INTRODUCTION blood is cache or a bank of blood or blood components gathered as a result of blood donation, stored and preserved for later use in blood transfusion.
DEFINITION “ The term blood bank typically refers to a division of a hospital laboratory where the storage of blood product occurs and proper testing of blood is performed to reduce the risk of transfusion related events”.
BLOOD BANK (SPO MODEL)
STRUCTURE: - attributes of setting in which care occurs. Material resources, facilities, equipment, money Human resources, personnel, administration PROCESS: - what is actually done in giving and receiving care Provider/ patient activities in delivering/receiving care Content of care, treatment planning Delivery of care ( frequency/duration of visits). OUTCOMES: - effects of structure and process on the health status of patients and population. Improving patient’s knowledge, changing behaviour Change in satisfaction with care and effect on health care utilization Change in measure of cognitive/ physical function.
BLOOD BANK: STRUCTURE PROCESS OUTCOME Size Infrastructure facilities Quality manager Practice environment Staff mix Education Donation camps Specialty certification Risk assessment Donor screening Donor recruitment Donor counselling Communication, teamwork, decision making Storage and cold chain maintenance Documentation reduced morbidity and mortality of patients transfusion transmissible infection rate occupational safety patient satisfaction.
QUALITY OF STRUCTURE LOCATION: - Ideally should be located on the ground floor. Direct access from the main entrance. Easy visibility .
LEVELS OF BLOOD BANK CATEGORY –I CATEGORY-II CATEGORY-III 3-7 units of blood/hospital bed/ year. Ex: district hospital blood banks. 8-15 units of blood/ hospital bed/year. Ex: medical college hospital blood banks. 16 units of blood/hospital bed/year. Ex: super specialty hospitals.
BENEFITS OF QUALITY Reduce variation in processes Reduces rework Prevents problem from occurring Reduced costs due to mistakes and error Improves what is done through the use of various measuring tools. 6) Provides consistent and effective products
QUALITY IMPROVEMENT: 3Ps PRODUCT IMPROVEMENT PEOPLE IMPROVEMENT PROCESS IMPROVEMENT Quality of blood bags Sterile procedures for collection Component separation Record keeping, documents Leadership and motivation Training Awards and recognitions Staff empowerment Improve collection techniques Donor comfort Donor refreshment