BLOOD TRANSFUSİON İN TURKEYBLOOD TRANSFUSİON İN TURKEY

SHORT HISTORYSHORT HISTORY

• 1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in TURKEY

• 1938 : First transfusion in Cerrahpasa Medical Faculty

• 1940 – 1945 : Some university and hospitals constitude small blood donation units.

• 1952 : Cerrahpasa Medical Faculty separated blood plasma

• 1953 : “Turkish Red Crescent Blood Assist Organization” consituted

• 1954 : TRC send medical doctors to England and USA for Blood Transfusion Education

• 1957 : In ankara and Istanbul TRC Blood Banks constructed and opened

• 1959 : Bursa and Samsun TRC Blood Banks constructed

• 1967 : TRC Ankara Plasma Fractination Laboratory constructed

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SHORT HISTORYSHORT HISTORY

• 1974 : Turkish Red Crescent Blood Donation Organization” constituted

• 1981 : Plastic blood Bags started to use

• 1983: Accepted “Law on Blood and Blood Products, No: 2857”,

• A and B type Blood Stations

• 1996 : “Blood Banks and Transfusion Society” constituted

• 1996 : Anti – HCV accepted as a mandatory screening test in Blood Banking in Turkey

• 1997 : “Blood donor questioning form” is accepted as a mandotory form in all blood banks in Turkey

• 2005 : “Safe Blood Project” , MoH – TRC Project on Blood Safety and Safe Blood

• 2006 : Demonstrade NAT study

• 2007 : New Law accepted on Blood and Blood Products, No: 5624, OJ No: 26510, 02.05.2007 , Regional Blood Centers

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MAIN ORGANİZATIONSMAIN ORGANİZATIONS

• The Ministry of Health (MoH) in Turkey is the main authority regulating and auditing the blood and blood products services throughout the country.

• TRC (Turkish Red Crescent Society) is the primary nongovermental organizsation in the country that has purposes of collecting blood from voluntary, nonremunerated blood donors, process and separate them to components, achieve the mendatory laboratory tests, store and distribute to hospitals. TRC manages Regional Blood Banks in Turkey in close cooperation with the MoH..

• BBTST ( Blood Banks and Transfusion Society )is the primary nongovernmental organisation in the country that has the purposes of producing training materials and related documents, organising courses and publishing books in close cooperation with the MoH.

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““SAFE BLOOD PROJECT”SAFE BLOOD PROJECT”

• In 2005 MoH and TRC prepared a project named

“ Safe blood Project” and put into practice. Some main parts of this project was as follow:

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ORGANİZATIONORGANİZATION

• Blood supply system in Turkey has long been a hospital based and decentralized one. Hospital blood banks provide approximately 65 % of the annual blood supply and Turkish Red Crescent blood banks provide only 35% . The blood law before the new one was published in 1983 and the system was composed of blood centers of A and B type

• In 2007, there were more than 400 hospital based blood banks and 27 TRC Blood Centers in Turkey and a new law needed to estsablish the standards. And while this law prepered EU directives was taken into consideration.

• The new blood law (Law on Blood and Blood Products, No: 5624, OJ No: 26510, 02.05.2007) published in May 2007 describes a centralized blood supply system with regional blood centers, transfusion centers and donation centers.

ORGANİZATIONORGANİZATION

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ORGANİZATIONORGANİZATION

• 2005 : more than 400 Hospitalize based blood banks ( A and B type), 23 TRC Blood Banks (All B Type)

• 2008: 12 Regional Blood Banks and 42 Blood Donation Center – TRC provide 50% of the annual blood suply – Hospitalize based blood banks are transforming as transfusion

centers and stop the donation work. – Goal is to stop donation in hospitals by the reach enough

voluntary blood donation number.

ORGANİZATIONORGANİZATION

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DONOR RECRUITMENTDONOR RECRUITMENT

• Donor Recruitment Department• Behaviour Change Project• Club 25 Activities: Targeting 18 – 25 years old

population• Donor Education and Recruitment Programs• Refusal Donor Database• Voluntary Blood Donor Cards• SMS reminds

NATIONAL VOLUNTARY DONOR

RECRUITMENT PROGRAM

NATIONAL VOLUNTARY DONOR

RECRUITMENT PROGRAM

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TRC 2003-2004-2005-2006-2007 BLOOD DONATION NUMBERS

447.836

145.129

592.965

225.349177.977

176.770

376.060

135.938

127.347 116.797

126.042

342.146

312.708305.324

502.102

2003 2004 2005 2006 2007

MOBILE CENTER TOTAL

• DONOR NUMBER in TRC DONOR DATABASE: 1.208.339• TOTAL DONATION THAT TRC COLLECTED:

– 2005 : 342. 146– 2006: 502.102– 2007: 592.965– 2008: 308.000 (First six mounths)

• Donor numbers that donated

more than 1 blood in the years 2006 – 2007 : 134.464

• Donor number that donated just 1 time between 2005 – 2007: 554.481

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WHOLE BLOOD

COMPONENTS

WHOLE BLOOD

COMPONENTS

WHOLE BLOOD

COMPONENTS

WHOLE BLOOD

COMPONENTS

2004

2006 2007

2005

%42

%85

%99 %99

%58

%15

%1%1

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2005 Whole Blood usage is 529.6072007 Whole Blood usage is 256.092

