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首页> 外文期刊>African Journal of Laboratory Medicine >Organisational management of hospital blood transfusion services in Nairobi County, Kenya: Evidence of implementation
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Organisational management of hospital blood transfusion services in Nairobi County, Kenya: Evidence of implementation

机译：肯尼亚内罗毕县医院输血服务的组织管理：实施证据

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Background: The World Health Organization in 2002 recommended implementation of a quality system for national blood programmes to ensure adequate and safe blood products to patients. Key elements of the quality system include organisational management, standards, documentation, training and assessment. Objectives: The aim of this study was to describe the extent to which organisational management, which is the first element of a quality system, has been implemented in hospitals in Nairobi County, Kenya. Methods: A descriptive, cross-sectional study design was used. Sixty health workers were selected as respondents from 15 hospitals that provide blood transfusion services in Nairobi County. The data collection period was from June to August 2015 and the data were analysed in 2016. Results: Faith-based hospitals had the lowest level of organisational management implementation (33.3%), private hospitals had 42.5%, whereas government hospitals had the highest implementation (60%). The extent of implementation was based on performance of the senior management team, overall rated by the respondents at 40.1%, establishment of hospital transfusion committees in nine (60%) of the hospitals and appointment of key staff – quality officers in three (20%) hospitals and blood transfusion specialists in six (40%) hospitals. These key staff were instrumental in steering the quality system and ensuring sound blood transfusion practices. Conclusion: The implementation of quality management systems in hospital blood transfusion services can be improved through commitment from senior management teams, who should provide the necessary resources for employment of key staff and establish and empower hospital transfusion committees to guide the blood transfusion services.
机译：背景：世界卫生组织于2002年建议对国家血液计划实施质量体系，以确保为患者提供充足和安全的血液制品。质量体系的关键要素包括组织管理，标准，文档，培训和评估。目的：本研究的目的是描述在肯尼亚内罗毕县的医院中实施组织管理（这是质量体系的第一要素）的程度。方法：采用描述性，横断面研究设计。来自内罗毕县15家提供输血服务的医院的60名卫生工作者被选为受访者。数据收集期为2015年6月至2015年8月，并于2016年进行了数据分析。结果：信仰医院的组织管理实施水平最低（33.3％），私立医院的组织管理水平最低，为42.5％，而政府医院的组织管理水平最高（60％）。实施的程度取决于高级管理团队的绩效，受访者总体评价为40.1％，在9家医院（60％）建立了医院输血委员会，并任命了三名主要人员–质量官员（20％） ）医院和六家（40％）医院的输血专家。这些关键人员在指导质量体系和确保良好的输血实践方面发挥了作用。结论：可以通过高层管理团队的承诺来改善医院输血服务质量管理体系的实施，高层管理团队应为关键人员的聘用提供必要的资源，并建立并授权医院输血委员会来指导输血服务。

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