Blood transfusion services qc

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This is the extended post discussing the issues in the Quality and the Risk Management in the field of Blood Transfusion

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Blood transfusion services qc

  1. 1. QUALITY MANAGEMENTOF BLOOD BANK<br />DR. N. C. DAS<br />
  2. 2. QUALITY MANAGEMENT OF BLOOD BANK<br />Quality Management of blood transfusion service is concerned with every aspect of transfusion practice. <br />It includes all activities involved such as:<br /><ul><li>Selection of prospective donor.
  3. 3. Adequate collection of safe blood.
  4. 4. Preparation of blood components
  5. 5. Laboratory Quality Testing
  6. 6. Safe and appropriate use of blood and blood components
  7. 7. Good record keeping and documentation, worksheet
  8. 8. Use of standard operating procedures
  9. 9. Implementation of safety guidelines
  10. 10. Skilled, capable manpower </li></ul>DR.N.C.DAS<br />
  11. 11. COMPONENTS OF QUALITY MANAGEMENT <br />QUALITY PREPARATION<br />(Effective Component <br />Preparation)<br />QUALITY IN PROCUREMENT<br />(Donor, Material, Reagent)<br />QUALITY <br />MANAGEMENT<br />QUALITY IN SUPPLY<br />(Storage, Transportation,<br />Service)<br />QUALITY IN DESIGN &<br />DEVELOPMENT<br />(Improved Techniques &<br />Procedures)<br />Quality does not happen by chance.<br />Quality needs to be systematically developed. <br />
  12. 12. QUALITY MANAGEMENT SYSTEM<br />QUALITY <br />PLANNING <br />QUALITY <br />CONTROL <br />SYSTEM<br />QUALITY <br />IMPROVEMENT <br />QUALITY <br />ASSURANCE <br />DR.N.C.DAS<br />
  13. 13. QUALITY PLANNING<br />POLICY STATEMENT <br />ON QUALITY<br />BLOOD SAFETY <br />PLANNING <br />RECORDS AND <br />DOCUMENTATION<br />QUALITY MANUAL<br />WORK INSTRUCTION <br />OR<br />WORK SHEET<br />SOP<br />DR.N.C.DAS<br />
  14. 14. QUALITY CONTROL<br />
  15. 15. QUALITY ASSURANCE<br />Quality assurance provides information regarding levels of performance that can be used in setting priorities for process improvement.<br />
  16. 16. QUALITY IMPROVEMENT<br />PRODUCT <br />IMPROVEMENT <br />PEOPLES <br />IMPROVEMENT <br />Quality Blood Bags <br />Sterile procedure for collection<br />Storage Environment <br />Proper maintenance of records <br />Component separation <br />Use of latest technique for <br /> separation<br />Motivation & leadership <br />In service training & skill<br /> developments.<br />3. Awards & recognition <br />4. Seminar & work shops <br />5. Empowerment of people<br />QUALITY <br />IMPROVEMENT <br />PROCESS<br />IMPROVEMENT <br />Improve technique of collection <br />Donor Comfort <br />Donor Refreshment <br />Highly skilled manpower to handle <br />Internal & External Quality Control <br />
  17. 17. QUALITY ASSESMENT TOOLS<br />VALIDATION<br />CALIBRATIONAND STANDARDISATION<br />To measure what suppose<br /> to measure in the sample<br />QAT<br />AUDIT<br />DRUG CONTROLLER<br />ERRORMANAGEMENT<br />QUALITY ASSESMENT SCHEMES<br />INTERNAL QAS<br />EXTERNAL QAS<br />
  18. 18. ERROR MANAGEMENT<br /><ul><li>All staff have a responsibility to Report REPORT ERRORS
  19. 19. Senior/supervisory staff must take note of reports and follow the procedure for formal notification and investigation
  20. 20. Formal logging of errors, results of investigation, action taken to be recorded.
  21. 21. It generates a culture of awareness not fault finding mission.</li></li></ul><li>QUALITY ASSESMENT SCHEMES<br />INTERNAL QUALITY ASSESSMENT (IQA) :-<br />The assessment of a laboratory’s overall quality system is found by the process of, analysing each half of a sample in the same manner separately and comparing the results<br />EXTERNAL QUALITY ASSESSMENT (EQA):-<br />The external assessment of a laboratory’s performance is done using samples of known BUT undisclosed values, and comparison against other laboratories values of the same sample.<br />
  22. 22. POLICY STATEMENT<br />LEGAL REQUIREMENT <br />& LICENSING<br />GUIDELINES OF <br />FUNCTIONING<br />(Manpower, equipments, <br />Procedures) <br />TYPE OF <br />RECORDS<br />POLICY <br />STATEMENT <br />TRAINING &<br />SUPERVISION <br />MATERIAL MANAGEMENT <br />& MAINTENANCE<br />SPECIFICATION OF ALL<br />BLOOD PRODUCTS <br />METHOD OF <br />SUPERVISION &<br />AUDITING <br />
  23. 23. QUALITY MANAGEMENT INDICATORS IN BLOOD BANK<br />BLOOD BANK <br />QUALITY CONTROL<br />QUALITY <br />ASSURANCE <br />Equipment Maintenance <br />Regular Calibration <br />Use of quality Reagent Materials <br />Standardization<br />Blood grouping & cross matching <br />Screening of donor <br />Preparation of SOP <br />Blood Safety <br />Proper labeling<br />Maintenance of log book <br />QUALITY <br />IMPROVEMENT<br />DR.N.C.DAS<br />
  24. 24. TRANSFUSION REACTION<br />
  25. 25. TRANSFUSION REACTION<br />SEVERE REACTION MOSTLY OCCURS WITHIN FIRST 15 MINUTES OF TRANSFUSION.<br />TRANSFUSIONREACTION<br />RISK<br />Risk of Transfusion Transmitted Infections<br />Risk of immune related problems<br />Risk of Transfusion related complications<br />
  26. 26. TRASFUSION TRANSMITTED<br />
  27. 27. TRANSFUSION RELATED<br />
  28. 28. IMMUNO REACTION<br /><ul><li>Wrong sero typing /grouping/ cross matching
  29. 29. ABO incompatibility still remains the major cause of transfusion associated mortality.
  30. 30. Expiry/ haemolysed blood.</li></li></ul><li>TYPES OF TRANSFUSION REACTION<br />
  31. 31. MANAGEMENT OF TRANSFUSIONREACTION<br /><ul><li>Stop the transfusion
  32. 32. Keep IV line open
  33. 33. Notify the physician and blood bank
  34. 34. Give IV anti histamines
  35. 35. If reaction is severe give IV steroid
  36. 36. Keep monitoring the vitals of the patient every 15 mts.
  37. 37. Check all the labels & records for any clerical error & also record the volume of the blood that has been transfused. </li></li></ul><li>INVESTIGATION OF TRANSFUSIONREACTION<br />Once a transfusion reaction is notified following records and samples of the patient be sent to Blood Bank for investigation by Transfusion committee.<br /><ul><li>Transfusion history in report form.
  38. 38. Blood sample in EDTA
  39. 39. Blood sample in Plain Vial
  40. 40. First Urine sample after the transfusion reaction
  41. 41. The blood bag along with the transfusion set and blood remains.</li></li></ul><li>hospiad<br />Hospital Administration Made Easy<br />THANK YOU<br /> http//hospiad.blogspot.com<br />An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator.<br />DR. N. C. DAS<br />

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