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Medicine Group Short Communication Article ID: igmin262

Quality Culture - Lessons Learned from the Low- and Medium Income World

Hematology RehabilitationPublic Health DOI10.61927/igmin262 Affiliation

Affiliation

    Cees Th Smit Sibinga, MD, PhD, FRCP Edin, FRCPath, Professor, International Development of Transfusion Medicine, University of Groningen and IQM Consulting, The Netherlands, Email: [email protected]

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Abstract

With the development of safe blood supply and transfusion comes the introduction of quality as a culture, implemented through the introduction of a Quality System (QS) and Quality Management System (QMS). Often the idea is that– ‘when instructions are written (SOPs) a quality system is in place. Just follow the instructions, that is it.’ However, quality only partly depends on following instructions at the operational level. Generally not understood is the importance of designing and implementing a quality management system, based on 5 key elements 1) organization and structure; 2) standards (technical and quality); 3) documentation - traceability and evidence; 4) education - continued teaching and training; 5) assessment - continued monitoring and evaluation.
Development and implementation of an appropriate quality system and management were evaluated for 15 developing countries (2004-2020) in 4 WHO regions. Projects were based on a step-by-step introduction to the concept and principles of quality following a Quality Management Training (QMT) course – modular, interactive, with improvement score evaluation focused on comprehension and ownership of the teaching and training contents.
For an optimal understanding of the values of quality in Transfusion Medicine (TM), a culture has to be created - ownership development, commitment to and implementation of the principles of fitness for purpose, and the supplier-producer-customer continuum.

References

    1. Holmberg JA, Rosin N. Need for quality management in transfusion medicine. In: Smit Sibinga CTh, editor. Quality management in transfusion medicine. New York: Nova Science Publishers; 2013;35-53.
    2. Smit Sibinga CTh, Hasan F. Quality management or the need for a quality culture in transfusion medicine. Glob J Transfus Med. 2020;5(1):9-16.
    3. Smit Sibinga CTh, Seidl C, Nunes E, AuBuchon JP. Quality and quality management systems applicable in transfusion medicine. In: Smit Sibinga CTh, editor. Quality management in transfusion medicine. New York: Nova Biomedical; 2013.
    4. Abdella YE, Smit Sibinga CTh. WHO and current global efforts in transfusion medicine education. In: Eichbaum QG, editor. Global education, training, and staffing in transfusion medicine. Bethesda, MD: AABB Press; 2024 (in press).
    5. World Health Organization. Quality management training for blood transfusion services: facilitator’s toolkit. Geneva: WHO; 2004. WHO/EHT/04.13.
    6. Louw VJ. Determining the outcomes for clinicians completing a postgraduate diploma in transfusion medicine. Transfus Apher Sci. 2014 Dec;51(3):38-43. doi: 10.1016/j.transci.2014.10.009. Epub 2014 Oct 16. PMID: 25457005.
    7. Louw VJ, Barrett CA, Rambiritch V. Outcomes-based clinical transfusion medicine education. In: Smit Sibinga CTh, editor. Clinical use of blood: an alternative approach. Switzerland: Springer Nature; 2024 (in press).

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