Applying Quality Indicator in Transfusion Medicine to Monitor, Control & Improve your Blood Bank

1. By
Dr. Nashwa Elsayed
Clinical Pathologist, CPHQ, ,
Laboratory & Blood Bank Quality Manager (KFH – Medina)
Performance Indicators
for
Blood Transfusion Services

2. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
PIs are Important Tool of
Quality Management System (QMS)

3. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
PIs objectives
1. Fast And Simple Insight Into The Level Of Product And Service.
2. Assessment of the QMS Over Time & Conformity With The Goals
3. Identification of Weak Chains in the Process.
4. Selection of Priorities to be Solved.
5. Assessment Of The Efficiency Of Corrective Measures.
6. Benchmarking
7. Important For The Process Of Accreditation And Certification

4. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
The Transfusion Medicine Include:
1. Laboratory Medicine,
2. Clinical Medicine,
3. Pharmaceutical-like Production.
Transfusion Services is
a Complex Process
Applying Quality Management System in
The Transfusion Medicine That has Special
Consideration in Medical Science

5. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Inter-Connected Processes:
• Donor Recruitment, Selection and Testing.
• Variability of the Initial Material and Final Products.
• Risks Associated with Blood Products Collection & Use.
• Cost of the Used Material & Testing Procedures.
• Participants in Transfusion Services.
1. Donors & Patients.
2. Service Providers: (Phlebotomist, Technologists, Physicians & Nurses )
3. Regulators, Accreditation Agencies.

6. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Classification of Performance Indicators
According to Importance:
1. Key (Strategic)
2. Auxiliary (Process)
According to Criticality:
1. Rate Based
2. Sentinel
1.4
1.6
1.5
1.7
1.5
1.4 1.3
2
1.6 1.7
1.4
2
0
0.5
1
1.5
2
2.5
3
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Cross Matching / Transfusion Ratio
3.6% 3.9%
4.9%
4%
2.3%
3.9%
5.3%
2.2% 1.9% 2% 1.8% 1.9%
0
10
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Low VolumeBlood Disposal Rate
0
10
2 2
0
1
2
0
1
3 2
1 1 0
Blood Transfusion Reaction Rate

7. Valid
The Accuracy to
Measures The
Concept it is
Intended to
Measure.
Reliable
The Extent to
Yields The Same
Results on
Repeated
Measures
Specific
Able to Avoid
the Negative
Values
No False Positive
Sensitive
Able to Detect
the Positive
Values.
No False Negative
Characteristics of a Performance Measure

8. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Types of Performance Measures
Internal
Defined by the Institution Management
to Control their Processes,
Detailed, Specific,
Problems of Local Interest
External
Defined by & Reported to External
Partners, to Enable surveillance.
General
Global Issue

9. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
What the KPIs Measure & Monitor ?Structure
How the Processes
Are organized
(Resources)
ProcessHow the Activity
Is Performed
Outcome
Whether
Appropriate
Results have been
Achieved
Donabedian Triade

10. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
How to Select Quality Performance
Indicators?
According to:
• The Size of the Institution.
• Extent of the Activities Performed.
Quality Indicators Should Cover all Services Performed
within the Institution

11. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
ISBT Quality Indicators
The ISBT help in Establishments Blood Transfusion Quality Indicators
by Choosing What to Monitor
But Not the Objectives and Limits of Action
•Why?
Blood establishments differ among institutions according to the:
• Availability and Structure of Blood Donors,
• Criteria of Donor Selection,
• Method of Blood Product Preparation,
• Clinical Practice (different requirements for blood products),
• Availability of Material and Human Resources

12. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Setting Quality Objectives
 Experiences of other Institutions (Peer)
 Literature Data
 Results of own Process Measurements.

13. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Quality Objectives
• Reflect the Organization Goal.
• Goals Should be Realistic.
• Can be Changed or Redefined by the Management
Decision (in Case of Process Changes)

14. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
How to Define Quality Objectives
and Action Limits?
• 2-3 Years
• Retrospectively or Prospectively
Monitoring
• Mean Value of Measurements for the Respective Period
• Correction Factor (Degree of Needed Improvement)
Initial Goal
• 2 SD: Critical Indicators
• 3 SD: Less Critical Indicators
Action limits

15. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Data should be Timely Processed and Forwarded to
the Interested Parties
Not all QIs are Equally Significant for All subjects

16. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Corrective Actions
Most Important Ultimate Goal of QI Monitoring
• Upgrading the Product and Service Quality.
• Reduction of Non-Conformities and Errors to an Acceptable level.
• Monitored by further Indicator Surveillance
Corrective Actions have to be Documented
 Re-education or Additional Education
 Changes in the Working Process,
 Establishment of Additional Administrative Controls, etc.

17. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Accreditation Requirements
(CBAHI 2016 ) LB. 31 The laboratory develops a process for
internal (self) and external assessment of operations and quality
management system.
LB.31.1 The laboratory develops and implements policies and procedures on
quality indicators and systems checks.
LB.31.2 The implemented system covers the selection, data collection, reporting,
and monitoring of quality indicators.
LB.31.5. The selected transfusion services indicators may include, but are not limited to,
the following:
LB.31.5.1 Rejected donors.
LB.31.5.2 Rejected units.
LB.31.5.3 Donor satisfaction.
LB.31.5.4 Adverse donor reactions.
LB.31.5.5 Usage and discards.
LB.31.5.6 Ability to meet the patient's needs.
LB.31.5.7 Blood ordering practices (cross matched/transfused ratio).
LB.31.5.8 Blood administration practices.

18. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Examples of Performance Indicators
in Transfusion Medicine

19. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Percentage of Volunteer Blood DonorIndicator Title
the percentage of volunteer donors over other donor categories
(Family Replacement, Preadmission Requests, Driver License , Paid)
Definition
…………..Target
ProcessType of Indicator
To assess the effectiveness of donor recruitment and donor centre operational
processes in increasing the percentage of volunteer donors.
Rationale
Blood Donation StaffResponsible person
ProspectiveData Collection Method
Blood Donation SoftwareData Source
𝑵𝒐.𝒐𝒇 𝑽𝒐𝒍𝒖𝒏𝒕𝒆𝒆𝒓 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
SaudiMOHTarget
i. >50%during2018,
ii. >75%during2019,
iii. Not<100%during2020,
Currently,NationalBloodSuppliesinmorethan
60%oftheCountriesareBasedon100%Voluntary
BloodDonation.

20. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Percentage of Female Blood DonorIndicator Title
The percentage of Female donors over the all Blood DonorsDefinition
…………..Target
ProcessType of Indicator
Monitor Female: Male Donors Ratio
To assess the effectiveness of donor recruitment and donor centre operations,
Rationale
Blood Donation StaffResponsible person
ProspectiveData Collection Method
Blood Donation SoftwareData Source
𝑵𝒐.𝒐𝒇 𝑭𝒆𝒎𝒂𝒍𝒆 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
AlthoughfemaletoMailRatioareAlmostEqual,
the%ofFemaleDonorsinMOHBloodCollectionCentresdoesnotExceed1%.
DueTo:
• lackofAppropriateFacilitiesandPrivacy.
• TheMisconceptionofFemalesareAlwaysnotFittoDonate.

21. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Blood Donor SatisfactionIndicator Title
Blood donors’ level of satisfaction and how they rate their blood donation
experience.
Definition
> 95 %Target
ProcessType of Indicator
Blood donor Satisfaction Regarding his Donation experience are essential for
maintaining sustainable volunteer blood donor pool.
Rationale
Blood Donation StaffResponsible Person
ProspectiveData Collection Method
Blood Donation Satisfaction FormData Source
𝑵𝒐 𝒐𝒇 𝑺𝒂𝒕𝒊𝒔𝒇𝒊𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
ReasonsforUnsatisfaction&RecommendationwillbeCollected.

22. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Adverse Donor ReactionIndicator Title
the number of the donors who experienced adverse reactions before, during
or after the donation. These reactions are classified into mild, moderate or
severe.
Definition
< 1.5 %Target
ProcessType of Indicator
Although these reactions can’t be completely avoided, some of these reactions
can be prevented by applying strict donor selection criteria aiming at the
protection of the donor. Donors, especially first-time donors, experiencing
such an event are less likely to attempt to donate again.
Rationale
Blood Donation StaffResponsible Person
ProspectiveData Collection Method
Blood Donation Adverse Reaction FormData Source
𝑵𝒐 𝒐𝒇 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 𝑾𝒉𝒐 𝑬𝒙𝒑𝒆𝒓𝒊𝒆𝒏𝒄𝒆𝒅 𝑨𝒅𝒗𝒆𝒓𝒔𝒆 𝑹𝒆𝒂𝒄𝒕𝒊𝒐𝒏 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝑩𝒍𝒐𝒐𝒅 𝑫𝒐𝒏𝒐𝒓𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
Adverse Donor Reaction First-Time Donors
𝑵𝒐 𝒐𝒇𝑨𝒅𝒗𝒆𝒓𝒔𝒆 𝒅𝒐𝒏𝒐𝒓 𝒆𝒗𝒆𝒏𝒕𝒔 𝒊𝒏 𝒇𝒊𝒓𝒔𝒕 𝒕𝒊𝒎𝒆 𝒅𝒐𝒏𝒐𝒓𝒔/ 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝒏𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝒂𝒅𝒗𝒆𝒓𝒔𝒆 𝒅𝒐𝒏𝒐𝒓 𝒆𝒗𝒆𝒏𝒕𝒔/ 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100

23. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Rejected Blood Units RateIndicator Title
The Rate of Blood Units Rejected due to Transfusion Transmitted Diseases.Definition
TTD Positive < 5 %Target
ProcessType of Indicator
To assess the Adherence to Blood Donor Selection criteria for choosing the
qualified Donors for allogeneic blood/blood components collection .
As these requirements keeps the rejected units (units testing positive for
transfusion transmitted diseases) at its lowest possible percentage.
Rationale
Blood Donation StaffResponsible person
RetrospectiveData Collection Method
Blood Bank Disposal Logbooks & Blood Donation SoftwareData Source
𝑵𝒐.𝒐𝒇 𝑻𝑻𝑫 𝑷𝒐𝒔𝒊𝒕𝒊𝒗𝒆 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝑪𝒐𝒍𝒍𝒆𝒄𝒕𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
10.2% 8.3%
12.2%
9.3% 10.3%
21%
11.4%
5.9% 3.7% 4.2% 5.5% 3.7%
0
10
20
30
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Sero PositiveRejected Blood Unit (TTD) Rate

24. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Blood Disposal RateIndicator Title
The Rate of Blood Units disposed due to different causes .Definition
……… %Target
ProcessType of Indicator
To Assess the Efficacy of Blood Bank technical staff to prepare suitable units
for transfusion.
Rationale
Blood Bank Technical Staff.Responsible person
RetrospectiveData Collection Method
Blood Units Disposal LogbooksData Source
𝑵𝒐.𝒐𝒇 𝑫𝒊𝒔𝒑𝒐𝒔𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 𝒇𝒐𝒓 𝑪𝒆𝒓𝒕𝒂𝒊𝒏 𝑪𝒂𝒖𝒔𝒆 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒐. 𝑶𝒇 𝑪𝒐𝒍𝒍𝒆𝒄𝒕𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
3.6% 3.9%
4.9%
4%
2.3%
3.9%
5.3%
2.2% 1.9% 2% 1.8% 1.9%
0
10
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Low VolumeBlood Disposal Rate

25. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Cause of Discard
PRBCs Units FFP Units PLTs Units
No.
% from
Total
Discarded
% from
Total
Collected
No.
% from
Total
Discarded
% from
Total
Collected
No.
% from
Total
Discarded
% from
Total
Collected
1 Rejected for TTI 27 29% 3.7 % 27 31.8% 3.7 % 27 23.9% 3.7 %
2 Rejected 22 24% 3.1 % 26 30.6% 3.6% 26 23.0% 3.6 %
3 Open System 11 12% 1.5 % 7 8.2% 1 % 9 8.0% 1.2 %
4 Low Volume 14 15% 1.9 % 15 17.6% 2 % 15 13.3% 2 %
5 High Volume 5 5% 0.7 % 5 5.9% 0.7 % 5 4.4% 0.7 %
6 Antibody screen +ve 0 0% 0% 1 1.2% 0.1 % 1 0.9% 0.1 %
7 DAT 2 2% 0.3 % 0 0.0% 0.0% 0 0.0% 0%
8 Expired 11 12% 1.5 % 0 0.0% 0.0% 0 0.0% 0%
9 Bloody 0 0% 0% 4 4.7% 0.5 % 30 26.5% 4.1 %
10 Returned 0 0% 0% 0 0% 0% 0 0% 0%
11 Lipemic 0 0% 0% 0 0% 0% 0 0% 0%
12 Bacterial contamination 0 0% 0% 0 0% 0% 0 0% 0%
13 Icteric 0 0% 0% 0 0% 0% 0 0% 0%
Total 92 85 113
% to Total Units 12.6 % 11.6 % 15.5 %
Total KFH Collected Units 729
Remaining Units 637 644 616
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
other Expired Returned High Volume Low Volume Open System Rejected Sero +ve
PRBCs Discarded Units
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Other Bloody Expired Returned High Volume Low Volume Open System Rejected Sero +ve
FFP Discarded Units
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Other Bloody Expired Returned High Volume Low Volume Open System Rejected Sero +ve
PLTs Discarded Units

26. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Adequacy of Blood InventoryIndicator Title
The days in which the blood inventory was in he optimal levels to cover
patients needs
Definition
> 95 %Target
StructureType of Indicator
To Assess the Efficiency of Blood Bank in establishing and maintaining
optimal blood inventory based on the size and complexity of the healthcare
facility and adequate to meet the needs of the patient served
Rationale
Blood Bank.Responsible person
RetrospectiveData Collection Method
Blood Bank Daily Inventory FormData Source
𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝒅𝒂𝒚𝒔 𝒂𝒕 𝒘𝒉𝒊𝒄𝒉 𝒕𝒉𝒆 𝒊𝒏𝒗𝒆𝒏𝒕𝒐𝒓𝒚 𝒘𝒂𝒔 𝒐𝒑𝒕𝒊𝒎𝒂𝒍/ 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒐. 𝒐𝒇 𝒅𝒂𝒚𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
TheLevelsof BloodInventory
CalculatedfromAverageofIssued
Units AABB

27. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Crossmatch / Transfusion RatioIndicator Title
The Ratio Between the Blood Units Cross Matched According to Treating
Physician Orders to Units Actually Transfused to Patients.
Definition
< 2Target
ProcessType of Indicator
To ensure proper blood utilization
as Excessive cross matching, in addition to being wasteful of resources has
adverse consequences on management of blood inventory and blood quality
as blood is unduly held in reserve, oftentimes moved between fridges and
may remain out of optimum storage temperatures while blood is cross
matched..
Rationale
Blood Bank Technicians & Hospital Physicians ordering Blood Units.Responsible person
RetrospectiveData Collection Method
Transfusion Request & Blood Issue logbookData Source
𝑵𝒐. 𝒐𝒇 𝑪𝒓𝒐𝒔𝒔𝒎𝒂𝒕𝒄𝒉𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔/𝑴𝒐𝒏𝒕𝒉
𝑵𝒐. 𝒐𝒇 𝑨𝒄𝒕𝒖𝒂𝒍𝒍𝒚 𝑻𝒓𝒂𝒏𝒔𝒇𝒖𝒔𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 /𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
Formula
1.4
1.6
1.5 1.7 1.5
1.4 1.3
2
1.6 1.7
1.4
2
0
0.5
1
1.5
2
2.5
3
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Cross Matching / Transfusion Ratio

28. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Blood Availability RateIndicator Title
The availability of Blood Units upon request by physician for Transfusion to
Patients.
Definition
100 %Target
StructureType of Indicator
To Assess the Efficiency of Blood Bank in providing adequate Blood Units
needed by hospital for patient safety .
Rationale
Blood Bank.Responsible person
RetrospectiveData Collection Method
Blood Bank Logbooks & Blood Transfusion Request formData Source
𝑵𝒐.𝒐𝒇 𝑪𝒓𝒐𝒔𝒔 𝑴𝒂𝒕𝒄𝒉𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑴𝒐𝒏𝒕𝒉
𝑵𝒐. 𝑶𝒇 𝑹𝒆𝒒𝒖𝒆𝒔𝒕𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula
89%
91%
93% 94%
92% 93% 99% 96% 95%
92%
95% 95%
80%
90%
100%
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Availability 94%Blood Availability Rate

29. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Blood Wastage RateIndicator Title
The waste of Blood Units already issued but not Transfused to the PatientsDefinition
……… %Target
ProcessType of Indicator
To Assess the Blood utilization by hospital staff upon request & issue of
required units. as blood quality is affected by moving between fridges or
containers and remaining out of optimum storage temperatures.
Rationale
Ordering Physicians & Units Handling NursesResponsible person
RetrospectiveData Collection Method
Blood Units Disposal LogbooksData Source
𝑵𝒐.𝒐𝒇 𝒅𝒊𝒔𝒑𝒐𝒔𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 𝒂𝒇𝒕𝒆𝒓 𝒓𝒆𝒕𝒖𝒓𝒏 𝒇𝒓𝒐𝒎 𝑷𝒂𝒕𝒊𝒆𝒏𝒕 𝑾𝒂𝒓𝒅𝒔𝒆 / 𝑴𝒐𝒏𝒕𝒉
𝑻𝒐𝒕𝒂𝒍 𝑵𝒐. 𝒐𝒇 𝑰𝒔𝒔𝒖𝒆𝒅 𝑩𝒍𝒐𝒐𝒅 𝑼𝒏𝒊𝒕𝒔 / 𝑺𝒂𝒎𝒆 𝑴𝒐𝒏𝒕𝒉
X 100
Formula

30. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Quality indicators in Transfusion medicine
Donation Indicators:
• Percentage of voluntary non-remunerated blood donors
• Accomplishment of the planned number of donors (whole blood and apheresis)
• Percentage of donations collected from first time donors
• Number of donations per donor (per year)
• Donor deferral rate – total, temporary, permanent
• Donor adverse reactions
• Venipuncture failures
• Donor satisfaction
• Poor welds on blood collection and poor welds on blood product manufacture

31. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Blood Components Preparation:
• Lipemic plasma
• Hemolytic Plasma
• Expired platelet concentrate shelf life and expired RBC concentrate
• Component wastage rate (RBC, PLT, FFF) at the hospital
• Proficiency testing – performance evaluation
• Positive findings on blood product bacteriological testing
• Contamination rate of blood product cultures
• Non-conformities in blood product quality control results
Quality indicators in Transfusion medicine

32. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Products Issuing & Transfusion:
• Patient sample non-conformities and non-conformities in the requests for pre
transfusion testing
• Test turnaround time (TAT) – urgent requests
• AB0/Rh(D) discrepancies
• RBC units issued in emergency without testing
• Transfusion adverse events
• Wrong blood product issue
• Returned blood products
Quality indicators in Transfusion medicine

33. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed
Conclusion
Measure
Find Deviation
Corrective
Action
Improvement

34. KPIs For Blood Transfusion Services
Dr. Nashwa Elsayed