Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services

Authors

  • João Batista Silva Junior Universidade de Brasília (UnB), Brasília, DF Author
  • Daphne Rattner Universidade de Brasília (UnB), Brasília, DF Author

DOI:

https://doi.org/10.3395/vd.v2n2.126

Keywords:

Hemotherapy Service, Health Surveillance, Risk Management, Evaluation

Abstract

This article describes the method for the evaluation of potential risks in hemotherapy services (MARPSH) applied by the Brazilian Health Surveillance Agency. It allows the identification of potential risks by mapping them for advanced control and modeling the preferences for decision making as a proactive risk management activity. The MARPSH structure is composed by 471 control items, being 50% related to risks for the product, 25% for the patient, 17% for the donor and 8% for the worker. Each identified inadequacy is categorized by its severity, its probability and relatively of a possibility of a hazard. For its analysis, the system adopted two different weights according to the valuation of the items of control and the complexity of the procedures. The relationship betwe-en the score and the maximum score possible results in an index called Proportion of Control (PC), by which the potential risk is classified as Low (PC ≥ 95%), Medium-Low (PC ≤ 80% < 95%), Medium (70% ≤ PC < 80%), Medium-High (60% ≤ PC < 70%) and High (PC < 60%). The use of this method for health surveillance allows monitoring and con-trolling the reduction of risks, hence contributing to the increase of transfusion safety.

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Author Biographies

  • João Batista Silva Junior, Universidade de Brasília (UnB), Brasília, DF
    Graduado Farmácia Bioquímica pela Universidade Federal de Ouro Preto (2005). Especialista em Vigilância Sanitária e Regulação em Sangue. Atualmente é servidor da Agência Nacional da Vigilância Sanitária - ANVISA, na área de Sangue, outros Tecidos, Células e Órgãos. Estudando de Mestrando em Saúde Coletiva/Departamento de Saúde Coletiva da Faculdade de Ciencias da Saúde da Universidade de Brasília (UNB)
  • Daphne Rattner, Universidade de Brasília (UnB), Brasília, DF
    Graduação em Medicina pela Universidade Estadual de Campinas (1976), mestrado em Epidemiologia pela Universidade de São Paulo (1991) e doutorado em Epidemiologia - University of North Carolina (2001). Trabalhou como Técnica Especializada na Área Técnica de Saúde da Mulher do Ministério da Saúde de 2004 a 2009. Atualmente é Professora Adjunta na Disciplina de Epidemiologia, no Departamento de Saúde Coletiva, Faculdade de Ciências da Saúde, na Universidade de Brasília. Tem experiência na área de Medicina e Saúde Coletiva, com ênfase em Saúde da Mulher e da Criança, atuando principalmente nos seguintes temas: epidemiologia, qualidade, obstetrícia, saúde pública, assistencia obstétrica e assistência perinatal.

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Published

2014-05-14

Issue

Vol. 2 No. 2 (2014): May

Section

Articles

License

Copyright (c) 2014 Health Surveillance under Debate: Society, Science & Technology (Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnología) – “Visa em Debate”

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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How to Cite

Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services. (2014). Health Surveillance under Debate: Society, Science & Technology , 2(2), 43-52. https://doi.org/10.3395/vd.v2n2.126