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Blood transfusion 1. Bloodtransfusion in the Netherlands and in the LUMC 2. Haemovigilance 3. Quality indicators 4. Blood transfusion research in Leiden.

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Presentation on theme: "Blood transfusion 1. Bloodtransfusion in the Netherlands and in the LUMC 2. Haemovigilance 3. Quality indicators 4. Blood transfusion research in Leiden."— Presentation transcript:

1 Blood transfusion 1. Bloodtransfusion in the Netherlands and in the LUMC 2. Haemovigilance 3. Quality indicators 4. Blood transfusion research in Leiden

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4 Blood in the Netherlands donors SanquinProducts/com ponents distribution via 4 blood establishments components Hospital bloodbanks Central facilityproductsapotheek donations

5 Blood components Component*PriceNumber erythrocytes≥ € Platelets≥ € Plasma € *NB about 100 products

6 Blood transfusion in the LUMC -Dept of IHB : B of Bloodtransfusion - Section Blood Transfusion - patient care : BTD* - resesearch * Blood Transfusion Dienst ( Service)

7 Personel Blood Transfusion Service 2009 FunctieFTEORD Administratief medewerker0.33 Analist Arts assistent Hemovigilantiemedewerker0.25 Hoofdanalist1.00 ICT1.39 Klinisch chemicus Kwaliteitsmedewerker1.00 Medisch specialist0.65 Hoogleraar sectiehoofd1.00 Secretaresse0.00 Senioranalist Totaal FTE

8 Finances Blood Transfusion Service IHB

9 Haemovigilance in the hospital • to transfuse or not to transfuse? • and if so: the right product to the right patient.

10 Why Haemovigilance? • to improve the quality of - bloodproducts - transfusion medicine • to inform and educate the society

11 Transfusion safety > component safety

12 Dutch blood components are very safe The risk of transfusion-transmitted infection is nearer to that of being struck by lightening than by being struck by a motor vehicle. HBV2 : HCV2 : HIV1 :

13 Hepatitis C virus RNA test • introduced in UK in 1999 to detect infection missed by routine hepatitis C virus screening • had detected one additional positive sample per 1.4 million donations tested, at a cost of £ 8.3 million per detection • a suggested cost of £ 7.9 million per quality of life year gained is therefore almost certainly an underestimate (McLelland and Contreras '05)

14 Risks of blood transfusion


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