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IMMUNOHEMATOLOGY > LAB1 - Blood Bank Quality Management > Flashcards

LAB1 - Blood Bank Quality Management Flashcards

1
Q

Rules in Blood Banking/ Factors to Consider in BBQM

A

a) Safe, satisfying donation experiences for blood donors
b) Accurately labeled and tested blood components provided to transfusion services
c) Timely, accurate transfusion services provided to physicians and other health-care personnel
d) Safe and efficacious blood transfusions to
patients

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2
Q

different foundation in BB

A

a) Quality control (QC)
b) Quality assurance (QA)
c) Quality management system (QMS

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3
Q

ensuring that each of the routine test w must manage the ____ in terms of the daily activities we need to perform

A

QUALITY CONTROL

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4
Q

main objective of QUALITY ASSURANCE

A

quality of the product or service

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5
Q

once the QC and QA are systemized, we’ll get

A

quality management system

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6
Q

Governing Agencies in relation to Blood Banking

A

United States Food and Drug Administration (FDA)
The Joint Commission
College of American Pathologists (CAP)
AABB (formerly known as American Association of Blood Banks)

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7
Q

the agency that make rules regarding anticoagulants, and certifies the machines we used

A

United States Food and Drug Administration (FDA)

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8
Q

The Joint Commission is known before as

A

JCAHO - joint commission on accreditation of healthcare organizations

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9
Q

this agency maintains the physical facilities a s well as the blood bank environment

A

The Joint Commission

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10
Q

__are the Head of Laboratory

A

Pathologists

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11
Q

Most followed governing agency when it comes
to BB standards/ guidelines/accreditation e

A

AABB - Association for the Advancement of Blood & Biotherapies

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12
Q

AABB old term

A

american association of blood banks

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13
Q

Most important one

A

AABB - association for the advancement of blood and biotherapies

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14
Q

Compliance VS Quality Management

evaluate how effectively facilities meet regulatory standards and accreditation

A

Compliance

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15
Q

Compliance VS Quality Management

a requirement by detecting errors deficiencies,
and deviations

A

Compliance program

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16
Q

Compliance inspection

A

Aka Service/ or Assessment

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17
Q

Compliance inspection is done every how many years `

A

2 yrs

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18
Q

measure the state of the facility’s program with
respect to the applicable requirements

A

Compliance inspections

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19
Q

what are the different governing agencies in pH setting

A

▪ PH Blood Coordinating Council
▪ DOH
▪ NVBSP - national voluntary blood services program

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20
Q

▪ PH Blood Coordinating Council
▪ DOH
▪ NVBSP - national voluntary blood services program

this provides ____

A

standardization in the field of transfusion medicine here in pH

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21
Q

the governing agency that provides training in blood bank and even seminars is the

A

Ph blood coordinating council

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22
Q

is actively and continuously practiced by
blood bank leaders, managers, and staff throughout all blood bank
operations.

A

Quality management

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23
Q

Routine blood bank QC procedure

A

✓Daily testing the reactivity of blood typing reagents.
✓Calibrating serologic centrifuges;
✓Timer checks
✓Monitoring temperatures
✓Manufacturers’ package inserts,
✓Regular performance of QC

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24
Q

how many phases we have in manual crossmatching

A

3 phases

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25
Q

3 factors of Quality Management

A

Quality System
Quality Assurance
Quality Control

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26
Q

Organizational structure, procedures,
processes, and resources needed to
implement quality management

A

Quality System

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27
Q

Planned, systematic activities implemented
within the quality system to provide
confidence that requirements for quality will
be fulfilled

A

Quality Assurance

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28
Q

Operational techniques and activities used
to fulfill the requirements for quality

A

Quality Control

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29
Q

creating your own QC is called as

A

Individualized Quality
Control Plan (IQCP)

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30
Q

owned QC plan

A

Individualized Quality
Control Plan (IQCP)

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31
Q

factors in making Individualized Quality
Control Plan (IQCP)

A
  1. laboratory risk assessment
  2. Pre-analytic, Analytic, and Post-Analytic Processes
  3. Customize its QC program
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32
Q

factors that needs to undergo risk assessment

A

specimen
reagent
test system
environment
testing personnel
competency
staffing

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33
Q

In risk assessment, we are assessing the specimen.

What are the things we need to consider in terms of the specimen

A

Patient Preparation
Specimen Collection
Specimen Labelling

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34
Q

In risk assessment, we are assessing the reagent.

What are the things we need to consider in terms of the reagent

A

Shipping and receiving
Storage Condition
Preparation

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35
Q

In risk assessment, we are assessing the TEST SYSTEM.

