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Right Patient, Right Blood. Mrs Patricia Watt Haemovigilance Practitioner. June 2009.

Right Patient, Right Blood. Mrs Patricia Watt Haemovigilance Practitioner. June 2009. Why Haemovigilance?. HSS Circular MD6/03 Better Blood Transfusion. Appropriate use of Blood sets out a programme of action to, Ensure that Better Blood Transfusion is an integral part of NHS care

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Right Patient, Right Blood. Mrs Patricia Watt Haemovigilance Practitioner. June 2009.

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  1. Right Patient, Right Blood.Mrs Patricia WattHaemovigilance Practitioner. June 2009.

  2. Why Haemovigilance? HSS Circular MD6/03 Better Blood Transfusion. Appropriate use of Blood sets out a programme of action to, • Ensure that Better Blood Transfusion is an integral part of NHS care • As part of our clinical governance responsibilities, make blood transfusion safer. • Provide better information to patients and the public. • Avoid unnecessary blood in clinical practice.

  3. Role of the Haemovigilance Practitioner Patient safety and quality improvement. • Interface between blood bank and clinical areas. • Assessment and management of risk. • Incident investigation and reporting. • Monitor appropriateness of transfusion and of waste. • Information resource • Education for all those involved in the blood transfusion process.

  4. Safe Blood Transfusion. • SHSCT Hospital Transfusion Team • Southern Health and Social Care Trust Blood Transfusion Committee. • N.I. Blood Transfusion Committee. • N. I. Haemovigilance Committee.

  5. Craigavon Area Hospital RBC usage 08/09=5550 units Craigavon Area Hospital Daisy Hill Hospital RBC usage 08/09= 1925units.

  6. SHOT 1996-2004. • Analysis identified that in the United Kingdom,5 patients died as a direct result of being given an ABO incompatible transfusion. • ABO incompatibility contributed to the death of a further 9 patients. • Caused major morbidity to a further 54 patients.

  7. Strategies • Agree to and start to implement an action plan to ensure that all staff involved in the blood transfusion process are competency assessed and actions completed by 30th January 2009. • Ensure that the compatibility form and patient notes are not used as part of the final bedside check. • Systematically examine local blood transfusion procedures using formal risk assessment process.

  8. Strategies • Carry out appraisal of the feasibility of using: • Barcodes or other electronic identification and tracking systems for patients samples and blood components. • Photo-identification for patients who regularly receive blood transfusions. • a labelling system of matching samples and blood for transfusion.

  9. Review Methodology. • Based on the NPSA Notice 14: 2Right Patient, Right Blood”. • Better Blood transfusion – Appropriate use of Blood. • Self assessment completed by 5th March. • Audit of all blood transfusion episodes for period 9th-16th March. • Discussion and visits on 22nd April.

  10. Blood Transfusion Audit. • All members of staff who are involved in blood transfusion episode have successfully completed relevant competency assessment and names are currently being entered been on a database. • Competency 1- Obtaining a sample for pre-transfusion testing. • Competency 2-Organising a request for a blood component for transfusion. • Competency 3- Collecting a blood component for transfusion. • Competency 4- Pre-transfusion check.

  11. Positive outcomes • RQIA review – strengths and challenges. • Patient safety. • Motivation of staff. • Support of Senior Management.

  12. Moving forward. Action plan. • Documentation. • Communication strategies. • Sustainability-self inspection audits, ongoing education, measuring non-compliances, evidencing good practice.

  13. Advice and Enquiries • Please contact;- Mrs Patricia Watt Area Haemovigilance Practitioner 028 38613740

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