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Haemovigilance:

Points Update (2022)

Teguh Triyono
Komite Nasional Keselamatan Pasien
RSUP Dr Sardjito/
Facultas Kedokteran KMK Universitas Gadjah Mada
Sejarah Haemovigilance

Perkembangan
Penularan Efek samping
praktek
infeksi lain
transfusi
Four aspects of transfusion safety

• Transparency and knowledge of risks


• Avoidance of preventable adverse reactions
• No mistakes
• Appropriate blood use: sufficient and timely use of
blood components according to current evidence, but
only if truly indicated.
Johanna C Wiersum-Osselton,2013
Pengertian Haemovigilance
Seperangkat prosedur surveilans yang dilakukan sejak
pengambilan darah donor dan komponen darah sampai
dengan pemantauan pasien dengan tujuan untuk
mengumpulkan dan mengevaluasi informasi tentang
efek samping yang terjadi karena penggunaan produk
darah dan mencegah kejadian tersebut berulang.

Kemenkes, 2021
Mis-informasi terhadap Haemovigilance
• Punishment
• Blaming culture
• Tidak bermanfaat bagi institusi
• Pelaporan insiden vs Penanganan insiden
• Reaksi transfusi disebabkan komponen darah
• Umpan balik harus cepat terhadap seluruh kasus
HV Guidelines

2012
2015

2016
2022
5 Pillars of HV

WHO-User Guide for Navigating Resources on Stepwise Implementation oh HV systems, 2021


Cycle of HV – Six Rs

WHO-User Guide for Navigating Resources on Stepwise Implementation oh HV systems, 2021


Building blocks for a
haemovigilance system

WHO-User Guide for Navigating Resources on Stepwise Implementation oh HV systems, 2021


Vein to vein HV

WHO-User Guide for Navigating Resources on


Stepwise Implementation oh HV systems,
Sistem Aplikasi HV Indonesia
Website HV
Jenis Pelaporan

• Pelaporan Awal
• Pelaporan Final

Investigasi : Investigasi
sederhana, ROOT CAUSE
ANALYSIS dan CORRECTIVE
AND PREVENTIVE ACTIONS
The main barriers to implementation of HV

• lack of dedicated financial provision, leading to


financial constraints and limited financial resources;
• lack of trained personnel;
• the failure to identify all stakeholders and service
providers and bring them into a common
comprehensive system .
WHO-User Guide for Navigating Resources on Stepwise Implementation oh HV systems, 2021
Priority areas for technical support and capacity-building
were identified

• Education support to strengthen the workforce


(technical as well as skills development);
• infrastructure support and technology upgrades;
• financial support .

WHO-User Guide for Navigating Resources on Stepwise Implementation oh HV systems, 2021


HV network
Terima kasih

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