What are the things we need to consider in terms of the TEST SYSTEM

A

Failure of System Checks
Detection of Clots, Hemolysis and Lipemia
Transmission of Data to LIS

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36
Q

the easiest way for the medical practitioner to read the result

A

LIS - laboratory information system

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37
Q

In risk assessment, we are assessing the ENVIRONMENT

What are the things we need to consider in terms of the ENVIRONMENT

A

a) Temperature
b) Airflow/Ventilation
c) Humidity

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38
Q

In risk assessment, we are assessing the TESTING PERSONNEL

What are the things we need to consider in terms of the TESTING PERSONNEL

A

a) Training – Philippine Blood Coordinating
Council (PH)
b) Competency
c) Staffing

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39
Q

Quality Control Plan (QCP) we mst consider the following

A

❑The number and type of QC testing materials
❑The frequency of testing
❑The criteria for acceptable QC results

40
Q

Quality Assessment we must consider the following

A

❑Proficiency testing records and QC results
❑Turnaround time reports
❑Personnel competency record
❑Corrective action reports

41
Q

Proficiency testing records and QC results (Monitor and assess effectiveness of Individualized Quality Control Plan – IQCP)

A

Quality Assessment

42
Q

turn around time of crossmatching

A

3 hrs

43
Q

it is about the o Incident Reports

A

Corrective action reports

44
Q

Quality Assurance measures the performance of ____

A

❑Performance of a test method
❑Performance of an equipment

45
Q

Set of planned actions that ensure that systems and
elements will influence the quality of the product or service

A

Quality Assurance

46
Q

Common QC Activities

in donor collection, we have the following

A

o Microhematocrit instrument controls
o Hemoglobin instrument controls
o Apheresis equipment function check
o Blood-weighing scales accuracy

47
Q

special technique : only
ONE blood component is given to blood
ban

A

Apheresis

48
Q

Common QC Activities

in Blood Components , we have the following

A

a) Red blood cell hematocrit
b) Cryoprecipitated antihemophilic factor
c) Platelet counts in platelet units
d) Residual leukocyte counts in leukocyte
reduced components
e) Bacterial contamination of platelet units
(Prone to contamination → room temperature
only)

49
Q

ideal Blood Bag
weight ( how many ml)

A

450mL

50
Q

in a 450mL blood bag, how much anticoagulant is in there

A

63 ml

51
Q

in a 400mL blood bag, how much anticoagulant is in there

A

70 ml

52
Q

What blood component is the most prone to
bacterial contamination?

A

Platelet concentrate
because its stored in room temp

53
Q

bacteria that will contaminate the platelet concentrate

A

staphylococcus epidermidis
bacillus cereus

54
Q

Common QC Activities

in Reagent Controls , we have the following

A

o Copper sulfate
o Reagent red blood cells
o Reagent antisera
o Test kits for infectious disease test

55
Q

a reagent control that is Used in hemoglobin detection

A

Copper sulfate

56
Q

the reagent control that Used in MBD (mobile blood donations) –
like ones done in schools, covered courts
to check patient Hg instead of machines

A

Copper sulfate

57
Q

shelf life of platelet concentrate and the granulopheresis

A

5 days for platelet concentrate and 24 hrs for granulopheresis

58
Q

Common QC Activities

in ENVIRONMENT , we have the following

A

o Heating instruments
o Water bath
o Thawing devices for blood component
o pH meters
o Cell counter
o Centrifuges
o Cell washers
o Blood irradiators
o Refrigerators
o Freezers
o Platelet incubators
o Blood warmers
o Shipping containers

59
Q

we used this to prevent graft vs host disease

A

Blood irradiators

60
Q

Blood should be ___before release
to nurses

A

warmed - we use blood warmers

61
Q

Shipping containers
▪ ____is commonly used in PH

A

STYROFOAM

62
Q

Shipping containers
▪ STYROFOAM is commonly used in PH
▪ Capacity is around only ___

A

2 bags

63
Q

the transportation temperature is

A

1-10 * Celcius

64
Q

QA Indicators

A
  1. Number of donor forms with incomplete or incorrect information
  2. Number and types of unusable units and blood components
  3. Number of blood typing discrepancies in donor and patients
  4. Number of and reasons for invalid tests ▪ Number of and reasons for labeling check failures
  5. Number and source of improper and incomplete request for blood components
  6. Number and location of patients without proper identification at time of specimen collection or transfusion
  7. Number of, source of, and reasons for unacceptable specimens
  8. Number of times wrong component or ABO was selected for crossmatch or use
  9. Number and type of transfusion complications
  10. Number of and reasons for turnaround time failures
65
Q

preferred specimen for crossmatching

A

serum

66
Q

we need to keep the sample in the laboratory for about how many days (free transfusion testing)

A

7 days

67
Q

free transfusion testing samples has an expiration of how many days

A

3 days

68
Q

Provides a framework for applying quality
principles and practices uniformly across all
blood bank operations,

A

Quality Management System

69
Q

starting with donor selection and proceeding
through transfusion outcomes.

