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JACIE与造血干细胞移植中的质量管理:对护理的启示

JACIE and Quality Management in HSCT: Implications for Nursing

作者信息

Charley Carole, Babic Aleksandra, Arraut Iris Bargalló, Ferrero Ivana

机构信息

JACIE Accreditation Office, Barcelona, Spain

Istituto Oncologico della Svizzera Italiana, Bellinzona, Switzerland

DOI:10.1007/978-3-319-50026-3_1
PMID:31314320
Abstract

Laboratory medicine, along with the airline industry, has a long history of utilising quality management systems. It took until 1999 for The Joint Accreditation Committee of the International Society for Cellular Therapy (ISCT) and the European Group for Blood and Marrow Transplantation (EBMT), known as JACIE, to be established as an accreditation system in the field of haematopoietic stem cell transplantation (HSCT). The aim was to create a standardised system of accreditation to be officially recognised across Europe and was based on the accreditation standards established by the US-based Foundation for the Accreditation of Cellular Therapy (FACT). Since the concept of JACIE was originally launched, many European centres have applied for initial accreditation with other centres gaining reaccreditation for the 2nd or 3rd time. Transplant units, outside of Europe, have accepted the importance of the JACIE Standards, with units in South Africa, Singapore and Saudi Arabia also gaining accreditation. There is evidence that both donor and patient care have improved within the accredited centres (Passweg et al., Bone Marrow Transpl, 47:906–923, 2012; Demiriz IS, Tekgunduz E, Altuntas F (2012) What is the most appropriate source for hematopoietic stem cell transplantation? Peripheral Stem Cell/Bone Marrow/Cord Blood Bone Marrow Res. (2012):Article ID 834040 (online)). However, there is a lack of published evidence demonstrating that this improvement directly results from better nursing care. Therefore, the authors conducted a survey of nursing members of the European Blood and Marrow Transplantation Nurses Group (EBMT (NG)) to identify how nurses working in the area of HSCT felt that JACIE impacted in the care they delivered and the general implications of JACIE for nurses.

摘要

检验医学与航空业一样,有着长期使用质量管理体系的历史。直到1999年,国际细胞治疗学会(ISCT)和欧洲血液与骨髓移植组(EBMT)的联合认证委员会(称为JACIE)才作为造血干细胞移植(HSCT)领域的认证体系得以建立。其目的是创建一个在全欧洲得到官方认可的标准化认证体系,该体系基于美国细胞治疗认证基金会(FACT)制定的认证标准。自JACIE概念最初推出以来,许多欧洲中心已申请初始认证,其他中心也获得了第二次或第三次再认证。欧洲以外的移植单位也认可了JACIE标准的重要性,南非、新加坡和沙特阿拉伯的单位也获得了认证。有证据表明,在获得认证的中心,供者和患者护理都有所改善(Passweg等人,《骨髓移植》,47:906 - 923,2012;Demiriz IS、Tekgunduz E、Altuntas F(2012年)造血干细胞移植最合适的来源是什么?外周血干细胞/骨髓/脐带血《骨髓研究》(2012年):文章编号834040(在线))。然而,缺乏已发表的证据表明这种改善直接源于更好的护理。因此,作者对欧洲血液与骨髓移植护士组(EBMT(NG))的护士成员进行了一项调查,以确定从事HSCT领域工作的护士如何看待JACIE对他们提供的护理的影响以及JACIE对护士的总体影响。

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