title: [Quality assurance set-up in a blood transfusion facility: the experience of the National Blood Transfusion Center of Mali].
abstract: OBJECTIVE
  The aim of this study was to help National Center for Blood Transfusion of Bamako in implementation of a quality assurance system.
  
  
  METHODS
  Study was conducted in 2007 and 2008 at the National Center for Blood Transfusion of Mali in Bamako. We first evaluated the state of the quality system and studied the Knowledge, Attitude and Practices of the staff about quality assurance then carried out an plan of actions. We also made a check out of 2 critical processes in Blood transfusion: the whole blood collection process in fixed cabin and the temperature-monitored storage facilities for blood and reagents.
  
  
  RESULTS
  From the analysis of the state of assurance quality system, we found numerous failures. A policy of quality and guidelines for blood transfusion were absent. Most of the mains procedures and the flow chart of the center were also lacking. Sixty six of the personnel were aware about the notion of quality assurance and 36.7% were trained in this matter. The plan of actions was executed at 57.4%. Several failures were recorded in the processes of blood collection and in the temperature-monitored storage system. Corrective actions should be taken by training the staff in application of procedures.
  
  
  CONCLUSIONS
  Despite of the great progress made in implementation of quality assurance at the CNTS of Mali, some insufficiencies were remaining. Development of quality system across all the stages of the blood transfusion chain is vital for CNTS. This require an adoption of national blood policy.
authors: Centre National de Transfusion Sanguine du Mali, BP E344, Bamako, Mali. kouriba@icermali.org
authors: Bourèma
authors: B
authors: Kouriba
authors: Amadou
authors: A
authors: Diarra
authors: Mariam Diédio
authors: MD
authors: Coulibaly
authors: Mounirou
authors: M
authors: Baby
authors: Boubacar S
authors: BS
authors: Cissé
authors: Anatole
authors: A
authors: Tounkara
mesh_terms: D000488:Allied Health Personnel / Q000193:education / Q000523:psychology; D001771:Blood Banks / Q000458:organization & administration*; D001793:Blood Preservation / Q000592:standards; D001803:Blood Transfusion / Q000592:standards*; D004282:Documentation / Q000592:standards; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008302:Mali; D016134:Organizational Policy; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D058996:Quality Improvement; D012034:Refrigeration