A

Quality Management System

70
Q

goal of transfusion services

A

0% error

71
Q

Quality Management System Essentials

A

Physical Facilities
Hires Qualified Personnel
Materials and Equipment
Documents for Work Performance

72
Q

QMS Essentials

A

o Organization
o Resources
o Equipment
o Suppler and customer issues
o Process control
o Documents and records
o Deviations, nonconformances, and adverse
events
o Assessments: Internal and external
o Process improvement through corrective and
preventive action
o Facilities and safety

73
Q

Blood Bank Operations

A

o Donor qualification
o Autologous donor qualification
o Apheresis donor qualification
o Blood collection
o Cytapheresis collection
o Preoaration of components
o Testing of donor blood
o Final labeling
o Final inspection before distribution
o Patient samples and request
o Serologic confirmation of donor blood ABO/D
o Pretransfusion testing of patient blood
o Selection of compatible blood and components for
transfusion
o Crossmatch
o Special considerations for neonates
o Selection in special circumstances
o Issue for transfusion
o Blood administration
o Rh-immune globulin

74
Q

refer to those transfusions in which the blood
donor and transfusion are the same (rare
phenotypes, rare blood types)

A

AUTOLOGOUS DONATION

75
Q

Donor donates their own blood in
advance to be given to themselves in
the future

A

AUTOLOGOUS DONATION

76
Q

Usually done before surgeries (to avoid
discrepancies in blood)

A

AUTOLOGOUS DONATION

77
Q

AUTOLOGOUS DONATION is also known as

A

donor patient

78
Q

AUTOLOGOUS DONATION

how many days stable and replenishment

A

3 days stability and 45 days
replenishment

79
Q

refer to blood transfused to someone other
than the donor

A

ALLOGENIC DONATION

80
Q

Relationships among blood bank personnel by job title

A

Organization

81
Q

Costumer Focus of Blood centers

A

donors

82
Q

Costumer Focus of transfusion services

A

physician and nurses

83
Q

customer focus of all types of facilities

A

internal customers = blood bank
personnel

84
Q

who want the correctly issued blood
components in a timely manner for
administration to patients.

A

Nurses

85
Q

Facilities components

A
  • Temperature Control
  • Electrical Safety
  • Fire Protection
86
Q

Safety components

A
  • Emergency Preparedness
  • Chemical Hygiene
  • Infection Control
87
Q

What governing agency is in charge of mandating the physical facility management and maintenance of Blood
Banks?

A

The Joint Commission

88
Q

Personnel components

A

❑Educational qualifications,
❑Experience, and federal state,
❑Local licensing requirements

89
Q

Competence assessment
must include:

A
  1. Direct observation of patient test performance.
  2. Monitoring the recording and reporting of test results.
  3. Review of test results or worksheets, QC records, proficiency testing results, and
    preventive maintenance records.
  4. Direct observation of performance of instrument maintenance and function checks.
  5. Assessment of test performance through testing previously analyzed specimens or
    external proficiency testing samples.
  6. Assessment of problem-solving skills.
90
Q

Purchasing and Inventory components

A

❑Inventories of reagents, supplies and blood components
❑Selecting vendors of equipment, supplies and services
❑Blood centers must also have processes for receipt, inspection, and testing

91
Q

Equipment components

A

❑Installation qualification demonstrates that the equipment is correctly installed.
❑Operational qualification ensures the equipment operates as intended.
❑Performance qualification evaluates the personnel, procedures, and
supplies in the facility work environment.
❑Schedules for calibration, preventive maintenance, RPM and timer
checks, and monitoring of temperature-regulated equipment are
required

92
Q

is a set of activities that ensures a
given work process will keep operating in a state that is continuously able to meet process goals
without compromising the process itself.

A

Process control

93
Q

is the evaluation of process
performance, comparison of actual performance to a
goal, and action taken on any significant difference

A

total process control

94
Q

blood bank path of workflow

A
  1. Component Collections
  2. Preparation
  3. Testing
  4. Labeling
  5. Distribution
  6. Compatibility Testing
  7. Issue
  8. Administration
95
Q

QUALITY SYSTEM ESSENTIAL BUILDING BLOCKS

THE BLOOD BANK

A
  • Organization (relationships)
  • Customer Focus
  • Facilities & Safety
  • Personnel
  • Purchasing & Inventory
  • Equipment
96
Q

QUALITY SYSTEM ESSENTIAL BUILDING BLOCKS

The Work

A
  • Process Management
  • Documents & Records (keeping files)
  • Information Management
97
Q

QUALITY SYSTEM ESSENTIAL BUILDING BLOCKS

The
Performance

A
  • Nonconformance Management
  • Assessments
  • Continual Improvement

IMMUNOHEMATOLOGY (4 decks)

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