Scorecard – Performance to date

The 2013 report delivered 10 key recommendations in the areas of national blood quality and safety initiatives, reducing human errors, data standards and reporting capacity. The following provides an update on the status of those strategies to be delivered against each recommendation.

National blood quality and safety initiatives

Table 30: Progress against the national blood quality and safety initiatives recommendations of the Australian Haemovigilance Report 2013
	Recommendations from 2013 report	Who is responsible?	Proposed strategy from 2013 report	Outcomes
1	Promote the recognition and management of transfusion-related adverse events	NBA; JBC; State and territory Departments of Health; Hospital educators; Relevant professional Colleges and Societies	The NBA will develop and publish a document 'Guidance on Recognition and Management of Acute Transfusion-Related Adverse Events'	The NBA is developing the Guidance on Recognition and Management of Acute Transfusion-Related Adverse Events
2	Implement programs at the national, state and local hospital levels to improve reporting of serious adverse events	NBA; JBC; State and territory Departments of Health; Hospital educators; Relevant professional Colleges and Societies	The NBA and HAC will continue to engage with state and territory Departments of Health, hospital educators, and relevant professional Colleges and Societies as part of the ongoing Haemovigilance and Stewardship programs	The NBA will publish and distribute the above guidance document in 2015-16

Reducing human errors

Table 31: Progress against the human errors recommendations of the Australian Haemovigilance Report 2013
	Recommendations from 2013 report	Who is responsible?	Proposed strategy from 2013 report	Outcomes
3	Clinical staff should comply with national guidelines on sample collection and administration of blood and blood products	State and territory Departments of Health; Hospitals	Hospitals should ensure staff include regular Continued Professional Development to revise: ANZSBT Guidelines for the Administration of Blood Products ANZSBT Guidelines for Pre‑Transfusion Laboratory Practice	The number of avoidable human errors should decline; however this is difficult to determine because near miss data may be collected for local reporting but not for national reporting
4	Promote the application of technological adjuncts such as portable barcode readers and/or radio frequency identification scanners to reduce the scope for error	NBA; HAC; Quality and Safety organisations; Research Bodies	NBA and jurisdictions to continue to support the research and use of barcode technology and patient safety‑software to improve the bedside check of patient, blood and blood product identifications	The NBA has refined the National Policy on Barcoding for Blood and Blood Products
5	Develop tools to encourage alignment of prescribing practice with clinical guidelines	NBA; Blood Sector stakeholders	NBA to collaborate with relevant stakeholders to develop a national reference set of tools to assist with transfusion practice	NBA is collaborating with the stakeholders to promote and develop a national reference set of tools

Data standards

Table 32: Progress against the data standards recommendations of the Australian Haemovigilance Report 2013
	Recommendations from 2013 report	Who is responsible?	Proposed strategy from 2013 report	Outcomes
6	Review and re‑develop the Australian National Haemovigilance Data Dictionary	HAC; NBA	HAC to endorse a revised data dictionary and definitions	The ANHDD has been redeveloped The revised ANHDD will be published and distributed in 2015
7	Provide tools for hospitals on the application of Australian National Haemovigilance Data Dictionary and reporting of haemovigilance data	NBA; State and territory Quality and Safety Units; Hospital Administrators	NBA to inform hospitals on the availability and use of ANHDD NBA to support hospitals to provide a minimum set of data in a spread sheet or other tool for the national haemovigilance reporting	The NBA has helped QLD Health and WA to develop the Haemovigilance Data Collection Tool The NBA is refining the Tool and will publish it in 2015
8	Continue to include donor vigilance data in national haemovigilance reporting	Blood Service; NBA	Blood Service to continue to improve the transparency of donor vigilance data	Donor vigilance data has been included in this report and will continue to be included in future reports

Reporting capacity

Table 33: Progress against the reporting capacity recommendations of the Australian Haemovigilance Report 2013
	Recommendations from 2013 Report	Who is responsible?	Proposed strategy from 2013 report	Outcomes
9	Conduct a scoping exercise for a national haemovigilance system	NBA; HAC; State and territory Departments of Health; Blood Service; Hospitals; Pathology providers; JBC	NBA to work in collaboration with state and territory health departments to investigate the feasibility of establishing a national haemovigilance system	Strategic Framework for the National Haemovigilance Program developed and endorsed by JBC
10	Maintain and improve existing capacities for haemovigilance data reporting	NBA; HAC; States and territories; Blood Service; Hospitals; Pathology providers; JBC	States and territories to consider means to improve existing mechanisms for reporting haemovigilance data	Reporting capacity improved for NSW QLD reporting capacity decreased but the Haemovigilance Data Collection Tool is being developed to improve this WA has also adopted a Data Collection Tool to facilitate haemovigilance data collection and reporting from 2015‑16 The number of private hospitals submitting data to the National Haemovigilance Program remains low