria Endemic Regions of Northern Andhra Pradesh, India.

2020 ◽  
Vol 6 (8) ◽  
pp. 493-497
Author(s):  
Dr. C. Sitalata ◽  
◽  
Dr. K. Kalyan ◽  
Keyword(s):  
Blood Transfusion ◽  
Andhra Pradesh ◽  
Blood Donors ◽  
Blood Donation ◽  
Transfusion Practice ◽  
Test Results ◽  
Blood Safety ◽  
Medical Sciences ◽  
Endemic Areas ◽  
Blood Bag

Introduction: Transmission of malaria through blood transfusion continues to be a major threat tosafe blood transfusion practice. Transfusion-transmitted malaria occurs at an estimated rate of 0.25cases per 1 million blood units collected. It is significantly more common in endemic areas. Aim: Tostudy the Seroprevalence of Malaria among the blood donors in the endemic areas of NorthernAndhra Pradesh. Materials and methods: The present survey was carried out at the blood bank ofMaharaja institute of medical sciences, Vizianagaram. This includes the analysis of seroprevalence ofMalaria in the blood donors during the period of 1 year from February 2018 to January 2019. Two mlof the blood sample was collected in the labeled pilot tube at the time of collection of blood fromdonor tubing of the blood bag. The serum was separated. The samples were tested for Malaria byrapid antigen detection test. Results: Out of the total of 3096 blood donors, replacement donors(86.91%) were more in comparison to voluntary donors (13.08%). The seroprevalence among thereplacement blood donors was more compared to voluntary blood donors. Conclusion: Voluntaryblood donation, increasing awareness about blood donation in the general population, selection ofrepeat, non-remunerated, regular voluntary blood donors and diligent donor selection, sensitivescreening tests are most important to increase blood safety and prevent transmission of Malariathrough blood transfusion.

scholarly journals Strengthening of the Blood Safety System in the National Blood Transfusion Service - Implementation of the European Union IPA Project - at the Institute for Transfusion Medicine of the Republic of Macedonia

2014 ◽  
Vol 2 (3) ◽  
pp. 506-509
Author(s):  
Rada M. Grubovic ◽  
Emilija Velkova ◽  
Primoz Rozman ◽  
Henk W. Reesink
Keyword(s):  
European Union ◽  
Blood Transfusion ◽  
Safety System ◽  
Quality System ◽  
Transfusion Medicine ◽  
Blood Safety ◽  
Serious Adverse Events ◽  
Republic Of Macedonia ◽  
Blood Transfusion Service ◽  
The Republic

The Safety of the Blood Supply in any country is of utmost importance to safeguard patients from serious adverse events of blood transfusion. Implementation of a Quality System in the Blood Transfusion Service, with support of Government and Ministry of Health is a key element to guarantee safe blood. The IPA TAIB 2009 project - Strengthening of the Blood Safety System executed in 2013/14 provided the means to start implementing a Quality System in the Institute for Transfusion Medicine of the Republic of Macedonia. This project aimed to ultimately bring the Blood Transfusion Service to European Union standards, allowing the exchange of blood components and all other types of collaboration with other European Union countries in future. The project put the basis for unification of blood transfusion standards and operating procedures in the whole country as well as set up essential education of blood transfusion personnel.

Bridging the Knowledge Gap in Management and Operations of Transfusion Medicine

2013 ◽  
Vol 15 (1) ◽  
pp. 69-82 ◽  
Author(s):  
Cees Th. Smit Sibinga ◽  
Maruff Akinwale Oladejo
Keyword(s):  
Leadership Development ◽  
Blood Transfusion ◽  
Transfusion Practice ◽  
Knowledge Gap ◽  
Transfusion Medicine ◽  
Supportive Services ◽  
Adequate Knowledge ◽  
The World ◽  
E Learning ◽  
And Training

Health care includes supportive services such as laboratory, radiology and blood transfusion. To manage blood supply centres and hospital blood transfusion services, leadership development is paramount. In 2000, a post-academic Master course for Management of Transfusion Medicine (MMTM) was initiated, focused on restricted economy countries. E-learning has become a common approach in teaching and training in many parts of the world. However, there are still limitations of which some are difficult to influence and eliminate, because they are an integral part of less developed societies in different parts of the world. E-learning packages are increasingly being promoted as an effective way of delivering training, but they have still not penetrated the clinical transfusion practice. Most clinicians have little knowledge of the risks and benefits of supportive haemotherapy, illustrating that the importance of adequate knowledge and competence of blood prescribing clinicians is still not well recognized.E-learning has found its way into the field of blood transfusion. However, audits of clinical transfusion practice have consistently demonstrated deficiencies in knowledge and practice that impact on patient safety and in some cases, result in death. This paper focuses on bridging the knowledge gap in management and operations of transfusion medicine from the perspectives of planning, policy and leadership issues.

scholarly journals Blood Transfusion in Obstetrics and Gynecology: A Retrospective Analysis in Government Naseerullah Babar Hospital Peshawar

