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THE PORTUGUESE BLOOD TRANSFUSION SYSTEM
Maj/Gen MED AERON/RESGabriel de Olim
NATO MEDICAL CONFERENCE - 8th NATO BLOOD CONFERENCE
LISBON – 2009
Instituto Português do Sangue, I.P.
BLOOD SERVICES IN PORTUGAL Year 2009
Regional Blood Service (IPS, I.P.)
Public Hospital with Blood Service (29)
www.ipsangue.org
THE PORTUGUESE BLOOD INSTITUTE (IPS, I.P.)
Ministro da Saúde
SEAS SES
IPS, IP
Serviços Centrais
DAGOAT
DGPF
CRS Lisboa CRS Porto CRS
Coimbra
Conselho Directivo
Conselho Consultivo
Comissão de Ética
Fiscal Único
Instituto Português do Sangue, I.P.
www.ipsangue.org
CRS DO PORTO (inaugurated in 2004)
Instituto Português do Sangue, I.P.
www.ipsangue.org
CRS de COIMBRA (inauguration in 2010)
Instituto Português do Sangue, I.P.
www.ipsangue.org
MOBILE UNITS
Instituto Português do Sangue, I.P.
www.ipsangue.org
MOBILE UNIT
Instituto Português do Sangue, I.P.
www.ipsangue.org
PUBLIC HOSPITALS SUPPLIED BY IPS, I.P. YEAR 2009
Supplied by RC Porto (25)
Supplied by RC Coimbra (16)
Supplied byRC Lisboa (11)
Partialy supplied by RC (16) or Self-suficient (9)
www.ipsangue.org
HOSPITALS AND CLINICS SUPPLIED BY IPS, IP
Year 2007 2009
Lisboa - 56 63Porto - 39 39Coimbra - 23 27
Total – 118 129
Instituto Português do Sangue, I.P.
www.ipsangue.org
BLOOD DONATIONS
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
ANO
DÁDI
VAS
IPS HOSPITAIS Total
Instituto Português do Sangue, I.P.
www.ipsangue.org
TEMPORARY AND PERMANENT DEFERRALS
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
ANO
Instituto Português do Sangue, I.P.
www.ipsangue.org
CLINICAL UTILIZATION OF RBC – DAILY AVERAGE, BY QUARTER (2008 AND 2009)
959977
912
846
882891
750
800
850
900
950
1000
1º Tri.08 2º Tri.08 3º Tri.08 4º Tri.08 1º Tri.09 2º Tri.09
QUARTER
Units
of R
BC E
Instituto Português do Sangue, I.P.
www.ipsangue.org
HAEMOVIGILANCE
Allergic/urticaria reactions
TACO
DyspnoeaTRALI Other blood group incompatibility
Bacteria infection
0
10
20
30
40
50
60
70
80
90
100
Febrile nonhaemolytic
reaction
Outro ABOIncompatibility
Anaphylaxis Rhincompatibility
DelayedHaemolytictransfusion
Adverse reactions in patients
2008 N. of reports 2007 N. of reports
Instituto Português do Sangue, I.P.
www.ipsangue.org
Instituto Português do Sangue, I.P.
HOSP HOSP
HOSP
HOSPHOSP HOSP HOSP HOSP HOSP
CRS
HOSP
CRS CRS
HOSP HOSP HOSP
HOSP
THE CONSOLIDATION PROCESS
www.ipsangue.org
Access via internet
Permanently updated
Displays:
- The number of whole blood units collected by the IPS and by Hospital
- The number of issued RBC units by the IPS
- Utilization rates by Hospital
- The stocks in the Regional Blood Centres and Public Hospitals
Calculates: - The minimum stocks of RBC by ABO and Rh blood groups
Generates: - Graphics
Stores: - Data
THE MONITORIZATION OF THE NATIONAL RBC STOCKS
Instituto Português do Sangue, I.P.
www.ipsangue.org
OVERVIEW OF THE PROGRAMME
Instituto Português do Sangue, I.P.
RBC STOCKS ▪ ISSUED RBC ▪ RBC UTILIZATION RATES ▪ WB DONATIONS ▪ STOCKS IN DAYS ▪ MINIMUM STOCK AND DEVIATIONS
RBC PLAT.
RBC AND PLATELET STOCKS (# of units)
Instituto Português do Sangue, I.P.
RBC STOCKS ▪ ISSUED RBC ▪ RBC UTILIZATION RATES ▪ WB DONATIONS ▪ STOCKS IN DAYS ▪ MINIMUM STOCK AND DEVIATIONS
RBC PLAT.
www.ipsangue.org
CLINICAL UTILIZATION OF RBC AND PLATELETS
Instituto Português do Sangue, I.P.
RBC STOCKS ▪ ISSUED RBC ▪ RBC UTILIZATION RATES ▪ WB DONATIONS ▪ STOCKS IN DAYS ▪ MINIMUM STOCK AND DEVIATIONS
RBC PLAT.
www.ipsangue.org
MINIMUM STOCKS OF RBC AND DEVIATIONS (in # of units)
Rm=4(CT/n)
Instituto Português do Sangue, I.P.
RBC STOCKS ▪ ISSUED RBC ▪ RBC UTILIZATION RATES ▪ WB DONATIONS ▪ STOCKS IN DAYS ▪ MINIMUM STOCK AND DEVIATIONS
www.ipsangue.org
MINIMUM STOCKS DEVIATIONS
Instituto Português do Sangue, I.P.
www.ipsangue.org
RBC STOCKS (in days)
R=E/(CT/n)
Instituto Português do Sangue, I.P.
RBC STOCKS ▪ ISSUED RBC ▪ RBC UTILIZATION RATES ▪ WB DONATIONS ▪ STOCKS IN DAYS ▪ MINIMUM STOCK AND DEVIATIONS
www.ipsangue.org
REPORTS
www.ipsangue.org
Instituto Português do Sangue, I.P.
STOCKS
SUPPLIED
TRANSFUSED
STOCK (days)
COLLECTED
Instituto Português do Sangue, I.P.
www.ipsangue.org
Fornecidos
Informática - Instituto Português do Sangue, IP
Instituto Português do Sangue, I.P.
CARACTERÍSTICAS BÁSICAS DO PROGRAMA
Possibilita verificar:
- Número de unidades de sangue colhidas pelos CRS e pelos Hospitais
- Número de componentes fornecidos pelos CRS- «Stock» de componentes, por grupo sanguíneo,
nos CRS e Hospitais- Consumo diário de componentes sanguíneos por
Hospital- Consumos acumulados
Instituto Português do Sangue, I.P.
CARACTERÍSTICAS BÁSICAS DO PROGRAMA
- Acessibilidade pela internet- Actualização permanente- Efectua cálculo automático das reservas por
Hospital- Efectua cálculo automático de uma reserva
mínima, com base em valores pré-estabelecidos - Permite a impressão de relatórios
Instituto Português do Sangue, I.P.
Clinical utilization and daily averages
Informática - Instituto Português do Sangue, IP
Instituto Português do Sangue, I.P.
RBC and platelet stocks (in units)
Informática - Instituto Português do Sangue, IP
Instituto Português do Sangue, I.P.
RBC stocks (in days)
R=E/(CT/n)
Informática - Instituto Português do Sangue, IP
Instituto Português do Sangue, I.P.
Deviations from a minimum stock for 4 days of RBC
Rm=4(CT/n)
Informática - Instituto Português do Sangue, IP
Instituto Português do Sangue, I.P.
ACCESS
Instituto Português do Sangue, I.P.
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