{"id":38167,"date":"2025-08-12T19:55:17","date_gmt":"2025-08-12T09:55:17","guid":{"rendered":"https:\/\/myassignmenthelp.info\/assignments\/?p=38167"},"modified":"2025-08-12T19:55:18","modified_gmt":"2025-08-12T09:55:18","slug":"nsqhs-blood-management-238658","status":"publish","type":"post","link":"https:\/\/myassignmenthelp.info\/assignments\/nsqhs-blood-management-238658\/","title":{"rendered":"NSQHS \u000bBlood Management-238658"},"content":{"rendered":"<p><div class=\"ppw-restricted-content\"><\/p>\n\n\n\n<p>Action 7.07\u000bReporting adverse blood management events<\/p>\n\n\n\n<p>National Safety and Quality Health Service (NSQHS) Standards in collaboration with the Australian Government, private sector providers, clinical experts, patients and carers.<br>It comprise of total 8 standards.<br>The main focus of this assignment is 7.07 standard.<br>This is associated with transfusion adverse events are reported to enable identification of previous adverse reactions or transfusion requirements and to drive important opportunities.<\/p>\n\n\n\n<p>Critiquing the Evidence<\/p>\n\n\n\n<p>Standard 7.07 were not written in the last 5-10 years, which makes it less reliable than the latest guidelines.<br>Another significant lack is that it overlooked clear guidance on which health services report adverse blood events to in each state and territory.<br>This also not supported the health service to report the event correctly and therefore not contributing to current data and reports appropriately<\/p>\n\n\n\n<p>Real World application<\/p>\n\n\n\n<p>Standard 7.07 is used within the healthcare settings, where the report of the adverse event is done.<br>Upon reported as an adverse event, it falls under \u201cnational haemovigilance criteria\u201d and analysed by specialised team.<br>Nurses faces potential drawback in implementing this guidelines.<br>In such cases, education, training, etc. should be implemented.<\/p>\n\n\n\n<p>Evidence Informed Recommendations<\/p>\n\n\n\n<p>Most important recommendations is to replace the evidence supporting the standard with current literature, the guidelines from the Australia and New Zealand Society of Blood Transfusion.<br>Double checking requirements of blood products and a change in the definition of mild adverse transfusion events, according to Royal College of Nursing Australia are 2nd edition guidelines.<\/p>\n\n\n\n<p>Rating the Evidence(TABLE)<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Recommendation<\/strong><\/td><td><strong>Evidence&nbsp;Level<\/strong><\/td><td><strong>Type&nbsp;of&nbsp;Evidence<\/strong><\/td><td><strong>Confidence&nbsp;\/&nbsp;Justification<\/strong><\/td><\/tr><tr><td>Replace&nbsp;outdated&nbsp;2011&nbsp;ANZSBT&nbsp;guidelines&nbsp;with&nbsp;the&nbsp;<strong>2024&nbsp;3rd&nbsp;Edition<\/strong><\/td><td>A<\/td><td>National&nbsp;clinical&nbsp;guidelines&nbsp;(ANZSBT,&nbsp;2024)<\/td><td>High&nbsp;\u2013&nbsp;Nationally&nbsp;endorsed,&nbsp;peer-reviewed,&nbsp;and&nbsp;reflects&nbsp;most&nbsp;recent&nbsp;transfusion&nbsp;best&nbsp;practices.<\/td><\/tr><tr><td>Update&nbsp;supporting&nbsp;evidence&nbsp;in&nbsp;NSQHS&nbsp;Action&nbsp;7.07&nbsp;with&nbsp;<strong>Haemovigilance&nbsp;Report&nbsp;2021\u201322<\/strong><\/td><td>A<\/td><td>Government&nbsp;report&nbsp;(National&nbsp;Blood&nbsp;Authority,&nbsp;2022)<\/td><td>High&nbsp;\u2013&nbsp;Recent,&nbsp;comprehensive&nbsp;national&nbsp;data&nbsp;across&nbsp;states;&nbsp;reflects&nbsp;improved&nbsp;monitoring&nbsp;of&nbsp;transfusion&nbsp;incidents.<\/td><\/tr><tr><td>Incorporate&nbsp;findings&nbsp;from&nbsp;<strong>STIR&nbsp;Annual&nbsp;Report&nbsp;2022\u201323<\/strong>&nbsp;into&nbsp;national&nbsp;reporting&nbsp;guidance<\/td><td>A<\/td><td>Government&nbsp;surveillance&nbsp;program&nbsp;report&nbsp;(DoH,&nbsp;2023)<\/td><td>High&nbsp;\u2013&nbsp;Timely&nbsp;national&nbsp;data&nbsp;set&nbsp;on&nbsp;adverse&nbsp;events,&nbsp;supports&nbsp;quality&nbsp;improvement&nbsp;and&nbsp;transparency.