IBTS Annual Report 2007.pdf - Irish Blood Transfusion Service

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28 The Haemovigilance Handbook The Haemovigilance Handbook; Requirements for reporting Serious Adverse reactions and events to the National Haemovigilance Office was compiled by the NHO to assist hospital based haemovigilance staff to report adverse transfusion reactions and events to NHO, and assist in compliance with the mandatory reporting requirements of Directives 2002/98/EC and 2005/61/ EC. The handbook remains in draft format available on the IBTS website until definitions have been agreed at EU level. The draft handbook was presented at a workshop in the National College of Ireland as part of a series of information meetings relating to the EU Blood Directive. eLearning An elearning programme was developed by the Effective Use of Blood Group of the Scottish National Blood Transfusion Service designed to assist practitioners involved in the transfusion process to provide high standards of care to the patient. The Irish Blood Transfusion Service purchased the rights to use this e-learning programme in Ireland. Three training days were organised by the NHO and the pilot project commenced in September. Based on the findings of this pilot, guidelines will be developed to assist roll out for Irish hospitals for implementing the elearning system. DCU Modules The education initiative with Dublin City University DCU for health care workers interested in haemovigilance practice continued with both professional development modules “Understanding and Management of Blood Transfusion in a Haemovigilance context” and “Haemovigilance Blood Transfusion Nursing” fully subscribed. Publications In 2007, Vox Sanguinis published an article based on the results of the Near Miss Project 2003–2005 entitled “Seven Hundred and Fifty Nine (759) Chances to learn: a 3-year pilot to analyse transfusionrelated near-miss events in the Republic of Ireland” ref: 2007 92 233-241. This article compiled and analysed data collected under a three year research project into Near Miss events in a number of Irish hospitals and was sponsored by an IBTS grant. Tissue Bank The Tissue Bank at the NBC consists of an Eye Bank, a Homograft Heart Valve Bank and a Directed / Sibling Cord Blood Bank. All processing takes place in a purpose built GMP clean room facility at the National Blood Centre. Due to concerns regarding vCJD, the Irish Eye Bank stopped accepting corneas from Irish donors with effect from the 21st of January 2004. The situation is under constant review and the decision may be reversed as and when the risk of vCJD in Ireland and in particular with regard to ocular tissue can be determined. To facilitate corneal transplantation in Ireland, all corneas are now imported from the Rocky Mountain Lions Eye Bank, (RMLEB) based in Denver, Colorado. The RMLEB also provides scleral shells for eyelid reconstruction, enucleations and the implant of valves to treat glaucoma. Annual Report 2007
29 The Eye bank also imports and issues pericardium patches and amnion tissue to ophthalmic surgeons. The ophthalmic director of the Eye Bank is Mr. W. J Power M.C.h, MRCPI. F.R.C.S. (Glasg) F.R.C. Ophth and the medical director is Dr. William G. Murphy, MD, FRCPEdin, FRCPath. The Heart Valve Bank processes and cryopreserves human cardiovascular tissue on behalf of the MMUH. The Cardiothoracic Director of the bank is Mr. A.E. Wood. Therapeutic Apheresis The IBTS provides a demand led therapeutic apheresis service on location at major hospitals in Dublin and Cork. The respective teams are led by an IBTS consultant haematologist and treatments are managed and administered by specially trained therapeutic apheresis nurses. The procedures are carried out at the patient’s bedside using mobile apheresis equipment. The procedures performed are, ■■ Plasma Exchange ■■ Red Cell Exchange ■■ Leukoreduction ■■ Red Cell Depletion ■■ Platelet Depletion Case Load The following table shows the total procedures carried out in 2007, the majority being plasma exchange (96%). Procedure Type Procedures 2007 Procedures 2006 Plasma Exchange 416 578 Platelet Depletion 4 1 Red Cell Exchange 4 2 Leukodepletion 3 2 Red Cell Depletion 0 0 Total 427 583 Irish Blood Transfusion Service
Page 1 and 2: Annual Report 2007
Page 3 and 4: Contents Our Values Excellence in s
Page 5 and 6: 3 Chairperson’s Message The prima
Page 7 and 8: 5 Chief Executive’s Report I have
Page 9 and 10: 7 across all sections of the organi
Page 11 and 12: 9 National Medical Director’s Rep
Page 13 and 14: 11 throughout the year and will be
Page 15 and 16: 13 Optimising use of the donor’s
Page 17 and 18: 15 NATIONAL 2007 VS 2006 CUMULATIVE
Page 19 and 20: 17 Hospital Services Hospital Servi
Page 21 and 22: 19 Operating in an environment of c
Page 23 and 24: 21 In addition to the above referen
Page 25 and 26: 23 RNA, HCV RNA and HBV DNA in huma
Page 27 and 28: 25 In pursuit of excellence Quality
Page 29: 27 Supporting best practice in pati
Page 33 and 34: 31 Irish Unrelated Bone Marrow Regi
Page 35 and 36: 33 Implementing change and deliveri
Page 37 and 38: 35 Pension Costs and to disclose th
Page 39 and 40: 37 Corporate Governance The Board i
Page 41 and 42: 39 Statement of Board Members’ Re
Page 44: National Blood Centre James’s Str

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