| Blood safety has been paid more and more attention, WHO suggests that a developing quality management system of covering every process in producing and services should be established to stress the quality control from vessel to vessel in transfusion. In order to perfect the management in the process of blood collection and supply, national government has promulgated and implemented《Blood Station Regulations》,《Blood Station Quality Management Practice》,《Blood Station Lab Quality Management Practice》, resulting in standardizing the quality management of blood collection and supply. All agencies are demanded to set up quality management system according to the standard of regulations and practices mentioned above, and the Ministry of Health has organized an expert team to supervise and examine all the blood collection and supply agencies for continuous five years.Objective: To find out existing problems of the blood collection and supply agencies in Jilin Province through the supervision and examination according to《Blood Station Quality Management Practice》,《Blood Station Lab Quality Management Practice》, as well as staff investigation, this research will analyze the reasons, propose methods to modify and raise the efficiency of agencies, and make assurance of the blood quality and safety.Method: Nine central blood stations (Blood Centre of Jilin province, eight blood institutions in Jilin City, Siping City, Songyuan City, Baishan City, Baicheng City Liaoyuan City, Tonghua City, respectively) and 7 branches in Huadian, Dunhua Erdao, Wangqing, Hunchun, Meihe kou, Gongzhu Ling, were involved in the field investigation, with which 9 labs attached to centre blood stations studied by themselves. Then all index are categorized and summarized by Excel, made into tables, and finally analyzed descriptively.Results: Problems in the quality control system including: (1) documents of only six central blood stations covered the whole process of blood collection and supply, taking up 66.7% of the total, and 44.4% were lack of regulatory management; (2) in practicing the management comment procedure, one central blood station failed to the met the requirements, and in the course of the internal examination, three stations failed in carrying out and two branches failed to meet national requirements; (3) three branches did not strictly enforce the blood collection procedures, one branch didn't follow the blood conservation program, and additionally two branches did not strictly follow the management procedures of blood donation service; (4) however, in the supplier evaluation process and materials quality control, there was one station not to reach the national requirement;⑸there was one branch not in line with the national requirements respectively in the situation of establishing complete, accurate, or comprehensive information system.Staff disposition: (1) the ratio of health workers met the national requirements only in five central blood stations, seven of them were suitable in the ratio of new staff and one branch was not, the new stuff in one lab were not suitable in their educational background; (2) the signature is the best response of the training practice , but three blood centers'employee signatures were not changed in time.About the instrumentation, there was one central blood station that did not reach the national requirements respectively in the management of equipments and instruments. For the flow-sheet of large equipment management and emergency plans, one branch was defective respectively and four branches failed to improve the management of measuring instruments. There was also one central blood station that did not reach the national requirements respectively in the disposition of equipment, emergency equipment, and operation supervising system.Considering of the buildings, facilities and environment, there were nine central blood stations and six branches that could keep the workplaces clean,, healthy and safe, however, the overall layout of workplace in three centers and two branches were not reasonable, and the waste disposal regulations in five centers and the two branches did not reach the national requirements. There were one central blood station did not reach the national standard in security identification, fire fighting treatment of sewage and medical waste disposal. Another two labs did not meet the general requirements of biological security in building facilities. In the safety and health management, employees in one lab could not effectively protect themselves.Conclusion: The results showed that the main problems included: documents were not standardized, failure to strictly follow the management procedures of blood collection and supply, materials, information and others, lack of understand of quality control and continuously refining; the ratio of technical staffs and those with undergraduate degree was low, the training results were bad; equipment and hardware configuration were inadequate and software (management) was also limited; building facilities and environment could not satisfied new requirements; safety and health awareness were not enough and needed to be strengthened.Aiming directly at the problems proposed above, the following recommendations are made to strengthen the blood quality control, ensure safe blood using, and finally protect people's health: (1) to attract high-quality talents, and enhance the personnel management of training; (2) to strive for government investment, improve the building facilities and environment, and enhance the quality management of equipment; (3) to build quality management system and improve the quality of blood tests to ensure blood safety; (4) to build software and hardware construction of information systems for blood collection and supply agencies. |
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