Quality Assurance of Blood Bank Performance in Khartoum Hospitals

Abstract

Background: Blood is a vital and limited resource with a lifesaving therapeutic benefit. Knowledge of standard transfusion practices to be followed is important in delivering quality transfusion services. The present study aims at assessing the knowledge of transfusion practices among undergraduate medical students, train them, and to assess the impact of this type of training sessions in improving the outcome. Objectives: To evaluate blood transfusion services (BTS) at the main blood banks (BBs) of some Sudan cities as sample to present the situation. The Methods: There were 13 main BBs evaluated according to the World Health Organization BTS standards. Qualitative and quantitative data were collected using semi-structured questionnaires covering 11 components: Personnel training and certification, Equipment, Physical facility, Safety, Pretesting, testing, post testing, appropriate use of blood, Waste management, Documentation and Record and External Quality Assessment(PT, Retesting and Site Supervision). Results: An overall mean percent score for BTS was calculated where <50% is considered unsatisfactory. The 13 BBs in Personnel training and certification there were five satisfying the need 38.5% (5/13), in equipment there was one blood bank accepted 7.7% (1/13), for Physical facility there were 11 blood banks satisfying the need 84.6% (11/13), for Safety there were only 3 blood banks satisfying the need 23% (3/13). For pretesting there were 12 blood banks satisfying the need 92.3% (12/13). For testing there were 4 blood banks satisfying the need 30.8% (4/13). For post testing all blood banks were satisfying the need 100% (13/13). For appropriate use of blood there was only one blood bank satisfying the need. For Waste management all blood banks satisfying the need 100% (13/13). For documentation and Recordthere were two blood banks accepted15.4% (2/13). For External Quality Assessment all blood banks do not satisfying the need 0% (0/13). ......................