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Organizational models of blood transfusion systems

Organizational models of blood transfusion systems. Treviso, 21 October Karin Magnussen. Donors out side the blood bank. Recruitment Donor interests Insurance in case of donor injury Complaints Legal and other advice Information Ethics. Donors in the blood bank.

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Organizational models of blood transfusion systems

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  1. Organizational models of blood transfusion systems Treviso, 21 October Karin Magnussen

  2. Donors out side the blood bank • Recruitment • Donor interests • Insurance in case of donor injury • Complaints • Legal and other advice • Information • Ethics

  3. Donors in the blood bank • Booking of the donation • Evaluation of the donor • The donation • Whole blood • Apheresis • Stem Cells • Information • Deferral rules • Testing • Haemoglobin, and possibly more tests

  4. Blood products • Testing • Blood group, Infectious disease screening and more • Fractionation • Storage • Distribution • Quality control • Issuing the blood for the patients

  5. Blood group serology Laboratory • Blood grouping • Donors and patients • Antibody screen • Donors and patients • Antibody identification • Mainly patients • X-match • Electronic • Serological

  6. The patients, departments • Decision to prescribe a transfusion • Giving the transfusion • Monitor the transfusion • Treat and report adverse events • Develop guidelines for transfusion

  7. USA and Estonia • Blood centres are separate from hospitals and patients • Separate economies • A problem that donation centres may implement expensive procedures and increase the cost, regardless of hospital end patient best interests • Communication is a challenge

  8. UK and Malta • Blood centres separate from hospital where serology laboratory and patient departments are separate • Separate economies • Communication challenge • These Blood Centres are not the most interesting place to work for most physicians

  9. Southern Europe • The blood centre is within the department of haematology and the physicians are specialists in haematology • The more experienced physicians tend to care mainly about advanced patient related analysis and treatment of patients • Less prestige is given to care of donors and blood products

  10. Scandinavia and a new medical speciality in the Nederlands • A blood donor organization recruits donors and take care of donor interests • The hospital based department of blood donation and transfusion covers all from blood donation to issuing blood for the patients. Also has advisory capacity regarding blood transfusion to patients • This works very well, provided close contact and communication between the Blood bank and both the donor organization and the clinical departments

  11. Conclusion • The organization of blood donation and transfusion differs throughout Europe and the world. • Regardless of organization, what is important is cooperation, communication, care and safety for donors and patients • The organization has an impact on recruitment of medical doctors, recruitment of voluntary non-remunerate donors and the ethics regarding donor and patient safety

  12. Thank You for your attention

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