{"id":12404,"date":"2023-01-16T09:41:00","date_gmt":"2023-01-16T14:41:00","guid":{"rendered":"https:\/\/transfusionontario.org\/preparez-vous-a-lascm-laudit-provincial-sur-ladministration-de-sang-au-chevet-du-malade-ascm-sen-vient\/"},"modified":"2024-07-16T10:59:35","modified_gmt":"2024-07-16T14:59:35","slug":"preparez-vous-a-lascm-laudit-provincial-sur-ladministration-de-sang-au-chevet-du-malade-ascm-sen-vient","status":"publish","type":"post","link":"https:\/\/transfusionontario.org\/fr\/preparez-vous-a-lascm-laudit-provincial-sur-ladministration-de-sang-au-chevet-du-malade-ascm-sen-vient\/","title":{"rendered":"Pr\u00e9parez-vous \u00e0 l\u2019ASCM! L\u2019audit provincial sur l\u2019Administration de Sang au Chevet du malade (ASCM) s\u2019en vient"},"content":{"rendered":"\n

Tracy Cameron, MLT, directrice r\u00e9gionale, RRoCS NE<\/em><\/p>\n\n

La transfusion de sang est un traitement souvent prescrit; dans les h\u00f4pitaux ontariens, environ 950 unit\u00e9s de globules rouges par jour ont \u00e9t\u00e9 transfus\u00e9es au cours de l\u2019exercice financier 2021-20221 1<\/sup> Pour prodiguer des soins transfusionnels s\u00fbrs, des politiques et proc\u00e9dures hospitali\u00e8res optimales ont \u00e9t\u00e9 \u00e9labor\u00e9es. Les audits ou les \u00e9valuations de la pratique constituent un indicateur pr\u00e9cieux de s\u00e9curit\u00e9 pour les patients; cela offre aussi des occasions d\u2019apprentissage continu visant \u00e0 renforcer la s\u00e9curit\u00e9 entourant les transfusions 2<\/sup> L\u2019outil d\u2019audit du R\u00e9seau r\u00e9gional ontarien de coordination du sang (RRoCS) s\u2019inspire des normes de Sant\u00e9 Canada et de celles qui pr\u00e9valent en m\u00e9decine transfusionnelle (MT), qui fournissent les raisons d\u2019\u00eatre des politiques et proc\u00e9dures. <\/p>\n\n

Le RRoCS proc\u00e9dera \u00e0 un audit sur l\u2019administration du sang au chevet du malade (ASCM) \u00e0 l\u2019\u00e9chelle provinciale qui commencera le lundi 30 janvier prochain et se poursuivra jusqu\u2019au vendredi 31 mars. Tous les h\u00f4pitaux ontariens seront invit\u00e9s \u00e0 y participer; une communication sera transmise \u00e0 cet effet au d\u00e9but de janvier. Cette v\u00e9rification provinciale de l\u2019administration de sang au chevet du malade est une activit\u00e9 importante de la strat\u00e9gie provinciale d\u2019utilisation du sang. Les donn\u00e9es de cet audit pourront \u00eatre compar\u00e9es \u00e0 celles des audits tenus en 2011 et en 2018. <\/p>\n\n

Comme lors des audits provinciaux pr\u00e9c\u00e9dents, un formulaire d\u2019audit en version papier sera fourni pour faire la v\u00e9rification au chevet des malades et un outil d\u2019audit en ligne permettra de faciliter la saisie des donn\u00e9es et r\u00e9sultats de l\u2019audit. Les h\u00f4pitaux pourront faire l\u2019examen de leurs propres donn\u00e9es, alors que les donn\u00e9es provinciales seront r\u00e9sum\u00e9es et publi\u00e9es dans un rapport du R\u00e9seau. Lors de l\u2019audit pr\u00e9c\u00e9dent, la plupart des comit\u00e9s d\u2019\u00e9thique de la recherche (CER) avaient class\u00e9 ce type d\u2019audit dans les activit\u00e9s d\u2019am\u00e9lioration de la qualit\u00e9 qui n\u2019exigent pas d\u2019examen \u00e9thique approfondi. Si vous avez des inqui\u00e9tudes \u00e0 ce sujet, v\u00e9rifiez aupr\u00e8s de votre propre CER. <\/p>\n\n

