Interdisciplinary working group for clinical hemotherapy

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Interdisciplinary Working Group for Clinical Hemotherapy
(IAKH)
purpose Medical association for therapy with blood and blood products - blood transfusion and hemotherapy
Chair: T. Frietsch, M. Spannagl
Establishment date: February 16, 2002
Number of members: 554 (as of October 2015)
Seat : Marburg
Website: iakh.de

The Interdisciplinary Working Group for Clinical Haemotherapy IAKH acc. e. V is a German scientific society in the field of clinical hemotherapy (therapy with blood). It deals with the clinical aspects of blood donation and the use of blood products as well as with the diagnosis and therapy of blood coagulation disorders.

The IAKH has dedicated itself above all to the training and further education of doctors who, in accordance with the Transfusion Act and the hemotherapy guidelines of the German Medical Association, as so-called "transfusion officers" (TV), "transfusion officers" (TB) and quality officers for hemotherapy (QB) the use of Organize blood and blood products and guide and monitor them in the medical facilities (doctor's practice, hospital, rehabilitation clinic, etc.). According to the Transfusion Act, every facility that uses blood and blood products must appoint a person in charge of TV and in every transfusing department a TB officer and a QB quality officer specifically for blood transfusion and the use of blood products.

The IAKH is a non-profit, registered association and neutral association of transfusion officers, transfusion officers, quality officers for hemotherapy, resident transfusion doctors, as well as hemostaseologists working in clinics and practices, and all doctors who are involved in performing clinical hemotherapy. Its aim is to improve the medical quality of patient care with the valuable resource blood, increase patient safety and improve the training of clinicians in the field of therapy with blood components, autologous blood, blood products and coagulation factors.

tasks

  • Information of the clinics on current topics of hemotherapy and the implementation of the transfusion law
  • Implementation and organization of advanced training (“transfusion talks”) for transfusion officers and those responsible for transfusion, as well as hemostaseologists and all other doctors who are involved in clinical hemotherapy
  • Support of the state medical associations in the qualification, further training and further education of quality officers, transfusion officers and transfusion officers
  • Professional support for the peer review program of the state medical associations in the field of hemotherapy according to the curriculum of the German medical association as well as the convening and organization of the peer review hemotherapy steering group
  • Leading and filling the evaluation committee of the national register of errors for haemotherapy in cooperation with the Haemotherapy, Haemostaseology Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine
  • Representation of the practical user aspects of therapy with blood and blood products in the blood working group of the Robert Koch Institute
  • Participation in the revision of the guidelines for therapy with blood and blood products of the German Medical Association
  • Compilation and composition of the guideline commission of the federal / state medical associations
  • Cooperation with national and international hemotherapy organizations

activities

Meetings / events

The IAKH organizes 1 to 2 advanced training seminars per year with a focus on the practical content of the use of blood and blood products, hemostaseology, patient blood management, transfusion safety, immunohematology, the professional environment and tasks of transfusion officers, transfusion officers and quality officers for hemotherapy. The exchange of experiences of the state medical associations for the quality representative haemotherapy is affiliated. The IAKH provides information on all important advanced training and qualification events in Germany on the website.

Forum

In the often used, freely accessible Internet forum of the IAKH, questions on the topics of "Allogeneic Transfusion", "Autologous Transfusion", "Quality Assurance", "Legal Basics, Guidelines and Guidelines", "Coagulation", "Individual Hemotherapy / Patient Blood Management" can be answered. and "Miscellaneous" are asked and other members with experience on the subject respond.

News / newsletter

The IAKH regularly publishes recommendations and statements on changes to the law and guidelines, topics relating to transfusion safety, hemotherapeutic concepts and important scientific publications on its website, and since 2016 also as a regular newsletter via a mailing list to all members.

Peer reviewed hemotherapy

The IAKH is the process owner of the peer review hemotherapy according to the curriculum of the German Medical Association. The peer review is an instrument of medical quality assurance in health care institutions, which is based on the collegial exchange of experiences and a learning dialogue. The IAKH accompanies the peer review program of the state medical associations in all federal states in the field of hemotherapy. It creates the annually updated content catalog for the hemotherapy peer review in the steering group that it organizes and convenes.

Error register

Since 2009, the IAKH, together with the DIVI Section Haemotherapy / Haemostaseology and the CIRS AINS of the DGAI / BDA, has been operating a freely accessible reporting platform on the Internet, where errors and near-mix-ups in the use of blood and blood products can be anonymously reported by clinically active staff . The interdisciplinary evaluation commission evaluates the reports with regard to their importance for the patients, employees and institutions and gives recommendations for avoidance, for example in the form of a new work instruction, further training (process quality) or structural or technical solution of a problem (structural quality). At regular intervals, it prepares a summary report on the safety and ways to improve the safety of use of blood and blood products in Germany.

Hemostaseological Consultation Service of the IAKH

For questions about thrombosis prophylaxis, bridging of anticoagulant drugs during operations and hemostasis in congenital and acquired coagulation disorders, the IAKH has so far only operated a telephone consultation service for members with proven experts in the field of blood coagulation.

