Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais

OBJECTIVE: This study aimed at identifying associations between the participation of transfusion services in immunohematology external quality control programs and their accuracy in immunohematology testing and adaptation to technical and legal operational procedures. METHODS: From 2007 to 2009, a c...

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Main Authors: Ângela Melgaço Ferreira, Stela Brener, Ricardo Vilas Freire de Carvalho, Marcele Cunha Ribeiro do Valle, Helio Moraes-Souza
Format: Article
Language:English
Published: Elsevier 2012-01-01
Series:Revista Brasileira de Hematologia e Hemoterapia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842012000100009
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author Ângela Melgaço Ferreira
Stela Brener
Ricardo Vilas Freire de Carvalho
Marcele Cunha Ribeiro do Valle
Helio Moraes-Souza
author_facet Ângela Melgaço Ferreira
Stela Brener
Ricardo Vilas Freire de Carvalho
Marcele Cunha Ribeiro do Valle
Helio Moraes-Souza
author_sort Ângela Melgaço Ferreira
collection DOAJ
description OBJECTIVE: This study aimed at identifying associations between the participation of transfusion services in immunohematology external quality control programs and their accuracy in immunohematology testing and adaptation to technical and legal operational procedures. METHODS: From 2007 to 2009, a cross-sectional study was conducted in 219 transfusion services of the State of Minas Gerais who participated in this investigation by responding to a questionnaire and conducting a proficiency test comprising: ABO and RhD phenotyping, irregular RBC antibody screening and cross-matching. Frequencies and bivariate analysis followed by binary logistic regression were used for statistical analysis. RESULTS: Transfusion services who participated in external quality control programs (32.4%) and those that did not (67.6%) obtained worrying error percentages in proficiency tests which may significantly increase blood transfusion risks. Shortfalls related to the establishment of protocols, standards and internal quality control were also significant. On comparing the two groups, transfusion services that participated in these programs had a 2.35 times higher chance of correct results in the proficiency panel testing, a 3.16 higher chance of having transfusional records and a 2.81 higher chance of performing preventive maintenance of equipment. CONCLUSIONS: The study showed that independent factors associated to participation in external quality control programs suggest that more investment in internal quality control procedures is necessary and that more attention should be paid to current legislation.
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spelling doaj.art-f7342667586f4ac48c9c87046b0fed292022-12-22T00:41:57ZengElsevierRevista Brasileira de Hematologia e Hemoterapia1516-84841806-08702012-01-01341212410.5581/1516-8484.20120009Participation in proficiency programs and promotion of quality in transfusion services of Minas GeraisÂngela Melgaço FerreiraStela BrenerRicardo Vilas Freire de CarvalhoMarcele Cunha Ribeiro do ValleHelio Moraes-SouzaOBJECTIVE: This study aimed at identifying associations between the participation of transfusion services in immunohematology external quality control programs and their accuracy in immunohematology testing and adaptation to technical and legal operational procedures. METHODS: From 2007 to 2009, a cross-sectional study was conducted in 219 transfusion services of the State of Minas Gerais who participated in this investigation by responding to a questionnaire and conducting a proficiency test comprising: ABO and RhD phenotyping, irregular RBC antibody screening and cross-matching. Frequencies and bivariate analysis followed by binary logistic regression were used for statistical analysis. RESULTS: Transfusion services who participated in external quality control programs (32.4%) and those that did not (67.6%) obtained worrying error percentages in proficiency tests which may significantly increase blood transfusion risks. Shortfalls related to the establishment of protocols, standards and internal quality control were also significant. On comparing the two groups, transfusion services that participated in these programs had a 2.35 times higher chance of correct results in the proficiency panel testing, a 3.16 higher chance of having transfusional records and a 2.81 higher chance of performing preventive maintenance of equipment. CONCLUSIONS: The study showed that independent factors associated to participation in external quality control programs suggest that more investment in internal quality control procedures is necessary and that more attention should be paid to current legislation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842012000100009Quality controlBlood banksBlood transfusionQuality assurance, health careProgram evaluation
spellingShingle Ângela Melgaço Ferreira
Stela Brener
Ricardo Vilas Freire de Carvalho
Marcele Cunha Ribeiro do Valle
Helio Moraes-Souza
Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
Revista Brasileira de Hematologia e Hemoterapia
Quality control
Blood banks
Blood transfusion
Quality assurance, health care
Program evaluation
title Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
title_full Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
title_fullStr Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
title_full_unstemmed Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
title_short Participation in proficiency programs and promotion of quality in transfusion services of Minas Gerais
title_sort participation in proficiency programs and promotion of quality in transfusion services of minas gerais
topic Quality control
Blood banks
Blood transfusion
Quality assurance, health care
Program evaluation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842012000100009
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