QUALITY INDICATORS- PERFORMANCE TOOLS OF BLOOD TRANSFUSION SERVICES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 90
Abstract
BACKGROUND Blood transfusion services play a crucial role in patient’s health care management. The quality of blood and blood products as well as their injudicious use may affect the health care facility. Therefore, it becomes necessary for any blood centre to promote high standards of quality in all aspects of its blood transfusion services. This can be achieved through implementation of quality management systems, which can be monitored to provide high quality services. Quality management systems can be monitored with the help of performance measures known as Quality Indicators (QI’s). Thus, our study is aimed to evaluate and analyse quality indicators as performance tools of our Blood Transfusion Services. MATERIALS AND METHODS This descriptive study was conducted in Department of Immunohematology and Blood Transfusion, MGM Medical College and Hospital, Kamothe, Navi Mumbai for a period of three years (2014 - 2016). The data was captured for eight most frequently used quality indicators in our blood bank, defined by NABH and was tabulated and charted. RESULTS On analysing the outcomes of the quality indicator parameters, we found that overall TTI% was found to be 0.93% and ATRR was 0.16%. Overall, wastage rate of whole blood and PRC were 2.05% and 3.19% respectively, while that of platelet it was 16.11% and for FFP and Cryoprecipitate it was 1.52%. Overall, TAT for routine issues were 135.82 mins and for emergency issues it was 29.87 mins. The overall QC failure rate of PRBC, platelet, FFP and SwPC (Saline washed packed cells) was 10.67%, 8.22%, 8.63% and 11.03% respectively. ADRR was found to be 1.15%, while DDR was 8.23%. The overall percentage of component issued were 98.18%. CONCLUSION A well-structured blood transfusion service contributes towards a better healthcare in a hospital, which is reflected by quality indicators. Quality Indicator Data is acted upon by continuous measurement, identifying problems, root cause analysis, implementing corrective action, developing a quality improvement strategy (i.e. Preventive action), reporting and seeking opportunities for improvement. Quality indicators act like tools for continuous improvement to enable an organisation to achieve its quality goals. Hence, by implementation of root cause analysis, corrective and preventive measures, the concerned authorities should ensure that the QI’s are instituted in the right way for improving the quality of BTS in the organisation.
Authors and Affiliations
Lakshita Varshney, Seema Gupta
Keywords
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- EP ID EP278256
- DOI 10.14260/jemds/2017/1381
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