Efficient quality improvement through the monitoring of Key Performance Indicators in the Quality management Review of a Blood Establishment (BE)

IF 1.4 4区医学 Q4 HEMATOLOGY

Transfusion Clinique et Biologique Pub Date : 2025-05-01 DOI:10.1016/j.tracli.2025.02.008

Dimitra Moschandreou, Elisavet Grouzi

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引用次数: 0

Abstract

Efficient quality improvement in Blood Establishments (BE) relies on monitoring Key Performance Indicators (KPIs) within the Quality Management Review (QMR). KPIs serve as objective measures to identify system weaknesses and promote continuous quality improvement. The QMR integrates KPI data with inputs from various sources like non-conformities and audit reports, facilitating informed decision-making for improvement initiatives.

This study was conducted at the Transfusion Medicine Department of a General Oncology Hospital with the aim of evaluating the quality improvement. Over a period of 6 years (2018–2023) some interventions were implemented to enhance blood sufficiency and blood stock management. The aim of the present study was to assess the impact of these interventions on the values of KPIs and, consequently, on the effectiveness of the system regarding the examined issues. The values of the KPIs before and after the interventions were compared to identify statistically significant differences. The years following the interventions the WAPI% index for expired red blood cell units was reduced, the acceptance limits of units collected per blood drive were met, the blood units collected in the BE increased and the deficit in red blood unit was reduced. The selected KPIs were significantly improved with minor exceptions.

In conclusion, the systematic monitoring of KPIs and strategic interventions underscored in this study illustrate how targeted quality management practices can enhance operational efficiency and ensure sustainable improvements in BEs. Ongoing efforts to refine these approaches aim to achieve broader quality enhancement goals across blood management practices.

查看原文本刊更多论文

通过监测血液机构（BE）质量管理评审中的关键绩效指标进行有效的质量改进。

血液机构（BE）的有效质量改进依赖于监测质量管理评审（QMR）中的关键绩效指标（kpi）。关键绩效指标作为识别系统弱点和促进持续质量改进的客观措施。QMR将KPI数据与各种来源的输入（如不合格和审核报告）集成在一起，促进改进计划的明智决策。本研究在某肿瘤综合医院输血内科进行，目的是评估质量改进。在6年（2018-2023年）期间，实施了一些干预措施，以加强血液供应和血液库存管理。本研究的目的是评估这些干预措施对关键绩效指标价值的影响，从而评估系统对所研究问题的有效性。比较干预前后的kpi值，发现有统计学意义的差异。干预后几年，过期红细胞WAPI%指数下降，每次献血收集的单位达到可接受限度，BE中收集的血液单位增加，红细胞赤字减少。所选的kpi得到了显著改善，只有少数例外。总之，本研究强调的关键绩效指标的系统监测和战略干预说明了有针对性的质量管理实践如何提高业务效率并确保BEs的可持续改进。正在进行的改进这些方法的努力旨在在血液管理实践中实现更广泛的质量提高目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transfusion Clinique et Biologique 医学-免疫学

CiteScore

2.50

自引率

11.80%

发文量

234

审稿时长

36 days

期刊介绍： Transfusion Clinique et Biologique, the official journal of the French Society of Blood Transfusion (SFTS): - an aid to training, at a European level - the only French journal indexed in the hematology and immunology sections of Current Contents Transfusion Clinique et Biologique spans fundamental research and everyday practice, with articles coming from both sides. Articles, reviews, case reports, letters to the editor and editorials are published in 4 editions a year, in French or in English, covering all scientific and medical aspects of transfusion: immunology, hematology, infectious diseases, genetics, molecular biology, etc. And finally, a convivial cross-disciplinary section on training and information offers practical updates. Readership: "Transfusers" are many and various: anesthetists, biologists, hematologists, and blood-bank, ICU and mobile emergency specialists...