Minutes of blood transfusion meeting

Meeting minutes are to record the basic situation, reports, speeches and resolutions of the meeting, and help us understand the future situation. The following is a sample of the minutes of the blood transfusion meeting I recommended, and you are welcome to read it.

Part I: Summary of the Fourth Annual Meeting of the Blood Quality Management Committee of China Blood Transfusion Association in 2007.

I. Introduction to the meeting:

1. Meeting place: Ramada Miracle Hotel Guiyang Guizhou.

2. Duration: 165438+2007124 -25 October.

3. Participants: 24 members of hematology professional committee, 17 people attended, 2 appointed representatives attended, 5 asked for leave, and invited representatives 10 people. A total of 29 people attended the meeting.

—— Members: Zhu Yongming (vice chairman), Zheng Bixian (vice chairman), Li Anli (vice chairman), Tian Changjun, Wang Jun, Hou, Wang Ping, Wu, Ye, Liu Zhenqiang, Chuanxi Wang, Chen Lin, Li, Zhai Xiaoping and Xu Zhong (concurrently secretary).

-instead of members: Li (instead of Shen) and Luan Yan (instead of Liu Xianzhi).

-Leave members: Cheng Qinzhen, Wen, Yang,,.

—— Specially invited directors and experts: Yan, Guo Yongjian, Liang Xiaohu, Tang, Qian Kaicheng,,, Shen Wu, Dong Wei, Shi.

Second, the agenda of the meeting

1, Chairman Zhu Yongming made an opening speech and reviewed the work of the Fourth Committee of Hematological Diseases in 2003-06. Mainly includes:

1) Committee.

2) Responsibilities of the Committee: (adopted by the fourth session of the Permanent Council)

-assisting in the formulation and revision of national blood quality standards.

-to provide suggestions to the administrative department of health for formulating and revising industry standards.

-Investigate and consult the quality management and quality standards of blood stations.

-Holding classes, training courses and experience exchanges on blood quality management and detection methods.

-members of the Committee may be recommended to participate in the practice acceptance as candidates for the "practice acceptance" expert database.

—— Undertake other related work entrusted by China Blood Transfusion Association.

3) Main work completed

According to the articles of association of China Blood Transfusion Association, the management methods and work scope of the blood quality management committee were formulated. In addition to organizing the annual work meeting (June 2003), we also held a variety of quality management seminars with distinct themes. According to the articles of association, formulate the annual plan of the Committee, report the implementation and completion of the work in the previous year, financial budget, etc. And submit it to China Blood Transfusion Association.

-2003165438+1October 17-19 Nanchang city, Jiangxi province;

The members introduced themselves. Discuss the draft work summary of the Committee in 2003 and the draft work plan of the Committee in 2004; Committee members introduced the experience of blood quality management in their respective regions, and put forward opinions and suggestions for the future work of the Committee and the association;

-August 2004 10- 1 1, Kunming, Yunnan:

To solicit opinions on the "Measures for the Administration of Blood Stations" and "Standards for the Quality Management of Blood Stations", and submit the revised draft to the health administrative department through the association.

-May 25-26, 2005, Xi City, Shaanxi Province

The implementation of QMP in blood stations across the country was exchanged. Relevant legal experts from Beijing, Shanghai and other places were invited to discuss the legal relations related to blood collection and supply, and the Guiding Principles for Handling No-fault Litigation in Blood Stations were drafted.

-August 2006, 14- 15, Lanzhou City, Gansu Province

In this paper, the "Standard for Quality Management of Blood Stations/Laboratories" was discussed, and valuable suggestions were put forward based on the experience of studying and implementing the "Standard" in various blood stations, hoping that the health administrative department could further clarify it.

-Others

Some members participated in the Quality Management Project (QMP) training course of the World Health Organization as teachers of the Ministry of Health; During the four years from 2003 to 2006, the Blood Quality Committee and Shanghai Blood Center jointly held six training courses on blood transfusion quality management system, including three in 2003, one in 2004, one in 2005 and one in 2006. The training course received nearly 500 students from 23 provinces and cities. On February 28th, 2006, the cooperation between the Blood Quality Committee and Shanghai Blood Center was launched on the website of Shanghai Blood Center? Quality q&; Answer? Column.

2. Chairman Zhu Yongming put forward the topic, agenda and moderator of this meeting (see below), which was unanimously agreed by the participants.

3. On behalf of the Blood Quality Committee and the participants, Zhu Yongming sincerely thanked the leaders of Guizhou Blood Center and relevant comrades for their thoughtful arrangements, and sincerely thanked Bio-Merier Diagnostic Products Co., Ltd. for their full support to this meeting.

