Hemovigilance: Definition and Overview of Current Hemovigilance Systems

Faber, Jean‐Claude

doi:10.1111/j.1778-428x.2003.tb00157.x

Cited by 11 publications

(7 citation statements)

References 8 publications

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“…The players involved in the blood transfusion chain will see their individual roles and their contribution to the framework will rapidly develop insignificance. The issue of current vigilance frameworks meddling with blood transfusion should be settled: bridging or spinning and bundling will be vital issues with regards to present-day, advanced haemovigilance, particularly at the community level 47 .…”

Section: Problems Associated With Haemovigilancementioning

confidence: 99%

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Blood transfusion is an important part of various treatment protocols. Blood should be transfused with certain precautions like drug because blood and its constituents have the propensity to cause effects like introduction of donor antigens within the recipient, transfusion reactions or exposure to numerous transfusion-transmitted diseases. Thereby, it is important for the clinicians to remember those potential risks to the recipient of blood and blood components as well as donors. Haemovigilance system includes monitoring, identification, reporting, investigation, and analysis of adverse reactions associated with transfusion. The data gained from the investigation and analysis facilitates corrective and preventive action to be taken to attenuate the potential risks related to safety and quality of blood donation and transfusion for donors and patients. Forever the developed countries have taken the lead within the haemovigilance. However, developing Asian countries like India lacks a well-established system for haemovigilance program. In this review we have compiled the various haemovigilance and blood safety studies conducted in India to know the current update of haemovigilance program in our country. INTRODUCTION: The blood is essential for transporting nutrients, oxygen, and more other substances throughout the body. Blood transfusion is an essential component of health care system, and it saves millions of lives each year, as it is a key life-saving intervention. Mostly the medical world is in the need of blood for surgery, trauma, severe anemia or complications of pregnancy 1. Blood is classified as a 'drug' according to the Drugs and Cosmetics Act, 1940 and blood banking services and Ministry of Health and Family Welfare, Government of India are regulated by the rules therein, amended once in a while 2, 3 .

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Section: Problems Associated With Haemovigilancementioning

confidence: 99%

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2020

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“…The players in the blood transfusion chain will see their respective roles and their input into the system will quickly grow in importance. The problem of current vigilance systems interfering with blood transfusion needs to be resolved: spinning of or bridging and bundling will be crucial issues when it comes to modern, advanced haemovigilance, especially at the community level 6 .…”

Section: Limitations and Recommendationsmentioning

confidence: 99%

“…2,6 In 2005, the guidelines for 'adverse event reporting and learning system was published by World Health Organization. It describes the need and importance of patients' safety reporting system in the improvement of patients' safety and provides instruction about learning from failures.…”

Section: Haemovigilance -Origin and Important Definitionsmentioning

confidence: 99%

“…4 This term has Latin and Greek roots (Haema-blood; vigilance-paying special attention to). 4,5,6 The initial work on haemovigilance was initiated in France in 1994 by creating a monitoring system 'Blood transfusion committee' and establishing a national haemovigilance system. Later in 1995, a resolution was published by European council with the aim of improving the public confidence in safe blood supply.…”

Section: Haemovigilance -Origin and Important Definitionsmentioning

confidence: 99%

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Haemovigilance - Roles and Global Status in Transfusion Safety: A Review

Sreekumar¹,

Kumar²,

Sarathi³

et al. 2017

Int. Res. J. Pharm.

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Blood transfusion plays a key role in improving health and saves many lives. Haemovigilance system is the programme which ensures the transfusion safety by monitoring every step of transfusion process from donor to recipient. This system mainly focused on collection and analysis of data concerned with adverse events/reactions related with transfusion of blood or its components with the aim of identifying their causes and outcomes and prevents their occurrence or recurrence. Thus the ultimate object of haemovigilance system is improving the quality and safety of transfusion therapy.

