Advances in Nursing & Midwifery

Vol. 26 No. 92 (2017)

The Quality of Haemovigilance System after establishment of patient safety standards: The quality of Blood Preparations and Patient Monitoring at the time of transfusion

Advances in Nursing & Midwifery, Vol. 26 No. 92 (2017), 21 April 2017 , Page 7-14
https://doi.org/10.22037/anm.v26i92.15837

Abstract

کیفیت نظام مراقبت از خون پساز استقرار استانداردهاي ایمنی بیمار: کیفیت آمادهسازي خون و پایش بیمار در زمان تزریق

فرین رزاقی کاشانی 1، پوران رئیسی 2*، امیر اشکان نصیري پور 3، جلال فتح آبادي 4

  1. کارشناس ارشد مدیریت خدمات بهداشتی-درمانی، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده علوم پزشکی، واحد علوم و تحقیقات تهران، دانشگاه آزاد اسلامی، تهران، ایران
  2. (*نویسنده مسئول) دکتراي روانشناسی تربیتی و تحقیق، گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع رسانی Email:raeissi2009@yahoo.com پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران
  3. دکتراي مدیریت خدمات بهداشتی-درمانی، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده علوم پزشکی، واحد علوم و تحقیقات تهران، دانشگاه آزاد اسلامی، تهران، ایران
  4. کارشناس ارشد پرستاري، سوپرویزار آموزشی، بیمارستان بهارلو، تهران، ایران

چکیده

زمینه و هدف:

دفتر مدیترانه شرقی سازمان جهانی بهداشت در برنامه بیمارستانهاي دوستدار ایمنی بیمار، خون و فرآوردههاي خونی ایمن را به عنوان یک استاندارد الزامی مورد توجه قرار داده است. هدف از انجام این پژوهش بررسی کیفیت آمادهسازي خون و کیفیت پایش بیمار در زمان تزریق پس از استقرار استانداردهاي ایمنی بیمار بود.

مواد و روش ها:

پژوهش حاضر بر روي یک گروه و در دو نوبت متوالی در بیمارستان بهارلو، شهر تهران انجام گردید. به منظور انجام این مطالعه، داده-هاي مربوط به سال 1391 (اوایل استقرار استانداردها) با سال 1393 (یعنی چهار سال بعد از استقرار استانداردها) مقایسه گردید. تعداد نمونهها 100 عدد کیسه خون بود که توسط فرمول کاکران تخمین زده شده بود. دادهها توسط چک لیست جمعآوري گردید. تحلیل دادهها با استفاده از شاخصهاي آماري توصیفی و آزمون تی زوجی انجام شد.

یافته ها:

7) بعد از استقرار استانداردهاي ایمنی بیمار /96±0/ 6) و پایش بیمار ( 654 /92 ±0/ میانگین شاخص کیفیت آمادهسازي خون ( 299 2) افزایش نشان داد و این افزایش با استفاده از آزمون تی /52 ±0/ 1و 611 /64 ± 0/ نسبت به اوایل استقرار استانداردها (به ترتیب 482 .(P< 0/ زوجی براي هر دو شاخصاز لحاظ آماري معنی دار بود

 

نتیجه گیري:

این پژوهش نشان داد که استقرار استانداردهاي ایمنی بیمار، میتواند بر کیفیت آمادهسازي خون و کیفیت پایش بیمار در زمان تزریق در نظام مراقبت از خون تاثیر چشمگیر داشته باشد.

کلید واژه ها:

تزریق خون، ایمنی بیمار، پایش بیمار

Abstract
Background and Aim:
The Eastern Mediterranean Regional Office of the World Health Organization has paid attention to
blood and blood products safety as a necessary standard in the Patient Safety Friendly Hospitals
Initiative (PSFHI). The objective of the present study was to investigate the quality of
Haemovigilance system; the quality of blood preparation and patient monitoring at the time of
transfusion, after implementation of the patient safety standards.
Materials and Methods:
This study was done on a single group with a repeated measure design in Baharloo hospital, Tehran,
Iran. The data from 2012 (in the early establishment of standards) was compared with the data from
2014 (i.e. Four years later after implementation of the standards). 100 blood units were selected
through a convenient sampling. The sample size was estimated using the Cochrane ’s Formula. The
data were collected via a checklist. The data was analyzed descriptive statistics and the paired
sample t-test.
Findings:
The mean scores of the quality of blood preparations were (6.92±0.299) and patient monitoring
(7/96±0/654) after the establishment of patient safety standards, The scores increased in comparison
with the early establishment of standards (2.52±0.611, 1.64±0.482). The differences were
significant using a paired t-test (P<0. 01).
Conclusion:
The present study indicated that the establishment of patient safety standards can improve the
quality of blood preparations and patient monitoring at the time of transfusion in the
Heamovigilance system.
Key Words:
Blood Transfusion, Patient Safety, Patient Monitoring

Keywords:
  • Blood Transfusion
  • Patient Safety
  • Patient Monitoring

How to Cite

Razaghi Kashani, F., Raeissi, P., Ashkan Nasiripour, A., & Fath-Abadi, J. (2017). The Quality of Haemovigilance System after establishment of patient safety standards: The quality of Blood Preparations and Patient Monitoring at the time of transfusion. Advances in Nursing & Midwifery, 26(92), 7–14. https://doi.org/10.22037/anm.v26i92.15837

References

- Anonymous (2013) Serious Transfusion Incident Report 2008-2009 Department of Health &

Human Services.

