Quality Assurance in Blood Banking and Its Clinical Impact

1. Front Matter

   Pages I-XVII

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2. Principles and organization of quality assurance

   1. Front Matter

      Pages 1-1

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   2. International Organization of Quality Assurance

      • J. Leikola

      Pages 3-5

   3. A National Framework of Blood Transfusion Organization

      • J. W. Dorpema

      Pages 7-11

   4. Blood Transfusion Practice in Hospitals: A Topic for Quality Assurance

      • A. F. Casparie

      Pages 13-20

3. Back Matter

   Pages 21-26

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4. Systems and procedures

   1. Front Matter

      Pages 27-27

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   2. Principles and Practices of Quality Control

      • F. Bonanni

      Pages 29-42

   3. Blood Bank Standards and Procedure Manuals

      • P. J. Schmidt

      Pages 43-53

   4. Administrative Procedures and a Machine-Readable System to Assure Quality Control within a Blood Bank

      • Z. Smit, H. Smalbil, C. Th. Smit Sibinga

      Pages 55-67

   5. Quality Assurance of Serological Reagents

      • W. L. Marsh

      Pages 69-75

   6. Quality Control of Equipment

      • R. E. Klein

      Pages 77-82

   7. Quality Control of Blood Components

      • C. Th. Smit Sibinga

      Pages 83-88

   8. Immunoglobulin Production: Organization and Quality Control of Source Material

      • R. J. Crawford

      Pages 89-93

   9. Bacterial Surveyance in a Blood Bank

      • P. C. Das, C. Th. Smit Sibinga, J. Dankert

      Pages 95-101

5. Back Matter

   Pages 103-111

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6. Personnel

   1. Front Matter

      Pages 113-113

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   2. Job Descriptions, Competency Testing and Selection of Personnel

      • H. v.d. Meulen

      Pages 115-119

   3. Training Programs for Blood Bank Personnel

      • B. A. Myhre

      Pages 121-127

   4. Continuous Education in Blood Banking and Blood Transfusion Practice

      • S. R. Hollán

      Pages 129-135

THE PHILOSOPHY OF QUALITY ASSURANCE IN THE BLOOD BANK H. F. Taswell One year before this symposium, Cees Smit Sibinga and I began to discuss an approach to quality assurance in the blood bank which we felt would be both important and practical and could serve as the basis for the choice of subjects to be presented in the symposium. As an introduction to this book, I would like to outline our approach, the subjects chosen and the rationale behind our choice. What is the fundamental purpose of a blood bank and trans­ fusion service? Simply stated, the purpose of a blood bank and transfusion service and of a quality assurance program in blood banking is, for the one to provide and, the other to assure safe and effective transfusion therapy. This objective is in contrast to that of other clinical laboratories. The objective in a clinical chemistry laboratory is to produce accurate test results which will be meaningful to the clinician taking care of his patient. In most clinical laboratories, therefore, the goals of a quality assurance program are largely quantitative, that is, to assure accurate numerical test results. In contrast, in the blood bank, the goals of quality assurance are primarily qualitative, that is, to assure safe and effective transfusion. As a result, two somewhat different approaches to quality assurance are necessary.

• bacteria
• blood
• diseases
• immunoglobulin

• Red Cross Blood Bank Groningen-Drenthe, The Netherlands

  C. Th. Smit Sibinga, P. C. Das

• Mayo Clinic Blood Bank, Rochester, USA

  H. F. Taswell

Policies and ethics