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Iranian Blood Transfusion Organization F acts and Figures

Iranian Blood Transfusion Organization F acts and Figures. Table of Contents. History of blood transfusion IBTO Organizational Chart IBTO as a Centralized National Blood Program The Iranian Blood Supply System Regulation, Standardization and Certification Recruitment of Blood Donors

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Iranian Blood Transfusion Organization F acts and Figures

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  1. Iranian Blood Transfusion Organization Facts and Figures

  2. Table of Contents • History of blood transfusion • IBTO Organizational Chart • IBTO as a Centralized National Blood Program • The Iranian Blood Supply System • Regulation, Standardization and Certification • Recruitment of Blood Donors • Medical Assessment of Whole Blood Donors • Laboratory Testing of Donated Blood • Preparation and Storage of Components • Clinical Uses of Blood Components • Quality Assurance System • Safety • Education and Research • Iranian Plasma Collection and Manufacturing Organization

  3. History of blood transfusion in Iran • The first hospital of National Iranian oil company was established in Masjed Soleiman in 1924 and the blood transfusion was first carried out by the British Doctors in this hospital. • Despite that the establishment of blood transfusion centers was not mentioned in the Constitution of the year 1948 of Iran Red Lion and Sun society (Red Crescent), regarding the goals set by the general director of the Group, including: 1- corpsmen, 2- the youth, 3- nurse training, 4- blood transfusion, this Group determined to establish blood transfusion center. • From 1940s onward, blood transfusion has been sporadically done in various hospitals. Sina Hospital was one of the most significant centers of blood transfusion in Iran.

  4. History of blood transfusion in Iran (con’t) • 1948: Establishment of the First Private Blood Transfusion in Iran as Dr. Motamed blood transfusion center • 1949: Publication of the First Notice to Call for Blood Donation • 1950s: Hospitals started to use replacement blood • 1952: Establishment of Army’s Blood Transfusion Center • 1954: Establishment of the First Iran Red Lion and Sun society (Red Crescent) blood Transfusion Center • 1955: Establishment of the First Center for preparation of Blood Derivatives • 1955: Establishment of the First Provincial Blood Transfusion Center • 1960s: The decade of 1960, conduced to valuable accomplishments for the activists of the blood transfusion medicine field in Iran. • 1962: Establishment of the First Independent Iran Red Lion and Sun society (Red Crescent) Blood Transfusion Center.

  5. History of blood transfusion in Iran (con’t) • 1974: Establishment of National Blood Transfusion Organization • 1976: Establishment of the First Provincial Blood Transfusion of Iran Blood Transfusion Organization • 1978: Iran Blood Transfusion Organization & Islamic Revolution • 1979:the Blood Transfusion Organization was assigned to the Ministry of Health and Welfare. • 1980: Iran Blood Transfusion Organization & Imposing War Supply of blood and blood products required by the thousands of wounded soldiers • 1984: Introduction of the Organization as the Sole Supervisor of the Supplying Blood and Blood Products in Iran

  6. Screening tests • 1974: HBs Ag Screening test • 1987: HIV-Ab Screening Test • 1997: HCV screening test • 2005: Implementing HIV-Ab, HIV-Ag screening test • 2006: Development of Iran Blood Transfusion Network • 2006: Commencement of technical and software automation of Iran blood transfusion stations

  7. The Iranian Blood Transfusion Organization

  8. The Iranian Blood Transfusion Organization

  9. Whole blood is collected Only in IBTO blood centers Fixed centers Mobile (Factories, Offices, Universities) The Iranian Blood Supply system

  10. The Iranian Blood Supply system • Blood centers are nonprofit and governed by a director appointed by the IBTO’s Managing Director • Major function is to provide the community’s blood supply and hospitals within the blood collection area and hospitals in other areas as well • Area covered is determined by • Historical factors • An overall plan by Central Technical & QA Department

  11. The Iranian Blood Supply system • Blood is provided to hospitals free of charge No charges or fees are requested for the cost of collecting, testing, processing, storing and shipping the blood • Central Immunohematology Reference Laboratory provides advance techniques for serological investigations on donors / patients • Produces home made panel cells to be used by the Blood Centers

  12. The Iranian Blood Supply system • Type of Blood collected annually

  13. 1.80 % average growth rate of Whole Blood collection (2000-2007) The Iranian Blood Supply system

  14. The Iranian Blood Supply system • Per capita rate Blood Collection 24/1000 (06- 07) • Collection rate age- eligible donors (18+) 36/1000 (05- 06)

  15. Regulation, Standardization and Certification • IBTO constitution adopted in 1974 revised in 1984 is approved by the I.R of Iran’s Parliament • The 2nd version of IBTO standards titled »Iranian National Standards for Blood Transfusion «was published in 2005 and went in to effect in Sep. 2005

  16. Regulation, Standardization and Certification • Registrations/ Certifications

  17. Regulation, Standardization and Certification • Technical & QA Deputy acts as National Regulatory Authority • Standard Operating Procedures (SOPs) are in use in all Blood Centers • Establishment of all Blood Centers/ Blood Donation Centers is required to be approved by IBTO’s Higher Council. Licenses are issued by Central Technical & QA Department before any facilities are operative renewed annually.