Le formulaire d\u2019audit a \u00e9t\u00e9 adapt\u00e9 aux normes de m\u00e9decine transfusionnelle courantes, et l\u2019outil en ligne a \u00e9t\u00e9 reconstruit \u00e0 l\u2019aide de REDCap (Research Electronic Data Capture), une plateforme logicielle en ligne s\u00e9curis\u00e9e con\u00e7ue pour \u00e9laborer et g\u00e9rer des bases de donn\u00e9es et des sondages en ligne3 3<\/sup>. L\u2019outil REDCap a \u00e9t\u00e9 personnalis\u00e9 pour l\u2019ACAS. <\/p>\n\n

Le but de cet audit est de collecter des donn\u00e9es et de comparer les r\u00e9sultats \u00e0 ceux d\u2019audits pr\u00e9c\u00e9dents pour voir s\u2019il y a eu des am\u00e9liorations quant \u00e0 la conformit\u00e9 aux normes courantes en MT 4,5,6<\/sup> . L\u2019audit insiste sur les \u00e9tapes critiques de la proc\u00e9dure d\u2019administration de composants sanguins, en particulier l\u2019identification du receveur, l\u2019identification du composant, la compatibilit\u00e9 des composants sanguins, la surveillance du malade avant, pendant et apr\u00e8s la transfusion ainsi que la documentation. Le nombre de v\u00e9rifications \u00e0 ex\u00e9cuter d\u00e9pendra de la cat\u00e9gorie dans laquelle se trouve votre \u00e9tablissement.<\/p>\n\n

Cat\u00e9gorie d\u2019h\u00f4pital<\/strong><\/th>Nombre de proc\u00e9dures transfusionnelles\/dur\u00e9e<\/th><\/tr><\/thead>
Petit h\u00f4pital communautaire (<100 lits)<\/td>2 proc\u00e9dures transfusionnelles ou 3 mois<\/td><\/tr>
H\u00f4pital communautaire moyen ou grand (>100 lits)<\/td>5 proc\u00e9dures transfusionnelles ou 3 mois<\/td><\/tr>
Grand centre hospitalier universitaire<\/td>10 proc\u00e9dures transfusionnelles ou 3 mois<\/td><\/tr><\/tbody><\/table><\/figure>\n\n

L\u2019invitation \u00e0 participer sera envoy\u00e9e aux laboratoires principaux et aux personnes-ressources ainsi qu\u2019au personnel de coordination des soins infirmiers et de s\u00e9curit\u00e9 transfusionnelle ainsi qu\u2019aux contacts d\u2019ONTraC. V\u00e9rifiez vos courriels et suivez les annonces dans nos m\u00e9dias sociaux. <\/p>\n\n

1 Ontario Regional Blood Coordinating Network (ORBCoN). Blood Utilization Graphs [Internet]. Toronto (CA); ORBCoN: 2022 Aug [cited 2022 Aug 16]. Available from: https:\/\/transfusionontario.org\/en\/category\/blood-utilization-audits\/blood-utilization-graphs\/2 Irina Maramica, Ira A. Shulman. Approaches to Blood Utilization Auditing in Technical Manual 19th edition, AABB Press, Bethesda MD; 2017:557-566 3 PA Harris, R Taylor, R Thielke, J Payne, N Gonzalez, JG. Conde, Research electronic data capture (REDCap) \u2013 A metadata-driven methodology and workflow process for providing translational research informatics support, J Biomed Inform. 2009 Apr;42(2):377-81.4 National Standard of Canada Canadian Standards Association (CA) Blood and blood components. Toronto ON; 2020 Mar 24; cited 2022 Dec 14. 162 p. Report No.: CAN\/CSA-902:20.Available from: https:\/\/community.csagroup.org\/docs\/DOC-1262955 Canadian Society for Transfusion Medicine (CA) Standards for hospital transfusion services. Markham ON; 2021 Dec; cited 2022 Jun 14. 110 p. Report No.: Version 5.Available from: http:\/\/www.transfusion.ca\/Resources\/Standards6 Ontario Regional Blood Coordinating Network. Bloody easy blood administration. version 3. Toronto: Ontario Regional Blood Coordinating Network; 2020 [cited 2022 Jun 14]. 146p.Available from: https:\/\/transfusionontario.org\/category\/bloody-easy-e-tools-publications\/bloody-easy-blood-administration\/<\/p>\n\n

