[External performance evaluation of screening in blood banks in Argentina: results and strategies for improvement].
OBJECTIVE
Because there was no program for the external evaluation of the quality of the screening for transfusion-transmitted infections (TTIs) in blood banks in Argentina, in 1999 the Hemotherapy Service of Garrahan Hospital, in Buenos Aires, launched an ongoing external evaluation program, with the support of the Pan American Health Organization and the Argentine Hemotherapy and Immunohematology Association.


METHODS
A panel of 12 samples that were reactive to all the markers screened for in Argentine blood banks was distributed. The panel was delivered to 52 laboratories in 1999, 102 laboratories in 2000, and 118 laboratories in 2001. The participating laboratories were classified into one of four categories according to their performance: A: 0 or 1 false positive (FP) results; B: 2 or 3 FPs; C: 4 or more FPs; and D: at least 1 false negative result. Workshops were held with the participants in order to jointly analyze the results.


RESULTS
Out of the laboratories that received the panel of samples, the percentage of laboratories that sent in their results was 92.3% in 1999, 92.2% in 2000, and 83.9% in 2001. These response levels demonstrate the interest in evaluation activities. However, the annual average percentage of the laboratories that received a "D" classification was very high (30%), which indicates that there are problems in the performance of TTI screening. This poor showing could be related to the difficulty in taking corrective measures throughout the system, given the large number of laboratories involved.


CONCLUSIONS
Evaluations of this type should be included in Argentina's National Blood Program as a tool for the ongoing assessment of the blood banking situation, for decision-making, and for monitoring the quality of screening.
Hospital de Pediatría "Profesor Dr. J. P. Garrahan", Servicio de Hemoterapia, Buenos Aires, Argentina. soknaian@garraham.gov.ar
Sebastián
S
Oknaian
Mirta
M
Remesar
Laura
L
Ferraro
Ana Emilia
AE
del Pozo
D001118:Argentina; D001771:Blood Banks / Q000458:organization & administration / Q000592:standards*; D001803:Blood Transfusion / Q000592:standards*; D006801:Humans; D007753:Laboratories / Q000592:standards; D008403:Mass Screening / Q000592:standards*; D009313:National Health Programs; D015397:Program Evaluation; D011786:Quality Control; D012698:Serologic Tests / Q000592:standards*