2004- 2007 YILLARI KAN BAĞIŞ SAYISI , ÜRETİM SAYISI VE HİZMETE SUNUM SAYILARI

592.965502.102

342.146

305.324

584.043

973.921

803.462

438.703

823.865

674.618

462.919

381.056

2004 2005 2006 2007

KAN BAĞIŞ SAYISI ÜRETİMMİKTARI

HİZMETESUNUMMİKTARI

2004 – 2007 BLOOD DONATION, PRODUCTION AND DISTRIBUTE NUMBERS

BLOOD DONATION NUMBERS

PRODUCTION NUMBERS

DISTRIBUTION NUMBERS

_

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YEAR DONATİON NUMBER DESTROY NUMBER (Because of approved test pozitive)

RATE

2004 305.324 8.882 2,97 %

2005 342.146 8.613 2,54 %

2006 502.102 11.528 2,29 %

2007 592.965 13.494 2,28 %

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In spite of rasing donation number, the decreasing number of destroy number of bloods because of screening test pozitive is showing the success on measure on safe blood and donor education. Because first time donor rates are stil high in Turkey.

NATIONWIDE IT SYSTEMNATIONWIDE IT SYSTEMBLOOD BANK

INFORMATION MANAGEMENT

SYSTEM

BLOOD BANK INFORMATION MANAGEMENT

SYSTEM

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Isı Dolabı -80ºIsı Dolabı -40º

KanÇalkalama 1

KanÇalkalama 2

KanÇalkalama 4

KanÇalkalama 3

Switch

Yıldız TopolojisiNetwork Kablolama

DO

NA

SY

ON

SA

LO

NU

LAB

OR

AT

UA

RS

AT

IŞD

EP

OK

AR

AN

TİN

AD

İĞE

R

CAT5-FTPCAT5-UTP

CAT5-UTP

CAT5-FTP

RJ12Data Prizi

RJ12Data Prizi

RJ12Data Prizi

RJ12Data Prizi

RJ12 Data Prizi RJ45 Data Prizi

RS485/RS232Çevirici

Isı Dolabı -80ºIsı Dolabı +5º

RJ12 Data Prizi RJ45 Data Prizi

Isı Dolabı -80ºIsı Dolabı -40º

RJ12 Data Prizi RJ45 Data Prizi

Isı Dolabı -80ºIsı Dolabı -40º

RJ12 Data Prizi RJ45 Data Prizi

Isı Dolabı -80ºIsı Dolabı +23º

RJ12 Data Prizi RJ45 Data Prizi

CA

T5-

UT

P

RJ45 Data PriziRS485/RS232ETH Çevirici

RJ12Data Prizi

KBBYSYerel Sunucusu

Yerel SSLSertifikası

KBBYS

İNTERNET

Telsim SMSUydu

Türk KızılayıGenel Merkez

User

Donörler / Bağışcılar

SMSMSG: Kan verdiğiniz için

teşekkür ederiz

SMSYeni Mesajınız VarKan verdiğiniz için

teşekkür ederiz

* Tek SMS Gönder* Toplu SMS Gönder* Kontör Bilgileri* Hesap İşlemleri

.Net SMS Kütüphanesi

IT0019 06 005212

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ANKARA KIZILAY KAN MERKEZİ

ANKARA TÜRKİYE

13 Tem 2006 12:49GÖNÜLLÜ DONÖR

R0600

NEGATİF

G0062361249

24 Ağu 2006 12:49

Q099999999999999099

Anti-HCV (-), HBsAg (-), HIV (-), Sifilis (-)

NE0429000

Eritrosit Susp.SAG-M

450 mL + CPD TK'dan2-6 C de saklayınız

OTOMASYON VE HEMOVİJİLANS

NATIONAL HAEMOVIGILANCE SYSTEMNATIONAL HAEMOVIGILANCE SYSTEM NATIONAL HAEMOVIGILANCE

SYSTEM

NATIONAL HAEMOVIGILANCE

SYSTEM

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QUALITY MANAGEMENTQUALITY MANAGEMENT

• The new law states that all procedures in the blood transfusion system must follow national and international quality standards that needs to be clarified in detail with a national guideline

• Quality certificate (TÜV) 40 donation center :

ISO 9001:2000 (Jun 2006)

Mittle Anatolia Regional Blood Center acreditation certificate :

International acreditation: JCI (July 2007)

First acrediated Blood Bank in the world

• Acreditation for medical laborotory:

ISO 15189 (November 2007)

QUALITY MAMAGEMENT

QUALITY MAMAGEMENT

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SHORT HISTORYSHORT HISTORY

• 1921: Prof. Dr. Burhanettin TOKER gave a start to Transfusion works in TURKEY

• 1938 : First transfusion in Cerrahpasa Medical Faculty

• 1940 – 1945 : Some university and hospitals constitude small blood donation units.

• 1952 : Cerrahpasa Medical Faculty separated blood plasma

• 1953 : “Turkish Red Crescent Blood Assist Organization” consituted

• 1954 : TRC send medical doctors to England and USA for Blood Transfusion Education

• 1957 : In Ankara and Istanbul TRC Blood Banks constructed and opened

• 1959 : Bursa and Samsun TRC Blood Banks constructed

• 1967 : TRC Ankara Plasma Fractination Laboratory constructed

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BIOMEDICAL DEPARTMENT

FULL AUTOMATIC EXTRACTOR DEVOLOPED BY TURKİSH REDCRESCENT

BÖLGESEL KAN MERKEZİ PROJESİ

MARMARA REGIONAL BLOOD CENTER

İSTANBUL - KARTAL

EGE REGIONAL BLOOD CENTER

İZMİR - BORNOVA

THANK YOU…THANK YOU…