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首页> 美国卫生研究院文献>Frontiers in Medicine >How Can Eastern/Southern Mediterranean Countries Resolve Quality and Safety Issues in Transfusion Medicine?
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How Can Eastern/Southern Mediterranean Countries Resolve Quality and Safety Issues in Transfusion Medicine?

机译：东/南地中海国家如何解决输血医学中的质量和安全问题？

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Unlike their Western counterparts, some of the Eastern/Southern Mediterranean countries lack centralized coordinated blood transfusion services leading to an unequal blood safety level. This was recently highlighted by a recent World Health Organization (WHO) regional committee report in which WHO urges these countries to establish and implement a national blood system with well-coordinated blood transfusion activities and to make attempts to reach 100% voluntary non-remunerated blood donation. The objective is thus to meet the same levels or standards as Western countries in term of self-sufficiency and blood safety. This raises the question whether these countries can either comply with Western countries’ guidelines and experiences or develop their own safety scheme based on proper sociopolitical and economic features. Another option is to identify efficient and cost-effective strategies setup successfully in neighbor countries sharing cultural and economic features. To address this issue—and make an attempt to achieve this goal—we designed a number of surveys specifically addressed to Mediterranean countries, which were sent out to the national authorities; so far, five surveys aim at covering all aspects in blood collection, processing, testing, inventory and distribution, as well as patient immune-hematological testing and follow-up (including surveillance and vigilances). It is anticipated that such practice can help identifying and then sharing the more successful and cost-effective experiences, and be really focused on Mediterranean areas while not necessarily copying and pasting experiences designed for Western/Northern areas with significantly distinct situations.
机译：与西方国家不同，一些东/南地中海国家缺乏集中的协调输血服务，导致血液安全水平不均。最近世界卫生组织（世卫组织）区域委员会的一份报告强调了这一点，在该报告中，世卫组织敦促这些国家建立和实施具有良好协调的输血活动的国家血液系统，并尝试达到100％自愿无偿献血捐款。因此，目标是在自给自足和血液安全方面达到与西方国家相同的水平或标准。这就提出了一个问题，即这些国家是否可以遵守西方国家的准则和经验，或者根据适当的社会政治和经济特征制定自己的安全计划。另一个选择是确定在具有文化和经济特征的邻国中成功制定有效和具有成本效益的战略。为了解决这个问题，并试图实现这一目标，我们设计了一些专门针对地中海国家的调查，这些调查已发送给国家当局；迄今为止，有五项调查旨在涵盖血液采集，处理，测试，库存和分配以及患者免疫血液学测试和随访（包括监视和警惕）的各个方面。可以预料，这种做法可以帮助识别并分享更成功和更具成本效益的经验，并且真正专注于地中海地区，而不必复制和粘贴针对情况明显不同的西方/北部地区设计的经验。

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