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[The new hemotherapy guideline]
E Strasser1,2
1Transfusionsmedizinische und Hämostaseologische Abteilung, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen, Deutschland. erwin.strasser@uk-erlangen.de.
Insights
The 2017 German hemotherapy guidelines were updated to align with drug legislation, focusing on patient consent, documentation, and quality management. These guidelines emphasize patient blood management (PBM) and error reporting for improved safety and efficient blood product use.
Area of Science:
- Transfusion Medicine
- Healthcare Policy
- Patient Safety
Background:
- The 2017 update of German hemotherapy guidelines was necessitated by drug legislation, requiring a revised structure.
- These guidelines represent the state-of-the-art for blood and blood component collection and application, aligning with the Transfusion Act.
Purpose of the Study:
- To present the updated 2017 German hemotherapy guidelines, reflecting current best practices and legal requirements.
- To highlight key areas of focus including patient consent, documentation, quality management, and error reporting.
Main Methods:
- Revision and restructuring of existing hemotherapy guidelines.
- Incorporation of drug legislation and Transfusion Act requirements.
- Inclusion of patient blood management (PBM) principles and autologous hemotherapy procedures.
Main Results:
- Updated guidelines emphasize patient consent, documentation, and reporting of transfusion reactions.
- Detailed descriptions of quality management, assurance, and responsibilities within transfusion workflows are provided.
- Patient blood management (PBM) and mechanical autotransfusion (MAT) are promoted for efficient blood product utilization and cost reduction.
Conclusions:
- The updated guidelines aim to enhance patient safety through improved error management and surveillance.
- Clear and distinct core principles of hemotherapy are presented for medical professionals and transfusion teams.
- The guidelines serve as the primary document for hemotherapy in Germany, ensuring compliance and best practices.
Abstract:
The 2017 update of the German guidelines on hemotherapy is highly associated with the drug legislation and guidelines and thus necessitated a new structure of the contents. These guidelines reflect the state of the art for collection and application of blood and blood components corresponding to the Transfusion Act and is therefore the main document in hemotherapy. Topics of high interest in this 2017 update related to application of blood products are clarification and consent of patients, obligation for documentation, information, reporting and notification reports in the case of transfusion reactions and detailed description of quality management and quality assurance, as well as task description of persons responsible for the organization or implementation of transfusion-associated workflows. Surveillance, collating and management of errors are important prerequisites for the continuous optimization of patient safety. Patient blood management (PBM) as a requirement for the efficient use of blood products and the controlled and economical usage of autologous hemotherapy procedures (e. g. mechanical autotransfusion, MAT) are measures to reduce the need for blood products. All medical specialist societies, which carry out hemotherapy and participate in the standing committee of the Federal Medical Council (BÄK) to revise the hemotherapy guidelines have to take care that the guidelines are understandable for medical doctors and the transfusion team. Additionally, the core principles of hemotherapy have to be described in a clear and distinct manner.
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