Transfusion Practices Committee of a public blood bank network in Minas Gerais, Brazil

Abstract

ObjectiveThis study aimed to verify the performance of blood transfusion committees in transfusion services linked to the public blood bank network of the state of Minas Gerais. MethodsA cross-sectional observational study was conducted between 2007 and 2008 using questionnaires and proficiency tests to evaluate the reporting and investigation of transfusion reactions comparing transfusion services with and without transfusion committees in the public transfusion services of the state of Minas Gerais. ResultsNineteen of Hemominas own transfusion services and 207 that contracted the services of the foundation located in 178 municipalities were visited between 2007 and 2008. Established transfusion committees were present in 63.4% of the services visited. Transfusion incidents were reported by 53 (36.8%) transfusion services with transfusion committees and by eight (9.6%) without transfusion committees (p < 0.001) with 543 (97.5%) and 14 (2.5%) notifications, respectively. Of the reported transfusion incidents, 40 (75.5%) transfusion services with transfusion committees and only two (25%) of those without transfusion committees investigated the causes. ConclusionThe incidence of notification and investigation of the causes of transfusion reactions was higher in transfusion services where a transfusion committee was present. Despite these results, the performance of these committees was found to be incipient and a better organization and more effective operation are required.

Organisational management of hospital blood transfusion services in Nairobi County, Kenya: Evidence of implementation

“…Hospital blood transfusion committees have also been established in other countries, such as Brazil, where they are present in 63.4% of blood transfusion services. 10 In a survey conducted in the Netherlands in 2012, all 76 hospitals were found to have HTCs. 11…”

Percepção dos receptores sanguíneos quanto ao processo transfusional

“…A Agência Nacional de Vigilância Sanitária informou que, no ano de 2011, ocorreram 5.340 reações transfusionais, com uma subnotificação estimada de 50,1% (22) . Estudo realizado em 226 centros de sangue do núcleo de hemoterapia e agências transfusionais em 178 municípios do estado de Minas Gerais, Brasil, concluiu-se que a incidência de notificação e investigação das causas de reações transfusionais foi maior nos serviços de transfusão que possuíam comitê transfusional atuante, embora, no geral, o desempenho dos comitês de transfusão tenha sido considerado incipiente, carente de melhores formas de organização (23) . No caso dos participantes deste estudo, por terem sido submetidos a inúmeros procedimentos invasivos e pela necessidade de continuidade de tratamento pós-operatório de cirurgia cardíaca, o processo transfusional possui forte significado, uma vez que dele depende a qualidade de suas vidas.…”

Rational use of blood: how to do it?

“…The authors of this study concluded that, the incidence of notification and investigation of the causes of transfusion reactions was higher in transfusion services where a transfusion committee was present. However, despite these results, the performance of transfusion committees was found to be incipient and better organization and effectiveness are required (19) .…”