Page 21 - ANZCP Gazette AUG 2023

QUALITY IMPROVEMENT TO SUPPORT BLOOD MANAGEMENT: THE AUSTRALIAN & NEW ZEALAND COLLABORATIVE PERFUSION REGISTRY (ANZCPR)
Rona Steel 1, Richard F Newland 2, David Roxby 3, Robert A Baker 2 for the Australian & New Zealand Collaborative Perfusion Registry
1 WSLHD Westmead Hospital, Sydney, NSW, 2 SALHN Perfusion, Flinders Medical Centre and College of Medicine and Public Health, Flinders University, Adelaide, SA, 3 College of Medicine and Public Health, Flinders University, Adelaide, SA
This paper is based on the presentation presented at 3SCTS Cairns, 2022 and will highlight how The Australian and New Zealand Collaborative Perfusion Registry (the ANZCPR, formally PDU), works to support contributing sites to meet the National Safety and Quality Standard 7 on Blood Management.
What are the National Safety and Quality Standards?
The Australian Commission on Safety and Quality in Health Care developed eight National Standards in collaboration with the Australian Government, the private sector and clinical experts together with patients and carers. With the aim to:
• To protect the public from harm
• To improve the quality of the health service.
Compliance with these standards is mandatory for all hospitals. This even including cardiac
surgery! This paper will focus on Standard 7, which covers Blood Management.
National Safety and Quality Standard 7:
Blood Management:
We know blood is a vital resource, but it’s use comes with risks.
The aim of this standard is to improve outcomes for patients by:
• Identifying these risks
• Promoting the use of strategies that optimise and conserve a patient’s own blood
• And ensuring any blood products a patient DOES receive are safe and appropriate.
Standard 7 is comprised of actions 1-10 which cover all facets of patient blood management and the clinical transfusion process. This paper will focus on Action 7.02 – applying quality improvement systems and Action 7.04 – the strategies we use to ensure the safe and appropriate use of blood products.
Action 7.02 – Applying quality improvement systems.
How does the ANZCPR support contributing sites comply with applying a quality improvement system which:
1. Monitors performance of the blood management system
2. Implements improvement strategies and processes
3. Reports on their effectiveness and outcomes?
Here is a quality improvement cycle. To improve, you need to know where you are. This requires data collection. Then the data is reported enabling a site to review its performance and indicate opportunities for improvement. A site then implements its strategies for improvement and the cycle continues. As data is collected with this improvement in place, evaluation continues to assess if an improvement has been made and what else other improvements may be made. Resulting in continuous improvement. The ANZCPR fulfils each element of this cycle very effectively.
SEPTEMBER 2023 3SCTS SPECIAL EDITION | www.anzcp.org 19