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Allard S, Cort J, Howell C, Sherliker L, Miflin G, Toh CH. Transfusion 2024: A 5-year plan for clinical and laboratory transfusion in England. Transfus Med 2021; 31:400-408. [PMID: 34693582 DOI: 10.1111/tme.12827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 09/30/2021] [Accepted: 10/10/2021] [Indexed: 01/28/2023]
Abstract
The Transfusion 2024 plan outlines key priorities for clinical and laboratory transfusion practice for safe patient care across the NHS for the next 5 years. It is based on the outcomes of a multi-professional symposium held in March 2019, organised by the National Blood Transfusion Committee (NBTC) and NHS Blood and Transplant (NHSBT), attended and supported by Professor Keith Willet and Dame Sue Hill on behalf of NHS England and Improvement. This best practice guidance contained within this publication will facilitate the necessary change in pathway design to meet the transfusion challenges and pressures for the restoration of a cohesive, and functional, healthcare system across the NHS following the COVID-19 pandemic.
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Affiliation(s)
- Shubha Allard
- Department of Medical, NHS Blood and Transplant, London, UK
| | - Jon Cort
- Department of Clinical, Chesterfield Royal Hospital NHS Foundation Trust, Derbyshire, UK
| | | | | | - Gail Miflin
- Department of Medical, NHS Blood and Transplant, Cambridge, UK
| | - Cheng Hock Toh
- Department of Clinical, University of Liverpool on behalf of NHSBT and NBTC, Liverpool, UK
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Vanden Broeck J, Beeckman K, Van Gastel E, De Keersmaecker L, Devos T, Gérard C, Noens L, Putzeys D, Van Poucke K, Haelterman M, Deneys V, Schots R. Improvement of transfusion practice and reduction in red blood cell utilization in Belgian hospitals: Results of a national survey and benchmarking. Vox Sang 2021; 117:259-267. [PMID: 34374093 DOI: 10.1111/vox.13187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 06/01/2021] [Accepted: 07/08/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND OBJECTIVES Belgian health authorities launched a national platform in 2011 to improve the quality of transfusion practices and blood use in Belgian hospitals. No data were available about the quality of hospital transfusion practice at the national level. MATERIALS AND METHODS Three consecutive national surveys (2012, 2014 and 2016) were performed in all 111 Belgian hospitals to assess the degree of implementation of standards in four process domains related to red blood cell (RBC) transfusion: general quality aspects, ordering of RBC, electronic traceability and reporting of adverse events. The surveys were part of a methodology based on informing, feedback and benchmarking. Responses to questions were analysed semi-quantitatively, and hospitals could score 10 points on each of the domains. RESULTS The proportion of hospitals scoring below 5 per domain decreased from 16%, 70%, 14% and 11% (2012) to 2%, 17%, 1% and 1% (2016), respectively. Similarly, scores above 7.5 increased from 25%, 1%, 23% and 36% (2012) to 64%, 30%, 68% and 81% (2016), respectively. In 2016, overall quality of transfusion practices, including the four pre-specified domains, improved continuously with an average total score (max = 40) increasing from 24.2 to 30.5 (p = 0.0005). In addition, there was a decrease in the number of distributed and transfused RBC per 1000 population between 2011 and 2019 from 47.0 to 36.5 and 43.5 to 36.1, respectively. CONCLUSION These data show that the applied methodology was a powerful tool to improve quality of transfusion practices and to optimize utilization of RBC at the national level.
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Affiliation(s)
- Jana Vanden Broeck
- Department of Hematology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.,Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | - Katrien Beeckman
- Nursing and Midwifery Research Unit, University Hospital Brussels, Brussels, Belgium.,Nursing and Midwifery Research Unit, Faculty of Medicine and Pharmacy, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.,Centre for Research and Innovation in Care, Midwifery Research Education and Policymaking (MIDREP), Verpleeg- en vroedkunde, Universiteit Antwerpen, Antwerp, Belgium
| | | | | | - Timothy Devos
- Department of Hematology, Universitair Ziekenhuis Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium
| | | | - Lucien Noens
- Blood Bank, Universitair Ziekenhuis Gent, Ghent, Belgium
| | - Dominique Putzeys
- Department of Nursing, Centre Hospitalier Régional de la Citadelle Liège, Liège, Belgium
| | - Karin Van Poucke
- Clinical Laboratory, Algemeen Ziekenhuis Nikolaas, Sint-Niklaas, Belgium
| | - Margareta Haelterman
- Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | - Véronique Deneys
- Blood Bank, Département des Laboratoires Cliniques, Cliniques universitaires Saint-Luc, Université Catholique de Louvain Brussels, Brussels, Belgium
| | - Rik Schots
- Department of Hematology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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