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[Supplying surgery blocs in red cell concentrates: a collective approach to improve practices]
C Trophilme1, A François, E Pélissier
1Hémovigilance centrale, groupe hospitalier Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France. catherine.trophilme@bch.aphp.fr
Insights
To comply with new regulations, a collaborative effort improved red blood cell management in surgical and resuscitation settings. This initiative enhanced blood product logistics while maintaining transfusion safety standards.
Area of Science:
- Transfusion Medicine
- Healthcare Management
- Regulatory Compliance
Context:
- Adapting to evolving legal frameworks for blood product management is crucial.
- Current practices in surgery and resuscitation require optimization for efficiency and safety.
- Regional collaboration is key to implementing standardized transfusion protocols.
Purpose:
- To collectively assess and improve red blood cell concentrate management in surgical and resuscitation units.
- To ensure transfusion practices comply with new legal requirements.
- To enhance the flow of blood products without compromising patient safety.
Summary:
- A coordinated assessment of transfusion practices was conducted by hemovigilance coordinators, transfusion prescribers, and regulatory bodies.
- Hospitals identified and proposed local improvement actions for blood product management.
- The approach integrated legal compliance with enhanced blood product logistics and transfusion security.
Impact:
- Successfully adapted transfusion practices to meet legal changes.
- Improved the efficiency of blood product flow in critical care settings.
- Maintained and potentially enhanced transfusion safety through collective practice assessment and improvement.
Abstract:
The need to adapt red blood cells concentrates management in surgery blocs and resuscitation to the changes of the legal framework has lead to a collective approach to improve practices. Gathered by the regional hemovigilance coordinators of the Drass Ile-de-France (regional office of health and social actions), representatives of doctors' ordering transfusions and hemovigilance correspondents of the Assistance publique-Hôpitaux de Paris and representatives of the EFS (French blood establishment) Ile-de-France, together with representatives of the Afssaps (French health products safety agency), have coordinated an assessment of local transfusion practices in surgery blocs and resuscitation that have to be compliant. Each hospital then offered local improvement actions, approved by regional and national instances. We present this original and collective approach of assessing practices leading to offers that both respond to a legal framework and improve blood products flows without damaging transfusion security.
