Transfusion Transmitted Injuries Section
The
Surveillance and Epidemiology of Transfusions (SET)
Report
Table of Contents
Introduction
- Surveillance
- The importance of surveillance for blood safety in
Canada
- The Surveillance and Epidemiology in Transfusions Working
Group
- Scope of the report
- Organization of the report
1. Review of the process of collecting, processing and
administering blood and blood products
- Collection
- Testing
- Processing blood to components
- Processing blood to blood products
- Process control and good manufacturing practices
(GMPs)
- Distribution
- Administration
- Post administration - Adverse reaction reporting
- blood components
- plasma derivatives
2. Organization of the blood system in Canada
3. Current surveillance of blood transfusions in
Canada
- Short comings of the present reporting and surveillance
system
4. Surveillance of transfusions in other
countries
France
- The hemovigilance system
- Selected data from the hemovigilance system
United Kingdom
- The Serious Hazards of Transfusion (SHOT) scheme
- Selected data from the SHOT scheme
United States
Summary
5. Questions to be asked of a surveillance
program
6. Types of information that are needed and their uses in
risk management
- The importance of multiple layers of surveillance
- Epidemiologic indicators
7. Data points for the baseline surveillance data
base
8. Collection of the data points for the surveillance
data base
- Access to and use of the surveillance data
- Donor data
- Process data
- Recipient data
- General
- Transfusion episode and transfusion utilization data
- Adverse reaction data
- acute reactions
- Recommendation # 3
ii) delayed adverse reactions
- Recommendation # 4
- Recommendation # 5
9. The means of linking data points from existing data
bases
a) Linkage of recipient data and data
on adverse reactions
b) Linking donor and recipient data elements
Options
- Recommendation # 7
- Recommendation # 8
10. Information to supplement the baseline surveillance
data
- The concept of sentinel centres for surveillance
- Monitoring for and surveillance of emerging
infections
- The need for rapid response capability: focused research
studies
11. Coordination and management of the surveillance data
base
-
- Recommendation # 11
- Recommendation # 12
- Recommendation # 13
- The potential role and composition of a governing
council
- Funding
- Structure
- Implementation
Conclusion
References
Figures
Appendices
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