Lessons learned from crises in blood donation services: A systematic review of operational practices.

IF 1.6 4区医学 Q3 HEMATOLOGY

Vox Sanguinis Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI:10.1111/vox.70337

Michael Garkisch, Stefanie Popp

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引用次数: 0

Abstract

Background and objectives: Blood donation services are vital to healthcare delivery, ensuring the continuous availability of safe and adequate blood products, particularly during periods of disruption and crisis. Disruptive events such as pandemics, mass-casualty incidents, (natural) disasters, pandemics, armed conflicts and blood shortages can affect donor availability, logistics, workforce capacity, communication and operational continuity. This study systematically identifies and synthesizes lessons learned from crises affecting blood donation and translates them into a structured framework of operational practices.

Materials and methods: A systematic literature review between 2010 and 2025 was conducted using four databases. Study selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 142 included publications were analysed using qualitative content analysis with MAXQDA and organized using an analytical framework adapted from the International Society of Blood Transfusion (ISBT) COVID-19 Operational Recommendations Framework.

Results: The analysis identified six overarching dimensions of operational practice in blood donation services: collaboration, coordination and standards; blood supply chain design and management; resource management; disaster preparedness and risk management; communication; and operations. Three overarching operational practice themes emerged: coordinated governance and communication, operational continuity and organizational resilience.

Conclusion: Crises affecting blood donation services generate transferable lessons for maintaining safe and reliable blood supply operations under disruptive conditions. This review provides a structured synthesis of cross-crisis operational practices and offers an evidence-based foundation for blood services.

查看原文本刊更多论文

从献血服务危机中吸取的教训：对业务做法的系统审查。

背景和目标：献血服务对卫生保健服务至关重要，可确保持续提供安全和充足的血液制品，特别是在中断和危机期间。诸如大流行病、大规模伤亡事件、（自然）灾害、大流行病、武装冲突和血液短缺等破坏性事件可能影响捐助者的供应、后勤、劳动力能力、通信和业务连续性。本研究系统地确定和综合从影响献血的危机中吸取的经验教训，并将其转化为业务实践的结构化框架。材料与方法：对2010 - 2025年4个数据库进行系统文献综述。研究选择遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目。采用MAXQDA进行定性内容分析，并采用改编自国际输血学会（ISBT） COVID-19操作建议框架的分析框架进行组织，共纳入142份出版物。结果：分析确定了献血服务业务实践的六个总体维度：合作、协调和标准；血液供应链设计与管理；资源管理;备灾和风险管理；沟通;和操作。三个主要的业务实践主题出现了：协调治理和沟通、业务连续性和组织弹性。结论：影响献血服务的危机为在混乱条件下维持安全可靠的血液供应操作提供了可转移的教训。本综述提供了跨危机操作实践的结构化综合，并为血液服务提供了循证基础。

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

Vox Sanguinis 医学-血液学

CiteScore

4.40

自引率

11.10%

发文量

156

审稿时长

6-12 weeks

期刊介绍： Vox Sanguinis reports on important, novel developments in transfusion medicine. Original papers, reviews and international fora are published on all aspects of blood transfusion and tissue transplantation, comprising five main sections: 1) Transfusion - Transmitted Disease and its Prevention: Identification and epidemiology of infectious agents transmissible by blood; Bacterial contamination of blood components; Donor recruitment and selection methods; Pathogen inactivation. 2) Blood Component Collection and Production: Blood collection methods and devices (including apheresis); Plasma fractionation techniques and plasma derivatives; Preparation of labile blood components; Inventory management; Hematopoietic progenitor cell collection and storage; Collection and storage of tissues; Quality management and good manufacturing practice; Automation and information technology. 3) Transfusion Medicine and New Therapies: Transfusion thresholds and audits; Haemovigilance; Clinical trials regarding appropriate haemotherapy; Non-infectious adverse affects of transfusion; Therapeutic apheresis; Support of transplant patients; Gene therapy and immunotherapy. 4) Immunohaematology and Immunogenetics: Autoimmunity in haematology; Alloimmunity of blood; Pre-transfusion testing; Immunodiagnostics; Immunobiology; Complement in immunohaematology; Blood typing reagents; Genetic markers of blood cells and serum proteins: polymorphisms and function; Genetic markers and disease; Parentage testing and forensic immunohaematology. 5) Cellular Therapy: Cell-based therapies; Stem cell sources; Stem cell processing and storage; Stem cell products; Stem cell plasticity; Regenerative medicine with cells; Cellular immunotherapy; Molecular therapy; Gene therapy.