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.
KeywordsBlood Transfusion Blood Bank Dutch Hospital Consensus Development Conference Quality Assurance Activity
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- 1.Klazinga NS. Quality assurance in hospitals. Concerted Action Programme on Quality Assurance in Hospitals: Multicenter comparative study on different Quality Assurance Strategies and their effect on improvement of care with respect to keeping of patient records, prophylactic antibiotic use in surgery, preoperative assessment, prevention and therapy of bedsores. In: Fracchia GN, Theofilatou M (eds). Health Service Research. IOS Press, Amsterdam, Oxford, Washington DC, Tokyo 1993.Google Scholar
- 2.Klazinga NS. Implementing Quality Assurance in Health Care, a European Perspective. CBO, Utrecht 1990.Google Scholar
- 3.Klazinga NS, Casparie AF, van Everdingen JJE. Profile of the Consensus Development Program in The Netherlands: National Organization for Quality Assurance in Hospitals (CB). In: Goodman C, Baratz SR (eds). Improving consensus development for health technology assessment: An international perspective. Institute of Medicine, Washington DC 1990:110–7.Google Scholar
- 4.Herziening Consensus Bloedtransfusiebeleid in Ziekenhuizen. Utrecht, februari 1989.Google Scholar
- 6.Van Everdingen JJE, Klazinga NS, Dinkelaar RB, van der Does JA. Het gebruik van pre-operatieve bloedbestellijsten in combinatie met de “type and screen” Strategie in Nederlandse ziekenhuizen. TdschrNVKC 1987;12:270–3.Google Scholar
- 7.Van Everdingen JJE. Consensusontwikkeling in de geneeskunde. Dissertatie. Bohn, Scheltema & Holkema, Utrecht 1988.Google Scholar
- 8.Final report Concerted Action Programme on Quality Assurance in Hospitals. CBO, Utrecht 1993 (in press).Google Scholar