4. Ceng Min, secretary of Guizhou Blood Center, delivered a warm speech and welcomed experts and colleagues from all over the world to Guizhou and Guiyang for guidance and exchange.

5. Is the blood bank exchange being implemented? One law and two rules? Experience and confusion (Chairman: Vice Chairman Zheng Bixian and Member Wang Jun)

Guo Yongjian, director of Fujian Blood Center, and Qian Kaicheng, deputy director of Shanghai Blood Center, respectively studied and implemented? One law and two rules? The leader spoke.

Participants combined with their respective units to implement? One law and two rules? During the exchange of experience, the participants agreed that the Ministry of Health issued? One law and two rules? The establishment and practice requirements of blood stations are clarified, and the principles of quality management of blood stations and laboratories are put forward from the aspects of quality system, quality responsibility, human resources, equipment and materials, environmental sanitation, continuous improvement, etc., which is of far-reaching significance to ensure the legal practice of blood stations and the safety of clinical blood transfusion.

For implementation? One law and two rules? In the confusion, participants suggested that the health authorities:

1) for local right? One law and two rules? If you have different understandings of the terms, you should organize personnel to draft interpretation documents or implementation rules as soon as possible, such as:

-Definition and understanding of batch release and procedures

-Can well-trained and qualified nurses conduct health examination and consultation and evaluation on blood donors?

-How to confirm the standards and reagents used for quality control?

-Should the primary reaction specimens be re-examined, and should the original sample retention test tube or blood bag with blood vessels be used for re-examination?

-As a subordinate department of the blood bank, should the laboratory set up a laboratory quality manual specially, or should it be a part of the blood bank quality manual?

2) Where is the central blood station? Way? Middle schools have no obligation to test blood, so there should be strict legal interpretation of the authorization of blood test in central blood stations.

3) ? Norm? Some quantitative terms (resources, expertise and qualifications of health technicians and professionals, etc.). For blood centers, central blood stations and other units with different levels and different business scope (such as whether to do blood tests, etc.), they should be properly distinguished. ).

4) Strengthen the professional training of blood station inspection supervisors, and suggest implementing the training and inspection qualification system.

5) Other suggestions

-Call on the relevant departments to meet the needs of the business development of blood stations, and adjust the price of blood, especially plasma, in a timely manner according to different business situations and cost accounting situations in different places.

-At the National Blood Work Conference of the Ministry of Health in 2006, it was requested to strengthen blood research. However, due to the adjustment of new blood prices and unclear centralized blood research policies, the quality and quantity of blood research in various places are far behind the needs of the development of blood collection and supply, and the gap with developed countries is widening.

6. Other technical and management problems affecting blood quality and blood safety (Moderator: Vice Chairman Li Anli)

Chuanxi Wang, deputy director of Guangzhou Blood Center, made it? Blood leukocyte filtration-advantages, preparation, application and necessity? Guidance report; Director Yan of Zhejiang Blood Transfusion Association made it? Nucleic acid detection technology and its application in blood screening? Report; Shen Wu, deputy director of Shanghai Blood Center Office, made it? Coding standard of blood collection and supply system ISBT- 128? Report? .

On the basis of the above-mentioned guidance report, the participants discussed in depth some important and urgent issues affecting blood supply and safety (such as NAT, new blood testing methods such as luminescence, blood whitening and filtering, ALT testing, blood station information system, etc.). ) and draw the following conclusions:

1) Regarding blood testing, the meeting held that:

-With the increasing number of Olympic Games, World Expo and international exchanges, ensuring blood safety is not only a medical and social issue, but also a political issue with international influence;

-NAT is a mature technology that can shorten detection? Window period? To further improve the sensitivity and specificity, it has been widely used in blood donor testing in developed countries and some countries and regions around China;

-NAT has high technical requirements and high cost. At present, it is necessary to do a full benefit/cost analysis before it can be fully promoted;

-Like other access requirements, NAT technology, reagents and instruments must be verified and recognized by the national authorities;

-NAT and other emerging and mature laboratory technologies (such as chemiluminescence method) should be included in the technical regulations as optional items for blood screening, and the strategies and methods of laboratory quality control should be changed accordingly;

-Some blood stations in China found blood samples with negative ELISA/positive nucleic acid method;

-The current management policies such as blood price have inhibited the enthusiasm of blood stations to study and explore new blood safety technologies, which is not conducive to further improving blood safety;

It is hoped that relevant departments will organize and coordinate as soon as possible to study the necessity and feasibility of introducing NAT and luminescence method into the regulations, and draw a conclusion that it conforms to the actual situation of blood collection and supply in China and improves blood safety.

