IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 2 Ser.13 (February. 2020), PP 61-67 www.iosrjournals.org DOI: 10.9790/0853-1902136167 www.iosrjournals.org 61 | Page Study of Quality Indicators in Blood Transfusion Services in Tertiary Care Hospital of North India Dr Lavleen Bharti, Dr Rajni Bassi, Dr Kanchan Bhardwaj, Dr Vijay Kumar Bodal, Dr Ramneek Locham, Dr Vinay Guriaya Abstract Background Blood transfusion has become an essential part of patient management in modern medicine. Monitoring of such indicators should be done regularly, and deficiencies are to be corrected for effective blood transfusion services. Aim:- the study was carried out to measure the impact of monitoring of quality indicators and how it can be used as a tool for Continuous Quality Improvement (CQI). Material and Methods Thisone-year prospective study was conducted in Department of Transfusion Medicine, Government Medical College and Rajindra Hospital, Patiala for the period of January 2018 to December 2018. The data was calculated for seven quality indicators which were defined by National Accreditation Board for Hospitals and health care providers (NABH). Results After the yearly data evaluation,adverse donor reactionrate(ADR) was found to be 1.59%, donor deferral rate (DDR) was 10.36 %, Transfusion transmitted infection% (TTI) was 1.4 %, Component Quality Control (QC) Failure Rate was 15.5%. The overall component QC failure rate of platelet concentrates (PC)was 18.18%, 21% in packed red blood cell (PRBC), 11.57% in fresh frozen plasma (FFP), and 0% in each of cryoprecipitates (CP) and single donor platelets (SDP) included whole blood. Adverse transfusion reaction rate (ATTR) was 0.16 %, percentage of components issued was 99.67% and net wastage rate was 12.09% with wastage rate of whole blood PRBC, PC, FFP, CP, CPP was 43.97%,1.98%, 43.37%, 5.91 %, 26.3%, 2.74% respectively. Conclusion Quality indicators are important tool and requirescontinuous monitoring for the better utilization of the blood transfusion services. The establishment of a quality system ensure the collection of adequate supplies of blood from regular, voluntary non-remunerated donors, the testing of all blood before use and the appropriate clinical use of blood. Keywords Quality indicators, adverse donor reaction rate, donor deferral rate, transfusion transmitted infection, component quality control failure rate, adverse transfusion reaction rate, wastage rate. --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 05-02-2020 Date of Acceptance: 20-02-2020 --------------------------------------------------------------------------------------------------------------------------------------- I. Background The transfusion of blood or blood components is one of the most significant part of delivery of healthcare services in a hospital setting. [1] The American Association of Blood Banks (AABB) defined quality indicators as the specific performance measurements designed to monitor 2 one or more processes during a defined time and are useful for evaluating service demands, production, adequacy of personnel, inventory control and process stability. [2] A well-structured blood transfusion service contributes towards a better healthcare in a hospital, which is reflected by quality indicators. [3] Each blood component is used for different indication; thus, the component separation has increased the utility of one WB unit. Advance in medical technology demands more and more provision of safe blood for the effective management of patients. [4] Studies claim that through target interventions and adherence to strict guidelines, a significant reduction in the wastage of blood components could be achieved and maintained. [5-7] II. Material And Methods This one year prospective study was conducted in Department of Transfusion Medicine, Government Medical College and Rajindra Hospital, Patiala for the period of January 2018 to December 2018. The data was calculated for seven quality indicators which were defined by NABH. [8] 1. Adverse donor reaction rate %