Module 7: Errors in transfusion Transfusion Training Workshop KKM 2012.
BLOOD TRANSFUSION IN TURKEY. SHORT HISTORY 1921: Prof. Dr. Burhanettin TOKER gave a start to...
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Transcript of BLOOD TRANSFUSION IN TURKEY. SHORT HISTORY 1921: Prof. Dr. Burhanettin TOKER gave a start to...
BLOOD TRANSFUSİON İN TURKEYBLOOD TRANSFUSİON İN TURKEY
SHORT HISTORYSHORT HISTORY
• 1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in TURKEY
• 1938 : First transfusion in Cerrahpasa Medical Faculty
• 1940 – 1945 : Some university and hospitals constitude small blood donation units.
• 1952 : Cerrahpasa Medical Faculty separated blood plasma
• 1953 : “Turkish Red Crescent Blood Assist Organization” consituted
• 1954 : TRC send medical doctors to England and USA for Blood Transfusion Education
• 1957 : In ankara and Istanbul TRC Blood Banks constructed and opened
• 1959 : Bursa and Samsun TRC Blood Banks constructed
• 1967 : TRC Ankara Plasma Fractination Laboratory constructed
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SHORT HISTORYSHORT HISTORY
• 1974 : Turkish Red Crescent Blood Donation Organization” constituted
• 1981 : Plastic blood Bags started to use
• 1983: Accepted “Law on Blood and Blood Products, No: 2857”,
• A and B type Blood Stations
• 1996 : “Blood Banks and Transfusion Society” constituted
• 1996 : Anti – HCV accepted as a mandatory screening test in Blood Banking in Turkey
• 1997 : “Blood donor questioning form” is accepted as a mandotory form in all blood banks in Turkey
• 2005 : “Safe Blood Project” , MoH – TRC Project on Blood Safety and Safe Blood
• 2006 : Demonstrade NAT study
• 2007 : New Law accepted on Blood and Blood Products, No: 5624, OJ No: 26510, 02.05.2007 , Regional Blood Centers
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MAIN ORGANİZATIONSMAIN ORGANİZATIONS
• The Ministry of Health (MoH) in Turkey is the main authority regulating and auditing the blood and blood products services throughout the country.
• TRC (Turkish Red Crescent Society) is the primary nongovermental organizsation in the country that has purposes of collecting blood from voluntary, nonremunerated blood donors, process and separate them to components, achieve the mendatory laboratory tests, store and distribute to hospitals. TRC manages Regional Blood Banks in Turkey in close cooperation with the MoH..
• BBTST ( Blood Banks and Transfusion Society )is the primary nongovernmental organisation in the country that has the purposes of producing training materials and related documents, organising courses and publishing books in close cooperation with the MoH.
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““SAFE BLOOD PROJECT”SAFE BLOOD PROJECT”
• In 2005 MoH and TRC prepared a project named
“ Safe blood Project” and put into practice. Some main parts of this project was as follow:
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ORGANİZATIONORGANİZATION
• Blood supply system in Turkey has long been a hospital based and decentralized one. Hospital blood banks provide approximately 65 % of the annual blood supply and Turkish Red Crescent blood banks provide only 35% . The blood law before the new one was published in 1983 and the system was composed of blood centers of A and B type
• In 2007, there were more than 400 hospital based blood banks and 27 TRC Blood Centers in Turkey and a new law needed to estsablish the standards. And while this law prepered EU directives was taken into consideration.
• The new blood law (Law on Blood and Blood Products, No: 5624, OJ No: 26510, 02.05.2007) published in May 2007 describes a centralized blood supply system with regional blood centers, transfusion centers and donation centers.
ORGANİZATIONORGANİZATION
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ORGANİZATIONORGANİZATION
• 2005 : more than 400 Hospitalize based blood banks ( A and B type), 23 TRC Blood Banks (All B Type)
• 2008: 12 Regional Blood Banks and 42 Blood Donation Center – TRC provide 50% of the annual blood suply – Hospitalize based blood banks are transforming as transfusion
centers and stop the donation work. – Goal is to stop donation in hospitals by the reach enough
voluntary blood donation number.
ORGANİZATIONORGANİZATION
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DONOR RECRUITMENTDONOR RECRUITMENT
• Donor Recruitment Department• Behaviour Change Project• Club 25 Activities: Targeting 18 – 25 years old
population• Donor Education and Recruitment Programs• Refusal Donor Database• Voluntary Blood Donor Cards• SMS reminds
NATIONAL VOLUNTARY DONOR
RECRUITMENT PROGRAM
NATIONAL VOLUNTARY DONOR
RECRUITMENT PROGRAM
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TRC 2003-2004-2005-2006-2007 BLOOD DONATION NUMBERS
447.836
145.129
592.965
225.349177.977
176.770
376.060
135.938
127.347 116.797
126.042
342.146
312.708305.324
502.102
2003 2004 2005 2006 2007
MOBILE CENTER TOTAL
• DONOR NUMBER in TRC DONOR DATABASE: 1.208.339• TOTAL DONATION THAT TRC COLLECTED:
– 2005 : 342. 146– 2006: 502.102– 2007: 592.965– 2008: 308.000 (First six mounths)
• Donor numbers that donated
more than 1 blood in the years 2006 – 2007 : 134.464
• Donor number that donated just 1 time between 2005 – 2007: 554.481
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WHOLE BLOOD
COMPONENTS
WHOLE BLOOD
COMPONENTS
WHOLE BLOOD
COMPONENTS
WHOLE BLOOD
COMPONENTS
2004
2006 2007
2005
%42
%85
%99 %99
%58
%15
%1%1
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2005 Whole Blood usage is 529.6072007 Whole Blood usage is 256.092
2004- 2007 YILLARI KAN BAĞIŞ SAYISI , ÜRETİM SAYISI VE HİZMETE SUNUM SAYILARI
592.965502.102
342.146
305.324
584.043
973.921
803.462
438.703
823.865
674.618
462.919
381.056
2004 2005 2006 2007
KAN BAĞIŞ SAYISI ÜRETİMMİKTARI
HİZMETESUNUMMİKTARI
2004 – 2007 BLOOD DONATION, PRODUCTION AND DISTRIBUTE NUMBERS
BLOOD DONATION NUMBERS
PRODUCTION NUMBERS
DISTRIBUTION NUMBERS
_
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YEAR DONATİON NUMBER DESTROY NUMBER (Because of approved test pozitive)
RATE
2004 305.324 8.882 2,97 %
2005 342.146 8.613 2,54 %
2006 502.102 11.528 2,29 %
2007 592.965 13.494 2,28 %
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In spite of rasing donation number, the decreasing number of destroy number of bloods because of screening test pozitive is showing the success on measure on safe blood and donor education. Because first time donor rates are stil high in Turkey.
