Transcript FİRMA PROFİLİ

BLOOD TRANSFUSION IN TURKEY
SHORT HISTORY
•
•
•
1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in
TURKEY
1938 : First transfusion in Cerrahpasa Medical Faculty
1940 – 1945 : Some university and hospitals constitude small blood
donation units.
•
1952 : Cerrahpasa Medical Faculty separated blood plasma
•
1953 : “Turkish Red Crescent Blood Assist Organization” consituted
•
1954 : TRC send medical doctors to England and USA for Blood
Transfusion Education
•
1957 : In ankara and Istanbul TRC Blood Banks constructed and opened
•
1959 : Bursa and Samsun TRC Blood Banks constructed
•
1967 : TRC Ankara Plasma Fractination Laboratory constructed
2
SHORT HISTORY
•
1974 : Turkish Red Crescent Blood Donation Organization” constituted
•
1981 : Plastic blood Bags started to use
•
1983: Accepted “Law on Blood and Blood Products, No: 2857”,
• A and B type Blood Stations
•
1996 : “Blood Banks and Transfusion Society” constituted
•
1996 : Anti – HCV accepted as a mandatory screening test in Blood Banking
in Turkey
•
1997 : “Blood donor questioning form” is accepted as a mandotory form in
all blood banks in Turkey
•
2005 : “Safe Blood Project” , MoH – TRC Project on Blood Safety and
Safe Blood
•
2006 : Demonstrade NAT study
•
2007 : New Law accepted on Blood and Blood Products, No: 5624, OJ
No: 26510, 02.05.2007 , Regional Blood Centers
3
MAIN ORGANİZATIONS
•
The Ministry of Health (MoH) in Turkey is the main authority
regulating and auditing the blood and blood products services
throughout the country.
•
TRC (Turkish Red Crescent Society) is the primary
nongovermental organizsation in the country that has purposes of
collecting blood from voluntary, nonremunerated blood donors,
process and separate them to components, achieve the mendatory
laboratory tests, store and distribute to hospitals. TRC manages
Regional Blood Banks in Turkey in close cooperation with the MoH..
•
BBTST ( Blood Banks and Transfusion Society )is the primary
nongovernmental organisation in the country that has the purposes
of producing training materials and related documents, organising
courses and publishing books in close cooperation with the MoH.
4
“SAFE BLOOD PROJECT”
•
In 2005 MoH and TRC prepared a project named
“ Safe blood Project” and put into practice. Some main parts of this
project was as follow:
5
ORGANIZATION
•
Blood supply system in Turkey has long been a hospital based and
decentralized one. Hospital blood banks provide approximately 65 %
of the annual blood supply and Turkish Red Crescent blood banks
provide only 35% . The blood law before the new one was published in
1983 and the system was composed of blood centers of A and B type
•
In 2007, there were more than 400 hospital based blood banks and 27
TRC Blood Centers in Turkey and a new law needed to estsablish the
standards. And while this law prepered EU directives was taken into
consideration.
•
The new blood law (Law on Blood and Blood Products, No: 5624, OJ
No: 26510, 02.05.2007) published in May 2007 describes a
centralized blood supply system with regional blood centers,
transfusion centers and donation centers.
ORGANİZATION
6
ORGANIZATION
•
•
ORGANİZATION
2005 : more than 400 Hospitalize based blood banks ( A and B type),
23 TRC Blood Banks (All B Type)
2008: 12 Regional Blood Banks and 42 Blood Donation Center
– TRC provide 50% of the annual blood suply
– Hospitalize based blood banks are transforming as transfusion
centers and stop the donation work.
– Goal is to stop donation in hospitals by the reach enough
voluntary blood donation number.