2022 ◽  
Vol 9 (1) ◽  
pp. 20-23
Author(s):  
Nadia Kashif ◽  
Aneela Ambreen ◽  
Afshan Ahsan
Keyword(s):  
Blood Transfusion ◽  
Transfusion Practice ◽  
Obstetrics And Gynecology ◽  
Blood Components ◽  
Inappropriate Use ◽  
Single Donor ◽  
Gynecology And Obstetrics ◽  
Packed Cell Transfusion ◽  
Convenience Sampling ◽  
One Year

OBJECTIVES: To evaluate the indications of blood transfusion in the Obstetrics and Gynecology Department of Government NaseerUllah Khan Babar Memorial Hospital. METHODOLOGY: This retrospective observational study was performed on indoor gynecology and obstetrics patients for the period of one year, a total of 100 patients were included in this study that received blood transfusion. Samples were collected by non-random convenience sampling after getting approval from the hospital ethical committee. Data was analyzed by using SPSS version 20. RESULTS: In this study a total of 100 patients who received blood transfusion were analyzed, out of 100 patients 78% of patients received transfusion due to obstetrical causes and 22% patients got transfused for gynecological causes. Most common blood group transfused was B+ and O+ and mean hemoglobin level at which patients received blood transfusion was 9.7g/dl. Blood components preparation can provide components to treat two to three patients from a single donor. The use of packed cell transfusion should be promoted instead of whole blood transfusion that is not even needed in most of the cases. CONCLUSION: Blood transfusion practice has been used aggressively in gynecology and obstetrics in some cases even without proper indications. There is a need to modify this practice by correcting anemia through drugs to avoid the inappropriate use of blood. Use of blood components should be encouraged.

Management and Operations of Transfusion Medicine

2019 ◽  
pp. 438-454
Author(s):  
Cees Th. Smit Sibinga ◽  
Maruff A. Oladejo
Keyword(s):  
Patient Safety ◽  
Leadership Development ◽  
Blood Transfusion ◽  
Blood Supply ◽  
Transfusion Practice ◽  
Transfusion Medicine ◽  
Global Approach ◽  
Supportive Services ◽  
Risks And Benefits ◽  
E Learning

Healthcare includes supportive services like blood transfusion. To manage blood supply and transfusion services, leadership development is paramount. E-learning has become a common global approach in teaching. However, there are limitations. Some are difficult to influence and eliminate. E-learning packages are promoted to effectively deliver education but are still not penetrated in clinical transfusion. Most clinicians have little knowledge of risks and benefits of hemotherapy. E-learning found its way into the field of blood transfusion. However, audits of clinical transfusion practice have demonstrated deficiencies in knowledge and practice that impact patient safety and in some cases result in death. WHO initiated a post-academic master course, “Management of Transfusion Medicine,” focused on leadership in restricted economy countries. This chapter focuses on bridging the knowledge gap in management and operations of transfusion medicine.

A Study on Day Care Transfusion Services in Transfusion Medicine Department of a Tertiary Care Hospital

2019 ◽  
Vol 3 (01) ◽  
pp. 12-15
Author(s):  
Farida Parvin ◽  
Mohammed Abdul Quader ◽  
Daanish Arefin Biswas ◽  
Mohammed Ali ◽  
Bepasha Naznin ◽  
...  
Keyword(s):  
Day Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fresh Frozen Plasma ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Transfusion Medicine ◽  
Blood Components ◽  
Medicine Department ◽  
Long Term Study

Background: Transfusion of blood components and derivatives in day care unit is an eminent part of management of transfusion dependent patients. Day care transfusion service is an alternative to hospital admission and beneficial for those patients who receive blood more frequently for their survival. Objective: The aim of present study is to assess Transfusion Services provided in a Day Care Unit (DCU) of a tertiary care hospital. Methodology: This study was carried out in DCU of Transfusion Medicine Department, Bangabandhu Sheikh Mujib Medical University, (BSMMU) at Dhaka during January 2014 to December 2014. Data were collected from record registers. Recorded retrospective data were analyzed as percentage and proportion. Results: Total recipients were 718. Among those 424 (59.05%) were male and 294 (40.95%) were female and 562 (78.27%) were between 10 to 40 years. A total of 8587 units of blood components were used during this period. Red Cell Concentrate was most commonly utilized product 6388 (74.39%) followed by Fresh Frozen Plasma (FFP) 1360 (15.83%), Platelet Concentrate 544 (6.33%), Whole blood 260 (3.05%) and Cryoprecipitate 35 (0.40%). Transfusion was required more frequently in thalassaemic 365(50.88%) patients. Haemophilia 77(10.72%) and aplastic anaemia patients 49 (6.82%) were next high. The main transfusion reaction observed during transfusion was febrile non-haemolytic reactions. Conclusion: For increasing use of specific blood product and hassle-free transfusion services this kind of day care unit services should be strengthened. Long term study of this kind will help us to develop safe clinical transfusion practice.

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