A construção de indicadores de processos nas diversas etapas do ciclo do sangue como uma ferramenta da qualidade nos serviços de hemoterapia

Abstract

Hemotherapy is a medical specialty, structured with several actions focused on the quality of the blood component produced, donor and patient safety, and directly integrated into the health care process. The concept of Clinical Hemotherapy aims at the proper use of blood components, their risks and benefits. Controlling the entire blood cycle, including the transfusion process, identifying existing and emerging risks, and striving to improve process quality, will certainly lead to transfusion safety. The first indicators created for hemotherapy were created to guide the direction of the Blood Quality Program, but in the scenario of Hemotherapy we must think not only about the quality of the blood but also about the safety of the patient, donor and hemovigilance actions. When we talk about safety In the process we must understand the risks and monitor adverse events, including both patients and donors, and these data should support the construction of these indicators. The purpose of this work will be based on the analysis of data available in the various bulletins and reports published by ANVISA, MS and CGSH in the last 5 years, identifying weaknesses, risks and proposing a matrix of indicators focusing on transfusion safety. The present study proposes relevant indicators that will contribute to the improvement and transfusion safety throughout the blood cycle by creating a prioritization matrix, using the strategic axes defined by WHO. The proposal in the selection of indicators seeks to improve the processes involved in the blood cycle in order to facilitate the choice of indicators according to the setting of each institution, from a hemotherapy service to a transfusion agency. These indicators could improve practices and processes, optimize the manageability of each service, regardless of their complexity, and serve for continuous improvement with quality, safety and efficiency.