Quality monitoring indicator system in blood banks of Shandong: applied in blood donation services, component preparation and blood supply process
10.13303/j.cjbt.issn.1004549x.2024.03.004
- VernacularTitle:山东省血站献血服务、成分制备及血液供应过程质量监测指标体系的应用
- Author:
Yuqing WU
1
;
Hong ZHOU
1
;
Zhijie ZHANG
1
;
Zhiquan RONG
2
;
Xuemei LI
3
;
Zhe SONG
4
;
Shuhong ZHAO
5
;
Zhongsi YANG
1
;
Qun LIU
2
;
Lin ZHU
6
;
Xiaojuan FAN
7
;
Shuli SUN
8
;
Wei ZHANG
9
;
Jinyu HAN
10
;
Haiyan HUANG
11
;
Guangcai LIU
12
;
Ping CHEN
7
;
Xianwu AN
13
;
Hui ZHANG
14
;
Junxia REN
15
;
Xuejing LI
16
;
Chenxi YANG
17
;
Bo ZHOU
5
;
Hui YE
2
;
Mingming QIAO
2
;
Hua SHEN
2
;
Dunzhu GONGJUE
2
;
Yunlong ZHUANG
2
Author Information
1. Qingdao Central Blood Bank, Qingdao 266071, China
2. Shandong Provincial Blood Center
3. Weifang Central Blood Bank
4. Yantai Central Blood Bank
5. Zibo Central Blood Bank
6. Dongying Central Blood Bank
7. Rizhao Central Blood Bank
8. Weihai Central Blood Bank
9. Binzhou Central Blood Bank
10. Heze Central Blood Bank
11. Jining Central Blood Bank
12. Linyi Central Blood Bank
13. Liaocheng Central Blood Bank
14. Zaozhuang Central Blood Bank
15. Dezhou Central Blood Bank
16. Jinan Blood Supply and Protection Center
17. Tai′an Central Blood Bank
- Publication Type:Journal Article
- Keywords:
blood bank;
blood donation service;
blood component preparation;
blood supply;
quality monitoring indicator system;
comparison
- From:
Chinese Journal of Blood Transfusion
2024;37(3):275-282
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To establish an effective quality indicator monitoring system, scientifically and objectively evaluate the quality management level of blood banks, and achieve continuous improvement of quality management in blood bank. 【Methods】 A quality monitoring indicator system that covers the whole process of blood collection and supply was established, the questionnaire of Quality Monitoring Indicators for Blood Collection and Supply Process with clear definition of indicators and calculation formulas was distributed to 17 blood banks in Shandong. Statistical analysis of 21 quality monitoring indicators in terms of blood donation service (10 indicators), blood component preparation (7 indicators ), and blood supply (4 indicators) from each blood bank from January to December 2022 were conducted using SPSS25.0 software The differences in quality monitoring indicators of blood banks of different scales were analyzed. 【Results】 The average values of quality monitoring indicators for blood donation service process of 17 blood banks were as follows: 44.66% (2 233/5 000) of regular donors proportion, 0.22% (11/50) of adverse reactions incidence, 0.46% (23/5 000) of non-standard whole blood collection rate, 0.052% (13/25 000) of missed HBsAg screening rate, 99.42% (4 971/5 000) of first, puncture successful rate, 86.49% (173/200) of double platelet collection rate, 66.50% (133/200) of 400 mL whole blood collection rate, 99.25% (397/400) of donor satisfaction rate, 82.68% (2 067/2 500) of use rate of whole blood collection bags with bypass system with sample tube, and 1 case of occupational exposure in blood collection.There was a strong positive correlation between the proportion of regular blood donors and the collection rate of 400 mL whole blood (P<0.05). The platelet collection rate, incidence of adverse reactions to blood donation, and non-standard whole blood collection rate in large blood banks were significantly lower than those in medium and small blood banks (P<0.05). The average quality monitoring indicators for blood component preparation process of 17 blood banks were as follows: the leakage rate of blood component preparation bags was 0.03% (3/10 000), the discarding rate of lipemic blood was 3.05% (61/2 000), the discarding rate of hemolysis blood was 0.13%(13/10 000). 0.06 case had labeling errors, 8 bags had blood catheter leaks, 2.76 bags had blood puncture/connection leaks, and 0.59 cases had non-conforming consumables. The discarding rate of hemolysis blood of large blood banks was significantly lower than that of medium and small blood banks (P<0.05), and the discarding rate of lipemic blood of large and medium blood banks was significantly lower than that of small blood banks (P<0.05). The average values of quality monitoring indicators for blood supply process of 17 blood banks were as follows: the discarding rate of expired blood was 0.023% (23/100 000), the leakage rate during storage and distribution was of 0.009%(9/100 000), the discarding rate of returned blood was 0.106% (53/50 000), the service satisfaction of hospitals was 99.16% (2 479/2 500). The leakage rate of blood components during storage and distribution was statistically different with that of blood component preparation bags between different blood banks (P<0.05). There were statistically significant differences in the proportion of regular blood donors, incidence of adverse reactions, non-standard whole blood collection rate, 400 mL whole blood collection rate, double platelet collection rate, the blood bag leakage rate during preparation process, the blood components leakage rate during storage and distribution as well as the discarding rate of lipemic blood, hemolysis blood, expired blood and returned blood among large, medium and small blood banks (all P<0.05). 【Conclusion】 The establishment of a quality monitoring indicator system for blood donation services, blood component preparation and blood supply processes in Shandong has good applicability, feasibility and effectiveness. It can objectively evaluate the quality management level, facilitate the continuous improvement of the quality management system, promote the homogenization of blood management in the province and lay the foundation for future comprehensive evaluation of blood banks.
