Author/Editor		Lokar, Lidija; Urlep-Šalinović, Veronika
Title		Center za transfuzijsko medicino (CTM) v luči reorganizacije transfuzijske službe
Translated title		Center of transfusion medicine throught the reorganisation of transfusion service
Type		članek
Source		In: Urlep-Šalinović V, editor. Varnost in kakovost v transfuzijski medicini: včeraj, danes, jutri. Strokovno srečanje ob 60. obletnici transfuzijske dejavnosti v Univerzitetnem kliničnem centru Maribor; 2010 maj 7-8; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2010
Volume		str. 29-37
Language		slo
Abstract		Background. Transfusion service in Slovenia is settled by law. Slovenia as a member of European Union (EU) is obliged to follow European regulations for blood supply. Acceptance of national regulations which were comparable with existing European legislation was one step in ensuring safe and adequate blood supply. Introducing regulations and guidelines in blood transfusion practise was possible only through a number of measures. One of the most important steps was the reorganisation of transfusion service which lasts for more than 10 years. In 2002, we started with some activities of reorganisation like screening of donations for infectious markers and the preparation of blood components from blood collected in transfusion departments of General hospital Ptuj, Murska Sobota and Slovenj Gradec. Since 2005 we perform screening of donations for infectious markers for the transfusion department of General hospital Celje. We continued with many activities and in 2005 the system of quality management was introduced and ISO 9001:2000 certificate was achieved with hard work of all personnel. In 2006 our department for transfusiology and imunohematology was renamed to Center of transfusion medicine (CTM) due to its important role in northeastern Slovenia. In 2008, the process of reorganisation was accelerated due to new regulations. In 2009, two transfusion departments from General hospital Ptuj and Murska Sobota were admitted to CTM. They were renamed to Unit for transfusion activity. After that some efforts and changes were made to improve, update and rationalize processes and to introduce and upgrade quality system. Conclusions. The goal of reorganisation is to ensure safe, quality and adequate blood supply for all patients in Slovenia and at the same time rational use of blood and blood components. Permanent improvement and superstructure of quality system in transfusion services is our common goal.
Summary		Izhodišča. Transfuzijsko službo v Sloveniji ureja zakonodaja. Slovenija je kot članica Evropske skupnosti (ES) dolžna usklajevati svojo zakonodajo z zakonodajo ES. Sprejetje Zakona o preskrbi s krvjo in ustreznih podzakonskih aktov je bil eden od korakov k zagotavljanju enake varnosti transfuzije krvi v vseh državah ES. Uveljavljanje določil zakonodaje v praksi je bilo možno le z uvedbo številnih ukrepov. Eden od osnovnih korakov v realizaciji ukrepov je reorganizacija transfuzijske dejavnosti v Sloveniji, ki poteka že več kot 10 let. Na oddelku za transfuziologijo in imunohematologijo Splošne bolnišnice v Mariboru smo začeli z izvajanjem aktivnosti reorganizacije leta 2002 z delno izpeljano reorganizacijo testiranja in predelave krvi, najprej transfuzijskih oddelkov SB Ptuj, nato SB Murska Sobota, Slovenj Gradec in nazadnje SB Celje. Nadaljevali smo z številnimi aktivnostmi in v letu 2005 pridobili certifikat kakovosti ISO 9001:2000 za celotno dejavnost. Oddelek je, kot regionalni transfuzijski center, izpolnjeval vse zakonsko določene kriterije za preimenovanje v Center za transfuzijsko medicino, kar je Svet zavoda SBM potrdil decembra 2006. S sprejetjem Pravilnika o postopku izdaje in preklicom dovoljenja za opravljanje dejavnosti preskrbe s krvjo leta 2008 je pospešen proces reorganizacije. Leta 2009 smo priključili transfuzijski oddelek SB Ptuj in SB Murska Sobota k CTM UKC Maribor, ki so sedaj kot Enote za transfuzijsko dejavnost (ETD) organizacijsko znotraj CTM. Priključitvi so sledile tudi vsebinske spremembe obsega dela na ETD Ptuj in Murska Sobota, ter uvajanje in nadgradnja že delno vpeljanega sistema kakovosti. Zaključki. Cilj reorganizacije je zagotoviti varno in kakovostno oskrbo s krvjo vseh bolnikov v Sloveniji, ne glede na to kje se zdravijo ter racionalizacija uporabe krvi in krvnih pripravkov. Nenehno izboljšanje in nadgradnja sistema kakovosti je naš skupni cilj.