Impact of a training program on the compliance of hemotherapy requirements in a University Hospital
Impacto de um programa de treinamento sobre o cumprimento dos requisitos de hemoterapia em um Hospital Universitário
DOI:
https://doi.org/10.34117/bjdv8n9-119Keywords:
training, compliance, hemotherapy, quality serviceAbstract
The processes of blood management, transfusion therapy, transfusion agencies and blood centers have specific observances regulated by ANVISA. To promote the technical and managerial improvement of these services, the National Hemorrede Qualification Program was developed, which consists of technical consultations and use of a script for conformity assessment in different areas, among them, document quality analysis. Based on the model of this program, the local transfusion agency carried out a study of the compliance of blood components requisitions. Two stages of data collection were carried out, one before (Phase 1) and another after (Phase 2) the training of prescribing professionals. With the training program, we obtained an increase in fully compliant requisitions, 15% in Phase 1 and 38% in Phase 2. Despite the result pointing to an increase in the quality of filling in requisitions, there are still points for improvement to be applied by the hemotherapy prescribers. The positive result achieved with just one event suggests that regular training could add more knowledge to prescribers and reflect on the quality of filling out requisitions.
References
World Health Organization. Developing a National Policy and Guidelines on the Clinical Use of Blood. OMS. July 2001. Avaliable in: https://www.who.int/publications/i/item/WHO-BCT-BTS-01.3 [cited 14 November 2021].
Garraud O, Tissot JD. Blood components: Are they drugs or special medicines? Transfus Clin Biol. Sep; 23 (3):127-31. 2016.
Kafi-Abad AS, Omidkhoda A, Pourfatollah AA. Analysis of hospital blood components wastage in Iran (2005-2015). Transfusion and Apheresis Science. 2018.
Hervig T, Kaada S, Seghatchian J. Storage and handling of blood components – perspectives. Transfus Apher Sci. 51(2):103-6. Oct 2014.
Brasil. Ministério Da Saúde. Resolução nº 34 da Diretoria Colegiada da Agência Nacional de Vigilância Sanitária. Brasil. MS. June 2014. Avaliable in: https://saude.rs.gov.br/upload/arquivos/carga20170553/04145350-rdc-anvisa-34-2014.pdf [cited 10 November 2021].
Brasil. Ministério Da Saúde. Portaria Ministerial nº 158, de 04 de fevereiro de 2016. Brasil. Gabinete do Ministro. February 2016. Available in: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2016/prt0158_04_02_2016.html [cited 10 November 2021].
Brasil. Ministério Da Saúde. Programa Nacional de Qualificação da Hemorrede. Brasil. 2016. Avaliable in: https://bvsms.saude.gov.br/bvs/publicacoes/ guiaimplementaravaliacoesservicoshematologia.pdf. [cited 12 November 2021].
Bertuol NA, Nascimento-Junior EA, Anegawa TH, Trigo FC. Análise sobre o impacto do guia transfusional nas requisições de transfusão de reserva cirúrgica. n. 1 (2019): Anais do Pró-Ensino (2019). ISSN: 2763-5732. Available in: http://anais.uel.br/portal/index.php/proensino/article/view/746 [cited 10 December 2021].
Silva KFN, Soares S, Iwamoto HH. A prática transfusional e a formação dos profissionais de saúde. Revista Brasileira de Hematologia e Hemoterapia, 31(6), 421–426. 2009.
Al-Riyami AZ, Al-Nomani I, Panchatcharam SM, Wadsworth L, Al-Khabori M, Al-Farsi K, et al. Transfusion knowledge of medical and surgical specialty board residents: a cohort study. Transfus Med. 28(6):440-450. Dec 2018.
Faria JCP, Cansian B, Arruda EEC, Victorino CA, Szulman A. Prescription of red cell concentrates by emergency physicians. Rev Assoc Med Bras. 66(4):466-471. Apr 2020.
Silva DC. Avaliação da qualidade do ato transfusional em hospital público do Distrito Federal. 2021. Dissertação (Mestrado em Avaliação em Saúde) Ministério da Saúde. Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Brasil. 2015. Available in: https://www.arca.fiocruz.br/bitstream/icict/49448/2 /diegocastanheirasilvaenspmest 2021.pdf [cited 12 December 2021].
Good Practice Guidelines For Blood Establishments. European Directorate for the Quality of Medicines & HealthCare of the Council of Europe (EDQM) and the Commission of the European Union (EU). 2016. Avaliable in: https://www.edqm.eu/en/good-practice-guidelines-blood-establishments [cited 18 December 2021].
Robinson S, Harris A, Atkinson S, Atterbury C, Bolton-Maggs P, Elliott C, et al. The administration of blood components: a British Society for Haematology Guideline. Transfus Med. 28(1):3-21. Feb 2018.
Bolton-Maggs PHB, Wood EM, Wiersum-Osselton JCW. Wrong blood in tube - potential for serious outcomes: can it be prevented? Br J Haematol. 168(1):3-13. Jan 2015.
Guidelines For The Administration Of Blood Products. Australian and New Zealand Society of Blood Transfusion Australian College of Nursing. 2019. Avaliable in: https://anzsbt.org.au/wp-content/uploads/2020/03/ANZSBT-Administration-Guidelines-Revised-3rd-edition-Publication-Version-FINAL-20191002.pdf [cited 20 December 2021].
