Blood transfusion services: organization is integral to safety.

Simple item page
dc.contributor.authorNanu, Aen_US
dc.date.accessioned2001-07-08en_US
dc.date.accessioned2009-06-03T07:16:00Z
dc.date.available2001-07-08en_US
dc.date.available2009-06-03T07:16:00Z
dc.date.issued2001-07-08en_US
dc.description.abstractThere are six steps to a safe blood transfusion service. The primary steps are: (i) a national policy for the blood transfusion service with time-bound programmes; (ii) a centrally coordinated, structured and organized blood transfusion service for a country/state under a defined authority; and (iii) a blood transfusion service based on an organized voluntary blood donor programme. The complementary steps are: (i) screening blood for transfusion-associated infections (TAI) appropriate to the region; (ii) rational use of available blood; and (iii) qualified personnel to head and manage the blood transfusion service. None of these steps are in place in India and the high incidence of TAI in our patients is a consequence of this deficiency. Lack of understanding of the issues related to a safe blood transfusion service has led to an emphasis on screening donor blood for infections as a means of ensuring safe blood transfusion. Screening donor blood for TAI without implementing the critical primary steps has little impact, as evidenced by the high levels of post-transfusion hepatitis which ranges from 7% for hepatitis B and C combined in patients receiving approximately 1-7 units of blood to > 50% and > 30%, respectively, for patients receiving multiple transfusions. Basic licensing standards for blood banks with regard to space, and the quality and quantity of medical staff have remained unchanged over the past three decades. This compounds the problem and society pays the price.en_US
dc.description.affiliationDepartment of Transfusion Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.en_US
dc.identifier.citationNanu A. Blood transfusion services: organization is integral to safety. National Medical Journal of India. 2001 Jul-Aug; 14(4): 237-40en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/119600
dc.language.isoengen_US
dc.source.urihttps://www.nmji.inen_US
dc.subject.meshBlood Banks --organization & administrationen_US
dc.subject.meshBlood Transfusion --adverse effectsen_US
dc.subject.meshEfficiency, Organizationalen_US
dc.subject.meshHealth Policyen_US
dc.subject.meshHepatitis B --epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInfection Control --organization & administrationen_US
dc.subject.meshLicensureen_US
dc.subject.meshMass Screening --organization & administrationen_US
dc.subject.meshNational Health Programs --organization & administrationen_US
dc.subject.meshNeeds Assessment --organization & administrationen_US
dc.subject.meshProfessional Competenceen_US
dc.subject.meshSafety Management --organization & administrationen_US
dc.titleBlood transfusion services: organization is integral to safety.en_US
dc.typeJournal Articleen_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
National Medical Journal of India