BeQuinT - SPF Santé publique

INFOSESSIE / SÉANCE D’INFORMATION
& SYMPOSIUM:
OPTIMAL USE OF BLOOD
COMPONENTS
5 JUNI / JUIN 2014
BeQuinT infosession 2014
BeQuinT organisation and activities
Q2014 second national survey
Rik Schots
President BeQuinT
BeQuinT ?
October 2011:
Begeleidingscomité/Comité de pilotage
January 2013:
Nationaal platform transfusiebeleid (NPTf)
Plateforme nationale de politique transfusionelle (PNPT)
Belgian Quality in Transfusion
BeQuinT
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Aims
1) To improve the quality of transfusion
2) To improve the use of blood components
in Belgian hospitals
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Financial support bij FOD VVVL/SPF SPSCAE
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Action plan 2013 - 2017
BeQuinT composition
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Participation based on
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Participating organisations
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Expertize
Adequate representation of steakholders in transfusion
Rode Kruis Vlaanderen/Croix Rouge de Belgique
FAGG/AFMPS
FOD VVVL/SPF SPSCAE
University hospitals: presidents of transfusion committees
Scientific organisations
RIZIV/INAMI
Hoge Gezondheidsraad/Conseil Supérieur de Santé
Project coordinator (50%)
 [email protected]
BeQuinT organisation
BeQuinT general assembly (n= 38)
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Meeting 1x per year
Amendment/approval of annual report, action plan and financial balance
Validate activities of steering committee
Election of chair and vice-chair or continuation of functions
Steering committee (n= 17)
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Meeting every 4-6 weeks
Prepare annual report and action plan
Keep BeQuinT participants informed
Collect data on transfusion activity in Belgian hospitals
Organize national surveys
Organize annual infosession and symposium
Newsletters to the hospitals
Facilitate & control activities of working groups
Project: “single unit policy”
WG Prescription
WG Guidelines
WG Education
BeQuinT organisation and participants
www.bequint.be
Newsletters
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Newsletter 1 – February 2014
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Presentation of the new platform
Announcement of 2nd national survey (+ deadline)
Announcement of infosession and symposium 2014
Comment on internal audits
Focus on data collection (nr. of transfusions, patients transfused)
Newsletter 2 – April 2014
 Infosession: online registration open
 Comment on reporting and managing of transfusion-related
incidents
 Focus on multidisciplinary transfusion team (+ reference person)
 Citation RBC transfusion triggers
Working groups
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Education and formation (n= 15)
 Chr. Gérard & V. Deneys
 Develop educational documents and E-learning program
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Guidelines (n= 15)
 B. Ickx
 Develop “Patient blood management” guidelines
 By adapting existing guidelines to Belgian situation
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Electronic prescription (n= 10)
 R. Schots & T. Devos
 Define standard requirements for electronic prescription
 As a tool for rational use of blood components
National surveys
BeQuinT
3. Identification of “priority items”
4. Benchmarking
5. Report with recommendations
Survey
1. Sensitize hospital managements
2. Provide hospitals with “standards”
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General transfusion policy
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Prescription
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Tracing
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Reporting of reactions/events
Hospital sites
6. Measurable improvement of transfusion practice in hospitals
Q88-2011 national survey recommendations
1.
Optimize functioning of transfusion committees
2.
Appoint reference person for transfusion
3.
Register transfusion activity (numerical data)
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Include transfusion history in medical file of patients
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Prepare electronic prescription
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Provide written procedures for transfusion in urgent situations
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Provide written procedure for pretransfusion tests
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Organize internal auditing for important procedures
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Optimize procedure for the “cold chain”
10. Optimize management of storage of blood components
11. Prepare electronic tracing + electronic patient identification
12. Provide written procedures for long term follow-up after transfusion
What’s different in the Q2014 survey?
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Basics were not changed
 To keep comparability with Q88-2011
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Clarifications were made
 To avoid ambiguity/misinterpretation
 More detailed questioning
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Redundant questions eliminated
 To keep persons completing the questionnaire happy
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Glossary added
 To explain terminology
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Evaluation of the survey itself was added
 Very important!
 Where can we improve?
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Print out possible after completion
Basics not changed for Q2014
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One questionnaire per transfusion committee
4 domains
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Semiquantitative answers
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Has to be completed 100% to allow submission
Anonymous
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Allows for scoring  benchmarking
Fully electronic
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Transfusion general data
Prescription
Tracing
Reporting
Trusted third parties = RKVL and CRB
Deadline: 30th of September 2014 (24h)
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Start collecting data on time!
Clarifications
Data on transfusion activity
Clarifications
Data on transfusion activity
Clarifications
Reference person
Prescription by MD?
Glossary
Ziekenhuisbloedbank
Banque de sang hospitalière
Pretransfusietesten
Test pré-transfusionel
Referentiepersoon transfusie
Personne de référence en
transfusion
Programma bijscholing
Programme de formation
Transfusiehistoriek
L’historique transfusionnel
Procedure
Procédure
Interne audit
Audit interne
Onbruikbare eenheden EC
Unités CE inutilisables
Evaluation of the questionnaire
Evaluation of the questionnaire
Evaluation of the questionnaire
Evaluation of the questionnaire
Q2014 timing
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Pdf has been distributed by mail: 30th of May 2014
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Small corrections can still be included in the electronic version
During month of June 2014:
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Hospitals will receive a message form the RKVL or CRB providing them
with a unique code
Q2014 will be electronically available
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Deadline for completion is September 30th 2014 (24 hrs)
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Analysis of Q2014
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Dr. Sc. Katrien Beeckman (UZ Brussel/VUB)
General report with recommendations
Individual benchmark for each hospital (closed envelope sent by
RKVL/CRB)
Presentation of report: infosession June 2015
Thanks!
Project coordinator:
Jana Vanden Broeck
Infosession 2014 program
13hr30-14hr00
BeQuinT organisation and activities & Q2014
R. Schots (Dpt Clinical Hematology UZ Brussel)
14hr00-14hr15
Transfusion activity in Belgium
L. Muylle (Expert hemo- biovigilance FAGG/FAMPS)
14hr15-14hr30
Update WG Prescription
T. Devos (Dpt Clinical Hematology UZ Gasthuisberg)
14hr30-15hr00
Update WG Education
Chr. Gérard (Head Bloodbank CHU Liège)
V. Deneys (Head Bloodbank & Cellular Therapy unit CHU
Dinant Godinne)