Gillet Philippe, Neijens Esther
Service du Sang, Belgian Red-Cross, Suarlée, Belgium.
Front Med (Lausanne). 2018 Mar 21;5:74. doi: 10.3389/fmed.2018.00074. eCollection 2018.
Blood donor selection is a cornerstone for blood transfusion safety, designed to safeguard the health of both donors and recipients. In the Service du Sang, Belgian Red Cross, French and German-speaking part of Belgium (SFS), health professionals (HPs) are allowed to interview donors on their own after formal qualification. This qualification is afterward evaluated by means of two complementary quality indicators: monitoring of donor health questionnaires (DHQs) and analysis of donor deferral rate. The study aims to evaluate the degree to which both quality indicators may be useful and appropriate tools to evaluate the quality of blood donor selection. An analysis performed on 2016 data showed that noncompliance detected by means of DHQ monitoring seems to be more frequent in HPs who conduct a low number of interviews compared to all HPs as a group (5.67 vs. 3.23%; < 0.001). Deferral rates are also higher in HPs with a lower activity compared to HPs who interview more donors (14.80 vs. 13.00%, < 0.001). Furthermore, statistically differences are observed between the type of blood donation venue in terms of the global deferral rate (for instance fixed site vs. schools: 11.9 vs. 19.5%; < 0.001), and specific reasons for deferral (such as sexual risk behavior and travel in at-risk areas, the differences being highly significant between each category of blood donation venue; < 0.001). Providing the HPs with feedback on these findings was an opportunity to draw their attention to some aspects of the selection process in order to improve it.
献血者筛选是输血安全的基石，旨在保障献血者和受血者双方的健康。在比利时红十字会比利时法语和德语区献血服务中心（SFS），健康专业人员（HPs）在正式取得资格后可自行对献血者进行访谈。之后通过两个互补的质量指标对该资格进行评估：监测献血者健康问卷（DHQs）和分析献血者延期率。本研究旨在评估这两个质量指标在多大程度上可能是评估献血者筛选质量的有用且合适的工具。对2016年数据进行的分析表明，与所有健康专业人员作为一个整体相比，通过DHQ监测发现的不符合情况在访谈次数较少的健康专业人员中似乎更为频繁（5.67%对3.23%；<0.001）。与访谈较多献血者的健康专业人员相比，活动量较低的健康专业人员的延期率也更高（14.80%对13.00%，<0.001）。此外，在全球延期率方面，不同献血地点类型之间存在统计学差异（例如固定地点与学校：11.9%对19.5%；<0.001），以及延期的具体原因（如性风险行为和前往高危地区旅行，各类献血地点之间的差异非常显著；<0.001）。向健康专业人员提供这些调查结果的反馈是一个契机，可引起他们对筛选过程某些方面的关注，以便加以改进。