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DONOR RECRUITMENT
NATIONAL
VOLUNTARY DONOR
RECRUITMENT
PROGRAM
• Donor Recruitment Department
• Behaviour Change Project
• Club 25 Activities: Targeting 18 – 25 years old
population
• Donor Education and Recruitment Programs
• Refusal Donor Database
• Voluntary Blood Donor Cards
• SMS reminds
8
TRC 2003-2004-2005-2006-2007 BLOOD DONATION NUMBERS
592.965
502.102
447.836
342.146
376.060
305.324
312.708
177.977
225.349
176.770
126.042
135.938
127.347
2003
116.797
2004
MOBILE
145.129
2005
CENTER
2006
2007
TOTAL
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•
•
DONOR NUMBER in TRC DONOR DATABASE: 1.208.339
TOTAL DONATION THAT TRC COLLECTED:
– 2005 : 342. 146
– 2006: 502.102
– 2007: 592.965
– 2008: 308.000 (First six mounths)
•
Donor numbers that donated
more than 1 blood in the years 2006 – 2007 : 134.464
•
Donor number that donated just 1 time between 2005 – 2007: 554.481
10
%15
%42
%58
WHOLE BLOOD
WHOLE BLOOD
COMPONENTS
COMPONENTS
%85
2004
%1
2005
%1
WHOLE BLOOD
WHOLE BLOOD
COMPONENTS
COMPONENTS
%99
%99
2006
2007
2005 Whole Blood usage is 529.607
2007 Whole Blood usage is 256.092
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YILLARI
KAN BAĞIŞ SAYISI
, ÜRETİM SAYISI
HİZMETE SUNUM
SAYILARI
2004 – 200420072007
BLOOD
DONATION,
PRODUCTION
AND VE
DISTRIBUTE
NUMBERS
973.921
803.462
823.865
674.618
584.043
462.919
438.703
592.965
502.102
342.146
381.056
305.324
2004
2005
BLOOD DONATION
KAN
BAĞIŞ SAYISI
NUMBERS
2006
ÜRETİM
PRODUCTION
NUMBERS
MİKTARI
2007
HİZMETE
DISTRIBUTION
NUMBERS
SUNUM
MİKTARI
_
12
YEAR
DONATİON NUMBER
RATE
305.324
DESTROY NUMBER
(Because of approved
test pozitive)
8.882
2004
2005
342.146
8.613
2,54 %
2006
502.102
11.528
2,29 %
2007
592.965
13.494
2,28 %
2,97 %
In spite of rasing donation number, the decreasing number of
destroy number of bloods because of screening test pozitive
is showing the success on measure on safe blood and donor
education. Because first time donor rates are stil high in
Turkey.
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NATIONWIDE IT SYSTEM
BLOOD BANK
INFORMATION
MANAGEMENT
SYSTEM
AABB
• American Association of Blood
Banks Standards
Council of Europe
• Guide to the Preparation, Use and
Quality Assurance of Blood
Components Standards
ICCBBA / ISBT 128
• The International Council for
Commonality in Blood Banking
Automation; International
Standards of Blood Transfusion
HL7
• Health Level 7
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OTOMASYON VE HEMOVİJİLANS
23
I
T0019 06 005212
ANKARA KIZILAY KAN
MERKEZİ
ANKARA TÜRKİYE
13 Tem 2006 12:49
GÖNÜLLÜ DONÖR
E0429000
0600
R
NEGATİF
N
0062361249
G
24 Ağu 2006 12:49
Eritrosit Susp.
SAG-M
099999999999999099
450 mL + CPD TK'dan
2-6 C de saklayınız
Anti-HCV (-), HBsAg (-),
HIV (-), Sifilis (-)
Q
NATIONAL HAEMOVIGILANCE SYSTEM
Processes:
Purpose:
Method
Practice
NATIONAL
HAEMOVIGILANCE
SYSTEM
• Feedback from donor recruitment until the end of Tx
• Prevention of adverse events stemming from
therapeutic use of blood and blood components
• Standard surveillance system
• A web-based system which allows for feedback from
all units dealing with blood banking processes
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QUALITY MANAGEMENT
•
The new law states that all procedures in the blood transfusion
system must follow national and international quality standards that
needs to be clarified in detail with a national guideline
•
Quality certificate (TÜV) 40 donation center :


QUALITY
MAMAGEMENT
ISO 9001:2000 (Jun 2006)
Mittle Anatolia Regional Blood Center acreditation certificate :
 International acreditation: JCI (July 2007)
First acrediated Blood Bank in the world
•
Acreditation for medical laborotory:
 ISO 15189 (November 2007)
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SHORT HISTORY
•
•
•
1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in
TURKEY
1938 : First transfusion in Cerrahpasa Medical Faculty
1940 – 1945 : Some university and hospitals constitude small blood
donation units.
•
1952 : Cerrahpasa Medical Faculty separated blood plasma
•
1953 : “Turkish Red Crescent Blood Assist Organization” consituted
•
1954 : TRC send medical doctors to England and USA for Blood
Transfusion Education
•
1957 : In Ankara and Istanbul TRC Blood Banks constructed and opened
•
1959 : Bursa and Samsun TRC Blood Banks constructed
•
1967 : TRC Ankara Plasma Fractination Laboratory constructed
20
BIOMEDICAL DEPARTMENT
FULL AUTOMATIC EXTRACTOR
DEVOLOPED BY TURKİSH REDCRESCENT
BÖLGESEL KAN MERKEZİ PROJESİ
MARMARA REGIONAL BLOOD CENTER
İSTANBUL - KARTAL
EGE REGIONAL BLOOD
CENTER
İZMİR - BORNOVA
THANK YOU…