Management and Operations of Transfusion Medicine: Impact of Policy, Planning, and Leadership on Bridging the Knowledge Gap

Management and Operations of Transfusion Medicine: Impact of Policy, Planning, and Leadership on Bridging the Knowledge Gap

Cees Th. Smit Sibinga (IQM Consulting, The Netherlands) and Maruff A. Oladejo (University of Lagos, Nigeria)
DOI: 10.4018/978-1-5225-7214-5.ch020

Abstract

Healthcare includes supportive services like blood transfusion. To manage blood supply and transfusion services, leadership development is paramount. E-learning has become a common global approach in teaching. However, there are limitations. Some are difficult to influence and eliminate. E-learning packages are promoted to effectively deliver education but are still not penetrated in clinical transfusion. Most clinicians have little knowledge of risks and benefits of hemotherapy. E-learning found its way into the field of blood transfusion. However, audits of clinical transfusion practice have demonstrated deficiencies in knowledge and practice that impact patient safety and in some cases result in death. WHO initiated a post-academic master course, “Management of Transfusion Medicine,” focused on leadership in restricted economy countries. This chapter focuses on bridging the knowledge gap in management and operations of transfusion medicine.
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Transfusion Medicine

Transfusion Medicine is a bridging science dealing with the vein-to-vein events of blood transfusion. From the public oriented marketing and motivation sciences through the technical provision of acquiring source material, manufacturing, and distribution to the clinical science of bedside transfusion practice and handling adverse events.

Smit Sibinga and Pitman (2011) presented a broad overview of the various states of development of Transfusion Medicine. The focus is on how to bridge the existing knowledge gaps. Observations in various countries in different parts of the world have demonstrated the need for adequate and competent human capacity development and retention. A state of development in Transfusion Medicine is not in the first place dependent on upgraded equipment, technologies and methodologies, but on the accessibility of education (teaching and training) – a competent human capacity. Globally, clinicians prioritize clinical work, and extra time away would be a serious imposition. However, the need for education in clinical use of blood (in-hospital transfusion chain) is not only restricted to low and medium Human Development Index (HDI) countries, but stretches well into high and even very high HDI countries (UNDP HDI).

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