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NJBMS - Volume 9 Issue 4, April - June 2019

Pages: 168-174
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Quality Indicators of Blood Utilisation in a Tertiary Care Hospital in the Southern India - A Step towards Blood Safety

Author: Hariharan.A, Megala Chandrasekar, Thamilselvi Ramachandran, Yuvarajan.S, Lavanya.R.S

Category: Pathology


Background: The Blood Transfusion Services is committed to provide the highest possible standard of service to the patient and is responsible for ensuring sufficiency, quality and safety of the blood and blood components. Quality indicators are performance measures designed to monitor & evaluate the quality of transfusion process. This study was aimed to evaluate quality indicators and analyse the effectiveness of blood transfusion services at our centre.

Materials and Methods: A retrospective study was conducted for 1 year from March 2018 to March 2019 in the blood bank at Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem. The parameters used in the analysis were based on Quality indicators defined by NABH.

Results: Upon analysing the Quality indicators, Transfusion transmitted infection % was found to be 0.60% and ATRR (adverse transfusion reaction rate) 0.14%. Wastage rate of PRBC was 7.26%, Platelets 8.08% and Fresh Frozen Plasma 7.83%. Turn around Time for routine and emergency issues were 143.56 and 24.41 minutes respectively. The QC failure rate of PRBC was 1.9%, Platelet 10.2% and FFP 3.3%, ADRR (adverse donor reaction rate) was found to be 0.58% and DDR (donor deferral rate) was 8.99%. Percentage of issue was 95.6%. C: T (cross match transfusion ratio) was found to be 1.12.

Conclusion: Quality indicators are an indispensable tool that contribute to the improvement of the transfusion services and also helps to establish an index of confidence in the blood bank personnel regarding the quality of services they provide. From the above results the study demonstrated that blood transfusion services at our centre are effective.

Keywords: Quality Indicators, Blood Transfusion Service, Continuous Improvements.

DOI: 10.31975/NJBMS.2019.9404