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Blood bank preparedness for mass casualty incidents and disasters: a pilot study in the Piedmont region, Italy
Ist Teil von
Vox sanguinis, 2019-04, Vol.114 (3), p.247-255
Ort / Verlag
England: S. Karger AG
Erscheinungsjahr
2019
Link zum Volltext
Quelle
Wiley Online Library
Beschreibungen/Notizen
Background and Objectives
Blood is a critical resource for responding to mass casualty incidents (MCI). The main framework for transfusion preparedness is the American Association of Blood Bank (AABB) Disaster Operation Handbook. A disaster preparedness plan for co‐ordinated blood supply was issued in Italy in 2016.
Aim
To assess the level of preparedness of the Transfusion Centers (TS) in the Piedmont region, to evaluate the applicability of AABB checklist and to evaluate the application of the Italian plan.
Materials and Methods
We surveyed all the Regional Transfusion Centers (TS) using the AABB checklist, addressing 74 priority action items grouped according to 16 preparedness domains. The Italian 2016 plan has been considered the regulatory cut‐off and hospitals were stratified based on the type and the TS workload. A principal component analysis (PCA) was conducted to summarize the variance among centres.
Results
Twenty‐one out of 25 TS agreed to participate. Eighty‐one % were at high and 18% were at medium level of preparedness. All but two centres were above the cut‐off determined by the Italian law. A significant better preparedness was found in medium size hospitals compared to bigger and smaller hospitals. Other than that, the different TS showed a quite homogeneous distribution of preparedness variance.
Conclusions
This study demonstrated a good level of preparedness in the Piemonte TS, above the Italian law requirements in the majority of TS. The AABB checklist could be used to highlight gaps and needs in the regional TS networks in case of emergency crisis.