  18. Recruitment of Blood Donors • A national recruitment department • Director of recruitment department leads the related activities • Lectures, media printed/ visual, community social activities etc. • A system of pre-donation counseling of blood donors exist

  19. Recruitment of Blood Donors

  20. Recruitment of Blood Donors • Demographic characteristics of Blood Donors 2006 • Gender

  21. Recruitment of Blood Donors • Demographic characteristics of Blood Donors 2006 • Age

  22. Recruitment of Blood Donors • Demographic characteristics of Blood Donors 2006 • Education

  23. Recruitment of Blood Donors • Demographic characteristics of Blood Donors 2006 • Employment

  24. Recruitment of Blood Donors • Demographic characteristics of Blood Donors 2006 • Marital Status

  25. Amount of BloodCollected

  26. Future changes in process • Total Laboratory Automation will be implemented in regional IBTO Blood Center in order to centralize the testing of the donated blood.

  27. Future changes in process

  28. On the Road to ISBT 128 Conversion • Internationally recognized Barcode SystemISBT128 will replace the old system. Tracking of specimens, test results and individual components is done by computers using these labels.

  29. On the Road to ISBT 128 Conversion

  30. Implementing new software system • IBTO is in the process of implementing the use of a single Organizational Wide Software System “MAK System” in all its blood centers through out the country.

  31. Tracing Blood Electronically Recipient Tracing There is a process of recipient tracing (Look- Back) in IBTO by making sure that records (Manual & semi- manual) are carefully reviewed, in order to identify the patients who have received seronegative blood from a donor later found to be infected by blood borne pathogens. The Use of a single National Computer Network System is an effort to make sure that, the current look back process work more efficiently.

  32. Cord Blood and other cellular therapies Establishment of a National Public Cord Blood Bank based on National & International standards and to be accredited internationally (Net Cord) is in process

  33. Disaster preparedness Is promoted by establishing IBTO Disaster Task Force to prepare policies and guidelines on blood needs during disasters. Readiness between IBTO and other relevant government organizations at the time of disaster is the aim.

  34. Medical Assessment of whole Blood Donors • Blood containers Blood is collected in to FDA or CE licensed container (450±10% plus 63 ml CPDA)

  35. Laboratory Testing of Donated Blood • Each unit of whole blood undergoes a standard battery of tests • Required tests

  36. Laboratory Testing of Donated Blood

  37. Laboratory Testing of Donated Blood • Prevalence of marker of infection in blood donations in 2007

  38. Quality Control of Laboratory Testing • External controls • WHO • BBI • Lab Quality Finland • Acro-Metrix The Netherlands, NRL Australia EQAS collaboration Run Control Samples (go- no-go samples) • IBTO Central QC laboratory sends samples to provincial Blood Centers

  39. Quality Control of Laboratory Testing • National Internal Controls • Central Quality Control Laboratory • Blood group serology • Positive and Negative controls • Supplemental Tests HIV (Western Blot) or Line Immuno Blot / HIV P24 Ag / HIV-1 Ag confirm HTLV (Western Blot) HCV (Riba) HBsAg (Neutralization)/ (HBcAb) RPR (FTA- ABS) • There are specific and clear Strategies (Algorithms) set by Technical and QA department to be used by laboratories for all screening test results

  40. Preparation and storage of components

  41. Preparation and storage of components

  42. Clinical Uses of Blood Components • Establishment of Hospital Transfusion Committees in all medical centers that administer blood is in process • Complications of transfusion Documentation, follow up and reports of infectious and noninfectious complications of blood transfusion needs to be improved Biovigilance Efforts are underway to establish a national biovigilance system to collect and analyze data regarding transfusion related adverse events

  43. Clinical Uses of Blood Components

  44. Quality Assurance System • A Quality Assurance management system has been implemented in IBTO • Standards from ISO 9001- 2000, AABB Quality System Essentials, European Council and WHO Quality Recommendations are used as guidelines

  45. Quality Assurance System • The goals of the IBTO quality assurance system program are to: • Decrease errors • Obtain credible results consistently • Improve product safety • Improve product quality • A QC department exist in each Blood Center with a QC officer in charge • QC department monitors all processes that take place in IBTO, from donor recruitment, donor selection, blood collection, distribution of blood and blood components, donor testing, labeling, storage, compatibility testing etc.

  46. Quality Assurance System • Hospital blood banks All hospital blood banks are monitored by IBTO’s Blood Center QC department and hospital inspector, periodically. A comprehensive Quality Directive for hospital blood banks in cooperation with the Ministry of Health and Medical Education is in place

  47. Safety • New Occupational Safety & Health Unit was established in 2000 IBTO’s policy is to emphasize on a safe workplace for the safety of the employees, donors, patient and visitors

  48. Education & Research • Deputy of Research and Development is responsible for National & International Educational programs • 34 Faculty members of the Research Center provide teaching and training including basic scientific research in the field of transfusion medicine in cooperation with other IBTO scientific investigators in the country • An educational program leading to a master degree is offered by educational department for 7 students holding B.S. degree annually

  49. Education & Research • IBTO’s technical & scientific materials in transfusion services have been provided for neighboring Persian speaking countries through collaboration with WHO office in Cairo EMRO

  50. IBTO-Research Centre has published more than 70 specialized educational pamphlets and 20 books about blood transfusion, blood safety, and transfusion sciences in Farsi language in last 4 years. IBTO-Research Centre embarked on publishing its specialized quarterly entitled “Khoon” (Blood) that is indexed by IMEMR and Index Copernicus. We forward copies of all our pamphlets, books, and journals to WHO and EMRO so as to be used in Farsi-speaking communities (such as Afghanistan). IBTO hopefully won the status of being a WHO Collaborating Center. IBTO Research Center 2003 Iranian blood transfusion organization-Research centre Iranian blood transfusion organization-Research centre

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