ANALYSIS OF THE NABH QUALITY INDICATORS IN THE BLOOD CENTRE OF A TERTIARY CARE HOSPITAL IN WESTERN RURAL INDIA
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Keywords
Quality Indicators, NABH, Transfusion Practices, Quality Management
Abstract
: Quality management system (QMS) uses Quality Indicators (QI) as tools instituted in an organization with motive to provide proof of the level of quality as well as utilizing information gained to seek improvements in the quality of performance. We are monitoring the quality of our transfusion services using National Accreditation Board for Hospitals and Healthcare Providers (NABH) QI viz. Adverse Transfusion Reaction Rate (ATRR) %, Average Turnaround Time (TAT) for issue of blood and blood components, Transfusion transmitted infection percent (TTI%) and Wastage rate % (WR) of Blood Components (excluding discards due to TTI reactivity). This study was done to analyse these QIs, their impact on blood bank operations, and strategies to improve overall transfusion safety and efficiency.
Materials and methods: This was a retrospective analytical study conducted on all blood units donated within a period of two years from May 2022 to April 2024 and all blood component transfusions done during this period. Data was collected from Blood Centre records regarding blood donations, Blood requisitions and transfusions and adverse transfusion reactions.
Results: The overall TTI % during the entire study period was 0.64. The total number of units discarded due to TTI reactivity was 127. The wastage rate of components because of reasons other than TTI Reactivity was 1.94% with 325 discarded units. The total number of adverse transfusion reactions were 20 during the entire study period with the ATRR of 0.12%. The mean turnaround time (TAT) for the routine issues was 31.5 min and that for emergency supplies was 14.3 min in our study.
Conclusion: The analysis of these QIs has helped us identify the areas in which our services are satisfactory and the areas where we need to improve. In areas where we need to improve, we are trying to address the challenges associated with the QIs by continuous monitoring, process improvement and adoption of innovative technologies. Such analysis and continuous refinement of practices will help ensure the ongoing success of blood transfusion practices and improving quality of patient care.
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Dr. Pranita Bhikulal Sontakke
Assistant Professor at Department of Blood Centre, Pathology, MGM Medical College & Hospital Chhatrapati Sambhajingar
Dr. Rohini Prabhakarrao Shewale
Assistant Professor at Department of Blood Centre, Pathology, MGM Medical College & Hospital Chhatrapati Sambhajingar
Dr. Chandrashekhar Prabhakar Bhale
Professor and Head at Department of Pathology, MGM Medical College & Hospital Chhatrapati Sambhajingar