2) About? Leucocyte removal filtration (white filtration)? The meeting held that:

-Comprehensive white filtration is necessary, its effect on blood safety is affirmative, and its benefit/cost is high;

A large number of studies at home and abroad show that leukocyte filtration should be carried out in blood stations before blood preservation, no matter from the perspective of leukocyte filtration effect or quality control. The effect of hospital white filtration has not been confirmed. Some provincial health administrative departments in China prohibit hospital white filtration, which is worth summarizing and popularizing.

-The quality control standard of white filtration should be clear and well-founded, and the white filtration equipment and white filtration effect should be verified;

-White filtration technology and consumables must be verified and approved by the national competent department;

-The current management policies such as blood price prevent blood stations from carrying out comprehensive white filtration, which is not conducive to further improving blood safety;

It is hoped that the relevant departments will organize/coordinate the study on the necessity and feasibility of the above problems as soon as possible, and draw a conclusion that it conforms to the actual situation of blood collection and supply in China and improves blood safety.

3) about? ALT test? The meeting held that:

There are different understandings at home and abroad about whether blood collection and blood supply institutions need to carry out ALT test on blood and how to determine the upper limit of ALT test.

The specific relationship between -ALT and TR- viral hepatitis is still inconclusive in China, and whether to retain ALT is lack of experimental basis and * * * knowledge.

-Some experts suggested that the screening mode of blood donors should be adjusted. For example, testing ALT before blood collection can really reduce the rejection rate of blood, but it is not suitable as a unified blood testing strategy in China because it cannot be standardized and its quality control is difficult. It is suggested that through scientific design and a large number of statistical data, an ALT detection standard interval that is responsible for both blood donors and recipients should be determined. )

It is hoped that the relevant departments will organize/coordinate the study on the necessity and feasibility of the above problems as soon as possible, and draw a conclusion that it conforms to the actual situation of blood collection and supply in China and improves blood safety.

4) about? Unification of MIS information coding? The meeting held that:

-Health authorities require blood collection and supply in blood stations to be managed by computers. Many provinces and cities are trying to update their computer systems and establish a provincial network. The unification of information coding standards is becoming more and more urgent.

Computer information coding involves a series of processes such as blood collection and supply technology and composition terminology, data translation, technical realization, data resource allocation and daily maintenance. Establishing and maintaining a safe and reliable system requires a lot of personnel, funds and technical input.

-ISBT- 128 coding is an internationally recognized international standard for blood bank information coding, which has been extended to stem cell collection, organ transplantation and other related fields. ISBT- 128 has been supported by most international mainstream manufacturers of computers, blood collection and supply equipment and consumables, and has been formally adopted by more than 60 countries and regions including developed countries such as Europe and America. Using ISBT- 128 requires a maintenance fee, but it is within the acceptable range of domestic blood stations. (Annual blood collection 10000 unit about 500 yuan)

At present, there are all kinds of information codes in China, and quite a few of them are? Reference? A set of ISBT- 128 codes is made by ourselves, which is suspected of infringing the intellectual property rights of ISBT- 128, and is essentially the same as other user-defined codes.

-The statement that the use of ISBT- 128 may lead to the disclosure of international secrets has not been confirmed.

It is hoped that relevant departments will organize/coordinate research on the necessity of unifying information coding standards and how to unify them as soon as possible, so as to avoid the potential huge waste of information system development in various places, improve the level of blood management and blood safety, and improve the ability to deal with emergencies. In the work plan of China Blood Transfusion Association in 2006, ISBT 128 code was recommended as the information coding standard of blood stations. The Quality Committee suggested that domestic blood stations should actively consider registering as ISBT 128 users, legally use the standard, and enjoy timely technical services and on-site protection.

7. Chairman Zhu Yongming summarized the meeting, and asked the secretariat of the Blood Quality Committee to sort out the minutes of the meeting in time, and asked all the participants to submit them to the China Blood Transfusion Association in time after revision, and the association submitted them to the relevant health administrative departments.

8. On behalf of China Blood Transfusion Association, Zhu Yongming thanked the members of the 4th Hematology Professional Committee for their work, and on behalf of the secretariat of the Hematology Professional Committee, thanked the Guizhou Blood Center for its work for the conference, and thanked everyone for their active participation and constructive discussion, which enabled the work of the current Hematology Professional Committee to be successfully completed.