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“…A hemovigilância, na forma de sistema organizado, foi estabelecida em meados da década de 1990, tendo como principal objetivo, aumentar a segurança do paciente receptor de sangue e a qualidade do processo transfusional 3,4 .…”

Section: Introductionunclassified

Avaliação da implantação do sistema de hemovigilância no Estado de São Paulo

Fernandes¹

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A hemovigilância é considerada uma importante ferramenta para a segurança transfusional. Os primeiros sistemas nacionais de hemovigilância, no mundo, foram implantados na década de 1990. No Brasil, o Sistema Nacional de Hemovigilância (SNH), que é coordenado pela Agência Nacional de Vigilância Sanitária (Anvisa), iniciou sua implantação, em 2002, com foco nas reações transfusionais (RT), em uma rede restrita de hospitais. No final de 2006, a possibilidade de notificar RT foi estendida aos demais serviços de saúde e os gestores de saúde da esfera estadual também foram inseridos nesse processo. O estado de São Paulo (SP), onde funciona um subsistema do SNH (SNH-SP), colaborou com 41% do total de RT notificadas, no período de 2002 a 2014, segundo a Anvisa. Contudo, apesar de decorridos cerca de 10 anos, o SNH-SP nunca foi avaliado. O objetivo desse trabalho foi avaliar a implantação do SNH-SP, a fim de obter subsídios para sua melhoria. Trata-se de um estudo avaliativo, utilizando-se metodologia de avaliação baseada no Updated Guidelines for Evaluating Public Health Systems do Centers for Disease Control and Prevention (CDC). Foram utilizadas duas bases de dados secundários: das transfusões e das notificações das RT. Foram também utilizados três questionários concebidos para identificar fatores que contribuem ou não com a adesão e com a implantação do SHN-SP, pelos hospitais, serviços de hemoterapia (SH) e pela vigilância sanitária (Visa). Eles foram respondidos por 81 hospitais, 61 SH e 22 das 28 regionais de Visa. Verificou-se que o SNH-SP tem adesão crescente dos hospitais, especialmente os de maior porte, embora a aceitabilidade destes seja baixa, quando comparada com a dos SH. Foram realizadas 12.182.981 transfusões em 947 serviços de saúde, entre 2008 a 2015, mais de 55% delas, de concentrado de hemácias. O número de notificações de RT aumenta a cada ano, mas há subnotificação geral e de alguns tipos específicos de RT. Foram notificadas 23.942 RT, por 353 serviços de saúde. As 23.734 RT ocorridas nesse período se caracterizaram, predominantemente, como imediatas (97,96%), dos tipos febril não hemolítica (51,81%) e alérgica (38,20%). Apresentaram gravidade leve (87,62%), contudo, houve 35 (0,15%) óbitos. Concentraram-se nos maiores de 50 anos (51,49%). A incidência de RT nesse período variou entre 3,44 e 4,55/1.000, sendo mais elevada nas transfusões de concentrados de granulócitos, chegando a 53,06 RT/1.000. O SNH-SP tem gestão centralizada e tanto ele quanto o sistema de informação utilizado para notificação ainda são desconhecidos de parte dos hospitais. Há déficit de pessoal para trabalhar na área, tanto nos hospitais quanto nas Visa. Há falta de integração com outros sistemas de saúde afins, sugerindo a subnotificação de doenças transmitidas pelo sangue no SNH-SP, como as hepatites B e C. A estruturação do SNH apresenta simplicidade, porém, seu funcionamento atual, em SP, prejudica a avaliação desse atributo. Ao se analisar as RT definidas como eventos sentinela, a oportunidade e a qualidade dos dados fora...

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Hemovigilance: Definition and Overview of Current Hemovigilance Systems

Cited by 11 publications

References 8 publications

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Haemovigilance - Roles and Global Status in Transfusion Safety: A Review

Avaliação da implantação do sistema de hemovigilância no Estado de São Paulo

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