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Related Experiment Video

Updated: May 16, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

Using New Quality Indicators in Five Transfusion Centers in a One-Year Period: An Experience.

Berrin Uzun¹, Hulya Duran², Tugba Kula Atik³

¹Medical Microbiology and Transfusion Center, Izmir Atatürk Education and Research Hospital, Izmir, Turkey.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality

|May 15, 2026

Summary

This study evaluated blood transfusion quality indicators across five centers, revealing significant variations in meeting blood requests and high rates of expired platelet suspensions, suggesting a need for updated indicators.

Keywords:

blood banking blood banking quality indicator international quality indicator quality indicator transfusion centers

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Last Updated: May 16, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

Area of Science:

Transfusion Medicine
Healthcare Quality Improvement
Clinical Laboratory Science

Background:

Assessing transfusion center quality is crucial for patient safety and resource management.
International Society for Blood Transfusion guidelines provide a framework for quality indicators.
Variability in performance metrics necessitates a comprehensive analysis of current practices.

Purpose of the Study:

To select and analyze nine quality indicators for transfusion centers based on international recommendations.
To evaluate the performance of five diverse transfusion centers against selected quality metrics.
To identify areas for improvement in transfusion service operations.

Main Methods:

Retrospective analysis of nine quality indicators in five transfusion centers during 2024.
Centers included educational, research, city, university, and private hospital settings.
Monthly data collection and analysis of key performance metrics.

Main Results:

Meeting blood requests ranged widely from 30.9% to 99.0%.
Expired erythrocyte suspension rates were consistently low (<1%), but expired platelet suspension rates varied significantly (0.7%-33.3%).
Pre-analytical errors (improper test requests) were below 5%, and emergency erythrocyte suspension administration without testing was below 2%.

Conclusions:

Current transfusion center quality indicators require updating and expansion to encompass the entire transfusion process.
Significant inter-institutional variability highlights the need for standardized and comprehensive quality monitoring.
Focusing on specific indicators like platelet expiration and request fulfillment is essential for improving transfusion services.