title: Hemovigilance in Massachusetts and the adoption of statewide hospital blood bank reporting using the National Healthcare Safety Network.
abstract: A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for regulatory compliance purposes to statewide adoption of electronic reporting via the National Healthcare Safety Network (NHSN). The NHSN is a web-based surveillance system that offers the capacity to capture transfusion-related adverse events, incidents, and monthly transfusion statistics from participating facilities. Massachusetts' hospital blood banks share the data they enter into NHSN with the MDPH to satisfy reporting requirements. Users of the NHSN Hemovigilance Module adhere to specified data entry guidelines, resulting in data that are comparable and standardized. Keys to successful statewide adoption of this reporting method include the fostering of strong partnerships with local hemovigilance champions and experts, engagement of regulatory and epidemiology divisions at the state health department, the leveraging of existing relationships with hospital NHSN administrators, and the existence of a regulatory deadline for implementation. Although limitations exist, successful implementation of statewide use of the NHSN Hemovigilance Module for hospital blood bank reporting is possible. The result is standardized, actionable data at both the hospital and state level that can facilitate interfacility comparisons, benchmarking, and opportunities for practice improvement.
authors: Bureau of Infectious Disease and Laboratory Sciences, Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Jamaica Plain, Massachusetts.
authors: Melissa
authors: M
authors: Cumming
authors: Bureau of Infectious Disease and Laboratory Sciences, Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Jamaica Plain, Massachusetts.
authors: Anthony
authors: A
authors: Osinski
authors: Department of Transfusion Medicine and Pathology, Baystate Medical Center.
authors: Lynne
authors: L
authors: O'Hearn
authors: Division of Health Care Facility Licensure and Certification, Massachusetts Department of Public Health, Boston, Massachusetts.
authors: Pamela
authors: P
authors: Waksmonski
authors: Department of Pathology, Division of Laboratory and Transfusion Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
authors: Michele
authors: M
authors: Herman
authors: Department of Pathology, Heywood Hospital, Gardner, Massachusetts.|Department of Pathology, Athol Memorial Hospital, Athol, Massachusetts.
authors: Deborah
authors: D
authors: Gordon
authors: Department of Pathology, Mount Auburn Hospital, Cambridge, Massachusetts.|Tufts University School of Medicine, Boston, Massachusetts.
authors: Elzbieta
authors: E
authors: Griffiths
authors: Infection Prevention and Control Department, Milford Regional Medical Center, Milford, Massachusetts.
authors: Kim
authors: K
authors: Knox
authors: Bureau of Healthcare Safety and Quality, Massachusetts Department of Public Health, Boston, Massachusetts.
authors: Eileen
authors: E
authors: McHale
authors: Department of Pathology & Laboratory Medicine, Boston University Medical Center, Boston, Massachusetts.
authors: Karen
authors: K
authors: Quillen
authors: New England Region American Red Cross Blood Services, Dedham, Massachusetts.
authors: Jorge
authors: J
authors: Rios
authors: New England Region American Red Cross Blood Services, Dedham, Massachusetts.
authors: Patricia
authors: P
authors: Pisciotto
authors: Department of Pathology, Division of Laboratory and Transfusion Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.|Harvard Medical School, Boston, Massachusetts.
authors: Lynne
authors: L
authors: Uhl
authors: Bureau of Infectious Disease and Laboratory Sciences, Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Jamaica Plain, Massachusetts.
authors: Alfred
authors: A
authors: DeMaria
authors: Department of Transfusion Medicine and Pathology, Baystate Medical Center.|Tufts University School of Medicine, Boston, Massachusetts.
authors: Chester
authors: C
authors: Andrzejewski
mesh_terms: D001771:Blood Banks / Q000592:standards; D058731:Blood Safety / Q000379:methods / Q000592:standards; D001803:Blood Transfusion / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008404:Massachusetts; D012308:Risk Management / Q000379:methods / Q000592:standards; D000094902:Blood Banking / Q000379:methods