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Haemovigilance System Quality After Establishment of Patient’s Safety Standards: Quality of Request, Return, Adverse Event Reporting, and Obtaining Informed Consent
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| Author:
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FARIN KASHANI*, MASOUMEH KAZEMI TORKI
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| Abstract:
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Background: Blood transfusion is one of the crucial parts of medical treatments which, if it is used properly, can save human lives. Blood transfusion treatment suffers from restrictions of storage time and high costs. Therefore, one of the necessary standards of the patient safety friendly hospitals’ initiatives addresses the essential issue of transfusion of blood and blood components. The main goal of the present study was to investigate the quality of establishment of the Patient safety standards on blood units, and their components regarding the request, and return process, the adverse event reporting, and obtaining informed consent for haemovigilance after the establishment of the safety standards in an Iranian academic hospital. The World Health Organization (WHO) Patient Safety Friendly Hospital Initiative (PSFHI) including haemovigilance system has been put into action in the stated hospital since September 2010.
Method: The study was conducted in two consecutive steps in Baharloo Hospital of Tehran, Iran. The data collected in 2011 (the beginning of the establishment of patient safety standards) were compared with those collected in 2016 (5 years after the establishment of the standards). As many as 100 blood bags estimated by Cochrane’s formula were collected using the collection checklist and were compared with the data belonging to the beginning of establishment of this system. Data analysis was conducted using descriptive statistics indices, paired t-test, and SPSS 22 software.
Results: The findings of the present study revealed that the mean score of standards being executed during request process, return of blood units from the blood bank, and obtaining informed consent from the patients regarding the blood transfusion was higher in compare to the ones obtained at the begging of the implementation, and these differences were statistically significant using the paired t-test (P<0/01). The quality of adverse effect reporting was not tested due to the lack of documentation at the beginning of the implementation of the standards in this hospital.
Conclusion: Implementation of the patient safety standards can influence the quality of blood request process, blood return process from the blood bank, and obtaining informed consent for the haemovigilance system in a significant manner.
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| Keyword:
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Hospital , Patient Safety, Patient Safety Standards, Patient Safety Friendly Hospital Initiative, Haemovigilance System, Blood transfusion , Blood Adverse event.
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| DOI:
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