<\/td><\/tr><tr><td>Address&nbsp;incident&nbsp;underreporting&nbsp;by&nbsp;including&nbsp;<strong>staff&nbsp;education&nbsp;recommendations<\/strong>&nbsp;from&nbsp;qualitative&nbsp;study<\/td><td>B<\/td><td>Peer-reviewed&nbsp;qualitative&nbsp;study&nbsp;(Winsvold&nbsp;Prang,&nbsp;2014)<\/td><td>Moderate&nbsp;\u2013&nbsp;Identifies&nbsp;real-world&nbsp;barriers&nbsp;in&nbsp;reporting,&nbsp;but&nbsp;study&nbsp;is&nbsp;older&nbsp;and&nbsp;not&nbsp;specific&nbsp;to&nbsp;hospital&nbsp;settings.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Rating the Evidence<\/p>\n\n\n\n<p>Evidence was rated using a hierarchy of evidence model (e.g., NHMRC or JBI, 2024).<br>Most sources were Level A \u2013 recent, national guidelines or government reports (Department of Health, 2023; National Blood Authority, 2022).<br>One source rated Level B due to older date and different setting (nursing homes).<br>Ratings reflect strength, recency, and direct relevance to Action 7.07.<br>High confidence supports strong recommendations for the 3rd edition NSQHS Standards.<\/p>\n\n\n\n<p>Conclusion<\/p>\n\n\n\n<p>Action 7.07 is critical for transfusion safety through robust incident reporting.<br>Strong evidence base supports enhancing definitions, roles, and education.<br>National guidelines (ANZSBT, 2024) and reports (Department of Health, 2023; National Blood Authority, 2022) provide Level A evidence.<br>Qualitative insights (Winsvold Prang &amp; Jelsness-Jorgensen, 2014) highlight behavioural barriers to reporting.<br>Evidence-informed updates can improve compliance, staff engagement, and patient outcomes in NSQHS (3rd edition).<\/p>\n\n\n\n<p>References<\/p>\n\n\n\n<p>ANZSBT (Australian &amp; New Zealand Society of Blood Transfusion). (2024). Guidelines for the administration of blood components (3rd ed.). Royal College of Nursing Australia. https:\/\/www.blood.gov.au\/<\/p>\n\n\n\n<p>Department of Health. (2023). Serious Transfusion Incident Report (STIR) annual report 2022\u201323. Blood Matters. https:\/\/www.health.vic.gov.au<\/p>\n\n\n\n<p>National Blood Authority. (2022). Australian haemovigilance report 2021\u201322: A summary of adverse events following transfusion of blood and blood products. https:\/\/www.blood.gov.au\/sites\/default\/files\/documents\/2025-03\/Haemovigilance%20Report%202021-22.pdf<\/p>\n\n\n\n<p>NHMRC (National Health and Medical Research Council). (2024). NHMRC levels of evidence and grades for recommendations for developers of guidelines. https:\/\/www.nhmrc.gov.au<\/p>\n\n\n\n<p>Winsvold Prang, I., &amp; Jelsness-J\u00f8rgensen, L.-P. (2014). Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatric Nursing, 35(6), 441\u2013447. https:\/\/doi.org\/10.1016\/j.gerinurse.2014.07.003<\/p>\n\n\n<p><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[359],"tags":[],"class_list":["post-38167","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/posts\/38167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/comments?post=38167"}],"version-history":[{"count":1,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/posts\/38167\/revisions"}],"predecessor-version":[{"id":38177,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/posts\/38167\/revisions\/38177"}],"wp:attachment":[{"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/media?parent=38167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/categories?post=38167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myassignmenthelp.info\/assignments\/wp-json\/wp\/v2\/tags?post=38167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}