9. The meeting is over.

China blood transfusion association blood quality management Committee secretariat

2007 1 1.2

Chapter 2: Convene the meeting of blood transfusion management committee.

On June 2 1 day, the meeting of blood transfusion management committee was held in the conference room on the second floor of the office building. All members of the Blood Transfusion Management Committee except Li attended the meeting, which was presided over by the vice president.

First of all, Fu Daoyong, director of blood transfusion department, reported the clinical blood consumption of 20 1035 person-times in the first half of the year, including 42 therapeutic doses of red blood cells 1967u, plasma137ml, cryoprecipitate 198 bags and platelets. The total blood consumption was 3,343 units (including U, ml, bag and therapeutic dose), with a year-on-year growth rate of 3.35%. The main reason for the analysis is that the number of patients in 20 14 years has increased significantly compared with the same period last year. All clinical departments strictly control the indications of blood transfusion, and it is more reasonable to use blood; Specification for filling in blood transfusion application form. Only one case of transfusion adverse reaction occurred within half a year. Gynecology 1 patient had itchy skin and scattered rash during blood transfusion, which was relieved after symptomatic treatment. After investigation, there was no improper operation in cross matching, bleeding and clinical departments during blood transfusion. The reason is related to the patient's physique and allergic reaction during blood transfusion. There was a case of massive blood transfusion (24-hour blood transfusion >; 1600ml), general surgery patients, combined traumatic hemorrhagic shock. Red blood cells 12u, plasma 1000ml, two therapeutic doses of platelets and 20 bags of cryoprecipitate were used. Before blood transfusion, the clinical department also filled out a large number of blood transfusion application forms in accordance with the regulations on blood transfusion management and submitted them to the medical department for examination and approval.

Subsequently, the Committee members reported on the problems found in the clinical blood transfusion management in the hospital, held active discussions and put forward reasonable suggestions.

Zhang Tianting, deputy director of the Blood Transfusion Management Committee, stressed that blood transfusion therapy, as one of the clinical treatment methods, is widely used, and the quality of blood transfusion has an increasing impact on the quality of hospital medical care. Clinical blood transfusion is a treatment task that medical treatment, medical technology and nursing staff have successively participated in. Neglect or irregular operation in any link may affect blood transfusion treatment and even cause serious consequences. Therefore, the hospital's blood transfusion management is always facing great challenges. Through the standardized training of dimethyl ether standard evaluation in the early stage, the overall quality is good. However, there are still some shortcomings: for example, the clinical blood transfusion records of individual cases in some departments are not standardized; There are too few reported cases of clinical transfusion adverse reactions, are there no adverse reactions? No report yet? The blood transfusion department lacks the consciousness of actively participating in the quality management of blood transfusion, so it should actively guide the clinical departments to use blood, and check whether the blood use is clear and standardized and reasonable in the departments with more clinical blood use; At the same time, in the future, we should create conditions to actively carry out new business such as autologous blood transfusion and actively carry out blood transfusion knowledge propaganda. Subsequently, the nursing department and other functional departments introduced some problems found in their blood transfusion management and put forward specific suggestions for improvement.

Finally, Vice President Liu Qinghua, Chairman of Blood Transfusion Management Committee, summarized the meeting. First of all, she fully recognized the clinical blood transfusion management of relevant functional departments, and put forward three requirements for the clinical blood transfusion management of hospitals in the future: 1, constantly learning new knowledge, and training new employees in clinical blood use laws and regulations and related systems; 2, clinical laboratory and blood transfusion department personnel should do a good job in laboratory examination; Nurses should implement various operating procedures, do a good job of observation and nursing, and reduce or avoid the danger of blood transfusion treatment. 3. Strengthen communication, standardize clinical blood transfusion and improve the quality of medical services; 4, in strict accordance with the rules and regulations, standardize medical behavior, clinical blood transfusion should master what content? Don't lose if you can, and lose less if you can. The principle is not only to effectively control clinical blood use, but also to use blood reasonably, safely and effectively, to meet the demand of clinical blood use, to ensure the safety of clinical blood transfusion and to provide good services for clinic and patients. At the same time, the blood transfusion department is required to: 1, so as to strengthen the consciousness of reporting adverse reactions of blood transfusion in time; 2. Pay attention to the importance of safe blood matching and testing, do a good job in clinical blood use registration, strengthen blood transfusion return visit, establish a register of adverse reactions, make a summary, and rectify deficiencies; 3, according to the actual situation, actively carry out new business, to meet the needs of clinical work.

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