NMH

NMH | 2024 178 Quality & Safety Services T he main aim of Haemovigilance is to promote safe and effective transfusion practice in The National Maternity Hospital. Compliance with Blood Transfusion quality standards is a key performance indicator of transfusion safety for patients. The service participates within the overall Laboratory Quality Management system. There is one whole-time Haemovigilance Officer (HVO) and 0.4 Consultant Haematologist providing the service. Successes / Achievements / Reports • INAB (ISO 15189) Accreditation against the new standards achieved for 2024 (Audits/Quality/Guidelines/Education/ Reporting/CPD) • 100% Traceability of blood components and products as required by European Blood Directive 2002/98/EC • 10 reports were filed to National Haemovigilance Office (NHO) in 2024 (1 Mandatory, 2 non-mandatory and 7 WBIT) • The root cause analysis of adverse events and implementation of preventative action contributes to safety within the blood transfusion process. • Continued participation in internal multidisciplinary clinical team in the implementation of the National Clinical Effective Committee (NCEC- 29) guideline for life threatening intraoperative haemorrhage and the National Post-partum Haemorrhage (PPH) Guidelines. • Attendance and participation at the Blood Transfusion Committee & PPH/ Anti-D prophylaxis and quality (QMT & QA) committees • The HVO and Consultant Haematologist participated in education events as part of CPD Mandatory Haemovigilance Education Programme • Use of online e-learning platform 'Totara' for NCHD Induction was successfully continued in 2024 • Use of 'NMH guide to Haemovigilance' in Totara and 'Essential Transfusion Practice' in HSE Land was continued for Midwifery/Nursing staff and Midwifery Students. • Delivery of targeted haemovigilance education to other staff groups (Care Assistants and Portering staff) involved in the transfusion chain process We receive the necessary data on completion of haemovigilance education by staff from HR, Midwifery/Nursing Education, Administration and Portering services departments. This data is used to assess compliance rates. The use of Totara system has greatly contributed to monitoring haemovigilance education compliance rates. Specific blood track training for blood track users (L1) is continued with thanks to local L2 Trainers (CSF/Senior Midwifery staff) (train the trainer- L2 trained by HVO). Staff are enabled on the database by HVO which allows access to the controlled blood fridges. Haemovigilance Plans for 2025 • Maintain ISO15189 (INAB Accreditation) • Various policies to be reviewed/written and updated • Participation in the National Transfusion Advisory Committee (NTAG) working groups (Patient Blood Management, Life Threatening Haemorrhage, Neonatal Components, Regional Transfusion Committees, Haemovigilance Special interest group (HV/SIG) • Promote the appropriate use of blood and blood products and to continue participation in implementation of the NTAG guidelines • Continue to monitor transfusion practice • Continue to monitor mandatory haemovigilance education compliance Bridget Carew, Haemovigilance Officer. "We receive the necessary data on completion of haemovigilance education by staff from HR, Midwifery/ Nursing Education, Administration and Portering services departments. This data is used to assess compliance rates. The use of Totara system has greatly contributed to monitoring haemovigilance education compliance rates."

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