Quality indicators in continuous quality improvement at a blood centre in a rural tertiary care centre in India
Dr. Gupta Monica, Bhatt Pratiksha S, Dr. Ranapurwala Mustafa F, Dr. Mulla Faruq and Dr. Rathod Kirti J
Context: The quality of services provided by a transfusion service can be gauged by assessing the performance of its Quality indicators (QIs).
Aims: The study aimed to assess the impact of adopting CQI at ADGBB by assessing the various Qis
Settings and Design: The present observational study is undertaken at a Blood Centre associated with a tertiary health care centre in Rural Gujarat, India. The study was conducted over eight years (2008-2016).
Methods and Material: Various QIs encompassing the different areas of the Blood Centre service were monitored monthly, with the addition of new QIs, as and when required. Outliers were dealt with with corrective and preventive actions.
Statistical analysis used: Indicators monitoring the donation process, blood collection process, product quality, transfusion process, and inventory usage were studied.
Results: Positive quality indicators like voluntary donation rate, completeness of donor consent forms have shown an increasing trend over the years. At the same time, negative indicators like double prick rates, rapid testing, sample rejection rates have shown a decreasing trend. However, indicators like C: T ratio and rate of blood transfusion reactions have been constant throughout the years, and well within manageable levels, with minor fluctuations. Indicators like quality control of components, TAT outliers, wastage of components have shown negative trends which have required active interventions, which in turn have shown improvements over the next years.
Conclusions: Regular and keen monitoring of QIs and timely intervention by key personnel can ensure great outcomes and improved CQI.