Role of Haemovigilance Officers in Traceability and Haemovigilance

1
Role of Haemovigilance Officers in Traceability
and Haemovigilance Perceived Effects of the
Implementation of the EU Directive 2002/98/EC.

• Imelda Brady. Representative of the
• Irish Haemovigilance Association.

2
Definition of Haemovigilance

• "a set of surveillance procedures from the
  collection of blood and its components to the
  follow-up of recipients, to collect and assess
  information on unexpected or undesirable effects
  resulting from the therapeutic use of labile
  blood products, and to prevent their occurrence
  or recurrence (NHO, 1999).
• "haemovigilance shall mean a set of organised
  surveillance procedures relating to serious
  adverse events or unexpected events or reactions
  in donors or recipients and the epidemiological
  follow-up of donors (Directive 2002/98/EC).

3
Generic Role of Haemovigilance Officer

• Introduction, Implementation Updating of
  National Local Blood Transfusion Guidelines,
  Protocols Standards for Clinical Transfusion
  Practice.
• Continuous Education, Training and Updating for
  Clinical Staff.
• Suspected Transfusion Incident, Reaction, or
  Inappropriate Transfusion appropriate response
  record.
• Serious Adverse Incident, Reaction, Inappropriate
  Transfusion response, record, report implement
  appropriate remedial action.
• Missed or Inappropriate Administration of Anti D
  respond, record, report implement appropriate
  remedial action.
• Documentary Evidence of remedial action taken
  effectiveness.
• Documentary Evidence of regular Clinical Audit
  of transfusion practice implementation of
  derived recommendations .

4
Role of Haemovigilance Officer in Traceability

• In conjunction with the Blood Bank most HVO have
  an important role in establishing and
  maintaining complete transfusion traceability
  
• Devising, Implementing, Updating
  Optimizing an effective traceability system
• Education and Informing Clinical Staff
  regarding traceability and the need for
  compliance.
• Regular Clinical Audit of the traceability
  system implementation of remedial action as
  required
• Investigation Follow-up of breaches or
  deviations evidenced in the traceability
  system appropriate remedial action as
  required

Electronic
Proactive
Paper Trail
Reactive
5
Role of HVO in Notification of Serious Adverse
Events.
Devising, Implementing Updating
efficient reporting mechanisms that
facilitate capture of all suspected transfusion
reactions, adverse events incidents, errors,
inappropriate transfusion and near- miss events,
in the clinical transfusion practice area.
Continuous Education, Informing Updating of
Clinical Staff regarding established reporting
mechanisms, when they should be initiated and
the importance of total compliance. Investiga
tion, Follow-up Recording of all suspected
transfusion reactions, adverse events,
incidents, errors, inappropriate transfusion
and near miss events. Reporting of transfusion
reactions, adverse events, incidents, errors
inappropriate transfusion. Initiating remedial
action as required follow up.
In conjunction with the Blood Bank HBTC most
HVO fulfill an important role in the provision of
Hospital Haemovigilance by
Proactive
Reactive