120-693 / Self audit system and practice within the transfusion departments

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Hungarian National Blood Transfusion Service


Audit system
Quality indicators
Blood / Blood products
Patient safety culture / Patient safety climate
GOP Description
Implementation level
Clinical settings
Blood establishments and the transfusion department of hospitals.
The Quality System is based on Good Manufacturing Practice in transfusion services.All activities are involved in the QS e.g. audit. Quality Manuals have been prepared for steps of processing and examinations in blood banks. Audit protocols are issued to control the work at every levels.
staff in differnt levels
The self audit system of the Service is created by the management, and is valid for all departments and local services within the Hungarian Blood Transfusion Service. All departments have appointed quality managers who plan, organise, and follow-up the audits. The central quality department coordinates the local audits, and audits the departments and offices, and the partner suppliers as well.
Timeframe implementation
1 year
Implementation tools available
They keep regular and centrally organised audit practice training. The written training material is created with the aid of an EU tender (EUBIS).
The training concerns both the theoretical and practical knowledge. Situation practices are used to enhance practical knowledge, and tests serve for checking theoretical knowledge.
Implementation cost
Very low.
Method used to measure the results
The main measurement of results is to examine whether there have been activities to reduce and prevent possible errors (e.g. correcting the documentation system), and to measure the effect of these activities.
The measurable results are the effects of (newly) implemented preventive measures and other improvements, such is a new and better documentation system.
e.g. number of complaints, number of violation of regulations, number of specified mistakes
Analysis of the results
Yearly statistical and risk-analysis of measurable results:
– number or complaints
– number of protocol non-compliance
– occurrence of mistakes
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)