Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

ASSESSMENT OF INJECTION CONTROL AND OTHER QUALITY STANDARDS OF BLOOD BANK SERVICES PROVIDED BY UNIVERSITY HOSPITALS

Author

Mohamed Salah Gabal

Institution

Occupational Medicine Unit, College Of Medicine, Ain Shams University, Egypt

Abstract

Objectives: To assess the quality of services provided by health care workers in blood banks compared to national Egyptian standards in terms of organizational management, standards for quality system as regard blood donation, documentation system availability, continuous education, training programs and plan for training, regular self assessment, and infection control measures adherence during blood donation.

Methods: It was a descriptive cross sectional study. Main blood banks in Ain-Shams (Eldmerdash blood bank) and in Al-Azhar University hospitals (Elhuessin blood bank). All health care workers in both blood banks were included in the study and interviewed by a questionnaire, another questionnaire was administered for the head managers, 300 blood donation processes were examined in each blood bank and their corresponding checklist was completed, 5% of blood donation documents of year 2009 were revised.

Results: showed that both blood banks (Eldmerdash and Elhuessin) fulfilled quality standards for inquiring about all eligibility criteria of the donors except female eligibility criteria as: pregnancy, lactation and menstruation were inquired better by health care workers in Eldmerdash than Elhuessin blood bank. Also health care workers in Eldmerdash blood bank inquired better about history of chronic and infectious diseases, vaccinations, drugs and surgical history prior to donation than Elhuessin blood bank. There was a blood donor questionnaire only in Eldmerdash blood bank. In both blood banks there was no measurement of Hemoglobin routinely predonation for all cases, it was measured only for query cases of males and all females in Eldmerdash and measured only for query cases of females in Elhuessin. There was training courses before employment more in Eldmerdash than Elhuessin. Needles were not recapped in Eldmerdash blood bank, but needles were recapped in Elhuessin. Staff was wearing their white coats more in Eldmerdash than Elhuessin blood bank. Also, there was no measurement of temperature and weight in Elhuessin blood bank. No lymph node examination in both blood banks, no skin examination nearly in Elhuessin. No post donation instructions were given to blood donors in Elhuessin. There was no application of infection control measures in both blood banks regarding hand washing before donation, before or after clinical examination. No available basin, soap or antiseptic in Elhuessin blood bank. Neither gloves were worn before carrying blood donation in Elhuessin blood bank nor hand washing after cleaning of blood drop. Needles were recapped in Elhuessin blood bank. No special fluid disposal box in Elhuessin blood bank.

Conclusion: both blood banks (Eldmerdash and Elhuessin) fulfilled most of the national Egyptian infection control and other quality standards. Eldmerdash blood bank showed more adherence to these standards than Elhuessin blood bank.