NATIONWIDE IT SYSTEMNATIONWIDE IT SYSTEMBLOOD BANK
INFORMATION MANAGEMENT
SYSTEM
BLOOD BANK INFORMATION MANAGEMENT
SYSTEM
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Isı Dolabı -80ºIsı Dolabı -40º
KanÇalkalama 1
KanÇalkalama 2
KanÇalkalama 4
KanÇalkalama 3
Switch
Yıldız TopolojisiNetwork Kablolama
DO
NA
SY
ON
SA
LO
NU
LAB
OR
AT
UA
RS
AT
IŞD
EP
OK
AR
AN
TİN
AD
İĞE
R
CAT5-FTPCAT5-UTP
CAT5-UTP
CAT5-FTP
RJ12Data Prizi
RJ12Data Prizi
RJ12Data Prizi
RJ12Data Prizi
RJ12 Data Prizi RJ45 Data Prizi
RS485/RS232Çevirici
Isı Dolabı -80ºIsı Dolabı +5º
RJ12 Data Prizi RJ45 Data Prizi
Isı Dolabı -80ºIsı Dolabı -40º
RJ12 Data Prizi RJ45 Data Prizi
Isı Dolabı -80ºIsı Dolabı -40º
RJ12 Data Prizi RJ45 Data Prizi
Isı Dolabı -80ºIsı Dolabı +23º
RJ12 Data Prizi RJ45 Data Prizi
CA
T5-
UT
P
RJ45 Data PriziRS485/RS232ETH Çevirici
RJ12Data Prizi
KBBYSYerel Sunucusu
Yerel SSLSertifikası
KBBYS
İNTERNET
Telsim SMSUydu
Türk KızılayıGenel Merkez
User
Donörler / Bağışcılar
SMSMSG: Kan verdiğiniz için
teşekkür ederiz
SMSYeni Mesajınız VarKan verdiğiniz için
teşekkür ederiz
* Tek SMS Gönder* Toplu SMS Gönder* Kontör Bilgileri* Hesap İşlemleri
.Net SMS Kütüphanesi
IT0019 06 005212
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ANKARA KIZILAY KAN MERKEZİ
ANKARA TÜRKİYE
13 Tem 2006 12:49GÖNÜLLÜ DONÖR
R0600
NEGATİF
G0062361249
24 Ağu 2006 12:49
Q099999999999999099
Anti-HCV (-), HBsAg (-), HIV (-), Sifilis (-)
NE0429000
Eritrosit Susp.SAG-M
450 mL + CPD TK'dan2-6 C de saklayınız
OTOMASYON VE HEMOVİJİLANS
NATIONAL HAEMOVIGILANCE SYSTEMNATIONAL HAEMOVIGILANCE SYSTEM NATIONAL HAEMOVIGILANCE
SYSTEM
NATIONAL HAEMOVIGILANCE
SYSTEM
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QUALITY MANAGEMENTQUALITY MANAGEMENT
• The new law states that all procedures in the blood transfusion system must follow national and international quality standards that needs to be clarified in detail with a national guideline
• Quality certificate (TÜV) 40 donation center :
ISO 9001:2000 (Jun 2006)
Mittle Anatolia Regional Blood Center acreditation certificate :
International acreditation: JCI (July 2007)
First acrediated Blood Bank in the world
• Acreditation for medical laborotory:
ISO 15189 (November 2007)
QUALITY MAMAGEMENT
QUALITY MAMAGEMENT
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SHORT HISTORYSHORT HISTORY
• 1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in TURKEY
• 1938 : First transfusion in Cerrahpasa Medical Faculty
• 1940 – 1945 : Some university and hospitals constitude small blood donation units.
• 1952 : Cerrahpasa Medical Faculty separated blood plasma
• 1953 : “Turkish Red Crescent Blood Assist Organization” consituted
• 1954 : TRC send medical doctors to England and USA for Blood Transfusion Education
• 1957 : In Ankara and Istanbul TRC Blood Banks constructed and opened
• 1959 : Bursa and Samsun TRC Blood Banks constructed
• 1967 : TRC Ankara Plasma Fractination Laboratory constructed
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BIOMEDICAL DEPARTMENT
FULL AUTOMATIC EXTRACTOR DEVOLOPED BY TURKİSH REDCRESCENT
BÖLGESEL KAN MERKEZİ PROJESİ
MARMARA REGIONAL BLOOD CENTER
İSTANBUL - KARTAL
EGE REGIONAL BLOOD CENTER
İZMİR - BORNOVA
THANK YOU…THANK YOU…