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From ORBCoN Crew<\/h2>\n\n
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TM New Year’s Resolution<\/h3>\n\n

A New Year is upon us and with the New Year comes time for new beginnings. New beginnings bring to mind resolutions and TM departments are always striving to improve their services which is what resolutions are all about!ORBCoN would like to suggest some New Year\u2019s resolutions for your TM department. These are based on the top Accreditation Canada Diagnostic non-conformances that were noticed from the previous year<\/p>\n\n

This year Transfusion Medicine resolves to:WANT:<\/strong> Have a training program and competency assessment process<\/a> that is evaluated for its effectiveness<\/a> for all personnel involved in the administration of blood products including physicians, nurses, and laboratory personnel, that will consider the complexity of tasks and potential for error.NEED:<\/strong> Equipment that have the capacity to monitor the temperature range of the contents, can be set at the acceptable temperature range for the products stored inside and have an audible alarm when temperatures go beyond the acceptable range.SHARE: <\/strong>Procedures for the return of products from a clinical area that take into consideration all possible products that can be issued, not only red blood cell units.SUCCEED:<\/strong> Establish a comprehensive home infusion process<\/a> that includes all necessary elements such as identification of person picking-up the product, redistribution of products near expiry, safety precautions, sources of variability, and follow up for transfusion complications.<\/p>\n\n

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Newsboard<\/h2>\n\n
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Tech Assessment<\/h3>\n
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The Bloody Easy Technologist Assessment program is now available on the new ORBCoN Learning Management System (LMS) and Surge Learning platforms.A communication has been issued with instructions to provide site administrator information for access to the ORBCoN LMS and guidance for current Surge Learning clients.If you have any questions or have not received the communication please reach out to alison.wendt@sunnybrook.ca<\/p>\n\n

New! Save the DatesTransfusionists Talk: Transfusion Made Bloody Easy<\/strong><\/h3>\n
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More info to follow! To submit a topic or patient case, email: bertad@donna<\/p>\n\n

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Featured Resources<\/h2>\n\n
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Bloody Easy 5<\/h3>\n
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\"Bloody<\/figure>\n<\/div>\n
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Learn More<\/a><\/div>\n<\/div>\n\n

Patient Pamphlet: New Version<\/h3>\n
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Learn More<\/a><\/div>\n<\/div>\n\n
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Upcoming Events<\/h2>\n\n
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UofT TM Rounds<\/h3>\n\n
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January 26, 2023 @12pm-1pm<\/p>\n\n

Marginalized communities in trauma research by Dr. Barbara Haas<\/p>\n","protected":false},"excerpt":{"rendered":"

Tracy Cameron, MLT, directrice r\u00e9gionale, RRoCS NE La transfusion de sang est un traitement souvent prescrit; dans les h\u00f4pitaux ontariens, environ 950 unit\u00e9s de globules rouges par jour ont \u00e9t\u00e9 […]<\/p>\n","protected":false},"author":16,"featured_media":9836,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","footnotes":""},"categories":[138],"tags":[],"class_list":["post-12404","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bulletin"],"acf":[],"_links":{"self":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/12404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/comments?post=12404"}],"version-history":[{"count":0,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/12404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media\/9836"}],"wp:attachment":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media?parent=12404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/categories?post=12404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/tags?post=12404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}