缺乏标准化献血者招募流程:加纳的一项两中心混合方法审计研究
Daniel Baah1,2, Joseph Kofi Amponsah1,3, Ama Gyasiwaah Owusu-Poku2
1Bibiani Government Hospital, Bibiani, Western North Region, Ghana.
SAGE open medicine
|October 6, 2025
概括
加纳的血液银行面临着供体短缺的问题. 审计招聘显示了捐赠者护理的显著变化和差距,突出了改善血液库存的标准化程序的需要.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 输血服务 输血服务
背景情况:
- 撒哈拉以南非洲国家经历了持续的献血者短缺.
- 临床审计对于确定改善医疗服务的领域至关重要.
- 改善献血者招募对于维持充足的血液供应至关重要.
研究的目的:
- 审计加纳中等医疗保健机构的献血者招募流程.
- 通过流程改进,确定改善献血库存的机会.
- 评估捐赠者查,隐私和捐赠后护理.
主要方法:
- 采用了一种连续的,探索性的混合方法方法.
- 30个实时观察了捐赠者与实验室的相互作用.
- 对135名献血者和134名实验室工作人员进行了半结构化问卷调查.
主要成果:
- 在招聘程序中观察到实践者之间和实践者内部的显著变化.
- 主要是男性 (91.1%) 和年轻 (80.7%) 的捐赠者,年龄在20-39.
- 自愿无偿捐赠者的比例较低 (5.9%);延期率高 (34.8%).
- 缺乏对捐赠者信息传单和延期清单的标准化使用.
- 捐献后护理和捐赠者沟通道不足.
结论:
- 标准操作程序对于减少捐赠者招募的变化至关重要.
- 需要进行干预研究,以改善所有捐赠者的捐赠前和捐赠后服务.
- 解决发现的缺口可以提高献血者招募和保留率.
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