Error Policies at the Bedside — Quality Management of Blood Transfusion in Dutch Hospitals
This article explores the nature and effectiveness of quality management activities in the field of blood transfusion in hospitals. The first part of the article describes the position of blood transfusion as a topic for Quality Assurance (QA) in relation to other popular QA items in European hospitals and more in detail, in the context of peer-review committees in Dutch hospitals. A brief overview will be given of the infrastructure of QA in Dutch hospitals and the scope and format of a national program for the development of practice guidelines. The implementation and effect of a national practice guideline on blood transfusion policy in hospitals formulated in 1982 is discussed in detail. Furthermore a synthesis of a series of audit-studies on blood transfusion performed in different hospitals will be provided. The article concludes with a description of the different phases of realizing improvements in blood transfusion practice and the factors influencing the improvement.
KeywordsCatheter Hepatitis Anemia Rium Defend
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