Screening of Blood donation : Assessing Value and Performance of self examination in Mahasarakham Hospital. Compared with the Regional Blood center VI Khon Kaen.

Abstract

Background : Blood and blood components used to treat patients in hospitals. Must be obtained from blood donors who do not hope in return Through screening for infectious diseases through the bloodstream for every component According to the standards of the National Blood Service Center of the Thai Red Cross Society And must have an adequate blood reserve system It is appropriate to meet the needs of patients. Important problems of provincial hospitals that do not have the blood service sector. Blood samples must be sent to the blood service sector in the provinces. Causing a delay in reporting examination results Resulting in a shortage of blood

Objective : Evaluate the cost and efficacy of donated blood screening When open for self-examination in Mahasarakham Hospital Compare with the with the Regional Blood center VI  Khon Kaen.

Materials and Methods : Gather information from operations Of blood bank work at Mahasarakham Hospital for 5 years, budget 2014-2018, and cost analysis of infectious marker in both Serology and Molecular field of self-examination in Mahasarakham Hospital The simulation was compared with the delivery at the 6th blood service sector by requesting the cost of reagent cost from the Medical Supplies Department, Maha Sarakham Hospital and some from the blood bank at Roi Et Hospital. Delivery to the blood service sector at Collecting complaints, no blood and components, blood supply as requested by the doctor. From various causes

Results : Factors causing blood shortage in provincial hospitals, infectious marker testing in hospitals. Is one of the factors that helps to improve the flexibility in blood management. But there must still be other factors involved. Such as management system for each hospital That must be adapted to fit Team work Visionary leader The dedication and attention of staff at all levels Coordination to achieve cooperation with all personnel. Strengthening morale Using routine data to analyze for gap analysis to solve system problems. Providing support for executives at all levels So the problem can be solved Mahasarakham Hospital is a hospital with efficient blood management. Can be a model for the general hospital on blood management of the Ministry of Public Health Both in terms of blood supply and providing safe blood to patients

 Conclusions : The launch of infectious marker testing services in general hospitals that supply their own blood approximately a year. 25,000-28,000 cases per year When costing both Serology and NAT, it was found that if the hospital performed the self examination in 5 years, the hospital budget could be saved almost 10 million baht due to the lower cost. And can solve the problem of not having paid blood Reduce complaints from doctors who use the service Can manage The blood bank more efficiently Solve unstable transport problems and increase the competency of medical technicians. In molecular analysis in that department