- Asadi Fakhr A, Bikmoradi A, Zandiyh M and Mozafari H (2012) The assessment standards

related to blood transportation, storage, preparation, and administration in operating rooms of

Hamedan educational treatment centers. Scientific Journal of Iranian Blood Transfusion

Organization. 9 (1) 63-71.

- Dhingra N. "Haemovigilance in developing countries" World Health Organization, [on

line].<http://ihn.withtoast.co.uk/wp-content/uploads/2011/02/Dhingra-Neelam.pdf>. [9 Aug

.

- Emami Razavi S, Ravaghi H, Mohaghegh M, Sadat M, Mostofian F and Vazirian S (2012)

[Assessment of patient safety in hospitals a manual for evaluators]. Tehran, Mehr

Ravesh.(Persian)

- Engelbrecht S, Wood E M and Cole-Sinclair M F (2013) Clinical transfusion practice update:

haemovigilance, complications, patient blood management and national standards. Medical

Journal of Australia. 199 (6) 397-401.

- European Commission. " Summary of the 2012 annual reporting of serious adverse events and

reactions (sare) for blood and blood components" [on

line].<http://ec.europa.eu/health/blood_tissues_organs/docs/blood_sare_2012_en.pdf>. [23 Oct

.

- Faber J C (2007) Blood cold chain. ISBT Science Series. 2 (2) 1-6.

- Ghasemi M, Malek B, Tavakolpour A, Vosoughian M and Dahi Taleghani M (2013)

Mismatched blood transfusion; case-report. Scientific Journal of Iranian Blood Transfusion

Organization. 10 (1) 98-101.

- Guillemaut O (2012) [Blood transfusions, a closely monitored procedure]. Revue de l'infirmiere.

(177) 21-24.

- Higgins D and Jones D (2013) Ensuring patient safety in blood transfusion. Nursing Times. 109

(4) 22-23.

- Irish Blood Transfusion Service. "National Haemovigilance Office Report" [on

line].<https://www.giveblood.ie/Clinical_Services/Haemovigilance/Publications/NHO_Report_2

_2011.pdf>. [6 Nov 2014].

- Jain A and Kaur R (2012) Hemovigilance and blood safety. Asian journal of transfusion science.

(2) 137.

- Janghorbani M, Raisi A, Dehghani S and Mousavi A (2013) Assessment of safety status in

operating rooms of shahid beheshti hospital, Isfahan, Iran by the World Health Organization

Standards for Safety-Friendly Hospitals. Director General. 9 (7) 1066-72.

- Kramati M and Tafazoli M (2006) Use of blood and blood components in Emam Reza Hospital.

Medical J of Mashhad University of Medical Science. 49 (92) 199-208.

- Kurz J and Parr A (2003) Implementation of a Haemovigilance System in Austria. Transfusion

Medicine and Hemotherapy. 30 (Sonderheft 1) 30.

- Moshi G, Gulube S, Ledwaba F and Muthivhi T. Seventh annual Haemovigilance report. In:

Seventh annual Haemovigilance report. 2007 P: 8-9.(

- Nascimento F (2011) Haemovigilance: a tool for quality improvement. ISBT Science Series. 6

(1) 84-88.

- Purfarzad Z, Farmahini Farahani M, Ghamarizare Z, Ghorbani M and Zamani M (2012) Nurses’

Knowledge and practice of blood transfusion in hospitals of Arak in 2010. Scientific Journal of

Iranian Blood Transfusion Organization. 9 (3) 337-45.

- Rowe R and Doughty H (2000) Observation and documentation of bedside blood transfusion.

British Journal of Nursing. 9 (16) 1054-1058.

- Salarvand S, Bahri N, Kiani N and Maafi M (2013) Knowledge status of clinical care workers

about safe transfusion and its related factors in academic hospitals in Gonabad University of

Medical Sciences. Scientific Journal of Iranian Blood Transfusion Organization. 10 (1) 93-7.

- Sharifi S, Mirzaei M, Asgari pour F and Chegini A (2010) [Survey of hospitals follow up roles

of blood transfusion Department of Tehran Province in the recovery of Tehran's hospital blood

banks process from year 2006 to 2009]. North Central Regional Blood Transfusion Bulletin. 55

(Special Issue of Blood Bank) 2. (Persian)

- Taylor C, Cohen H, Mold D, Jones H, Asher D, Cawley C, ChaffeW, Chapman C, Davies A and

Gray A. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. In: on behalf

of the Serious Hazards of Transfusion (SHOT) Steering Group. 2009 P:

- Teimuri Naghadeh H, Karimi G, Rostamian A R, Kiadaliri K, Behzad J, Vafaei Shooshtari M

and Fallah Tafti M (2011) [Assessment of cold chain equipment and the study of effective

factors in storage of blood and blood components in mazandaran and gilan provinces]. The

Scientific Journal of Iranian Blood Transfusion Organization. 7 (4) 235-41. (Persian)

- Wood E M, Stevenson L, Bielby L and Wiersum-Osselton J C (2014) Haemovigilance: concepts

and frameworks. ISBT Science Series. 9 (1) 86-90.

- Yousefian N, Nikbakht R, Fazeli K, Notizehi A, Salehinia H, Yaghoobi M, Khosravi S,

Moghadam E S and Sooreh B H (2014) Awareness of health care staff in hospitals of Zahedan

about blood transfusion. Scientific Journal of Iranian Blood Transfusion Organization. 11 (1) 71-6.

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