Individual hemotherapy

Since its inception, the IAKH has been providing advice on tried and tested alternatives to the administration of foreign blood such as avoidance of preoperative anemia, avoidance of intraoperative blood loss, preparation of wound blood, coagulation analysis and therapy, tolerance of postoperative anemia. It has been doing this since 2014 in cooperation with the DGAI's Patient Blood Management initiative from several university hospitals in Germany and Austria under the popular catchphrase “Patient Blood Management” .

history

The interdisciplinary working group for clinical haemotherapy acc. e. V. was founded in 2002 at the Marburg transfusion talks. She has dedicated herself to the clinical application of blood and blood products, coagulation disorders and autologous blood techniques. It is not involved in the production of foreign blood and coagulation products. However, it strives to work closely with all state-municipal, university, non-profit (e.g. the DRK) blood donation services.

Founding members on the then board:

  • Volker Kretschmer, former head of the Institute for Transfusion Medicine and Immunohematology at the University Hospital Marburg
  • Eberhard Götz, former head physician at the Institute for Anaesthesiology and Intensive Care Medicine at the Darmstadt Clinic
  • Arnulf Weiler-Lorentz, ad, then senior physician at the Institute for Anaesthesiology and Surgical Intensive Care Medicine at the University Hospital Mannheim
  • Rainer Moosdorf, acting clinic director of the Clinic for Cardiac and Thoracic Vascular Surgery, University Clinic Marburg

Cooperations

  • DIVI - Section Haemotherapy and Haemostaseology of the German Interdisciplinary Association for Intensive Care and Emergency Medicine
  • DGAI / BDA - joint working committee for blood transfusion of the German Society for Anaesthesiology and Intensive Care Medicine
  • NATA - Scientific Board of the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis
  • GTH - Society for Thrombosis and Hemostasis Research
  • SABM - Society for the Advancement of Blood Management
  • StKB - Working Group for Doctors of State-Communal Blood Donation Services V.
  • DGTI - German Society for Transfusion Medicine and Immunology
  • BDT - Association of German Transfusion Medicine

Organs and occupations

  • Current Board of Directors (Frietsch T, Spannagl M, Fleiter B, Wittenberg G, Moosdorf R, Poetzsch B, Schlenke P, Felsenstein M)
  • Evaluation committee of the error register (Fleiter B, Frietsch T, Karger R, Knels R, Moosdorf R, Poetzsch B, Schanz S, Schipplick M, Schoeler M, Spannagl M, Wittmann G, Wittenberg G, Krombholz K, Kühl-Burmeister R)
  • Guideline commission medical peer review hemotherapy of the medical associations (Erhard J, Frietsch T, Moosdorf R, Schipplick M, stickleback F, Meybohm P, Spannagl M, Welte M, Dietrich G)
  • Working group "TERZ" transfusion-associated events, reactions and incidents, headed by Dietrich G, Eggenfelden
  • Working group "Autologous Therapies", headed by Guertler K, Augsburg
  • Working group "AG Hemotherapy Training I- Theory", headed by Hannibal H, Lohr am Main
  • Working group "AG Hemotherapy Training II- Simulation"
  • Working group "AG RF-TS" transfusion safety, headed by Knels R, Frietsch T, Dresden
  • Working group "Immunohematology Laboratory and Blood Depot", headed by Fleiter B, Moenchengladbach
  • Editing of the news letter and website (Ludwig K, Frietsch T, Spiess A, Hinrichs A)

Publications

  • Thomas Frietsch, Daffyd Thomas u. a .: Administration Safety of Blood Products - Lessons Learned from a National Registry for Transfusion and Hemotherapy Practice. In: Transfusion Medicine and Hemotherapy. 44, 2017, p. 240, doi : 10.1159 / 000453320 .
  • Immunomodulation through transfusion of packed red cells. Malte Ziemann, Lothar Rink, Thomas Frietsch, Michal Spannagl, Ulrich Schuler. Transfusion medicine 2017 ; 7: 40-48
  • CIRS AINS: Case of the Month - No washed red cell concentrates ready 2016 . "Thomas Frietsch, Martin Schipplick, Birgit Fleiter and the evaluation committee of the IAKH's error register", in press
  • Chapter 24: Lack of availability of red cell concentrates 2012 . "Thomas Frietsch and the evaluation committee of the IAKH's error register" In: Errors and mistakes in anesthesia. "(Eds.) Meybohm P, St. Pierre M, et al.". Thieme 2012
  • Thomas Frietsch: Blood management program for knee and hip replacement surgery. In: Journal Club AINS. 1, 2012, p. 34, doi : 10.1055 / s-0032-1329261 .
  • Hemotherapy Today - On the Way to Safety and Quality 2011. "Michael Spannagl, Thomas Frietsch" Anaesthesiology and Intensive Care Medicine52: 100-101 ( [1] )
  • CIRS Transfusion Report 2011 . “Thomas Frietsch and the Evaluation Committee of the Error Register”, Anaesthesiology and Intensive Care Medicine 52: 106-111
  • CIRS AINS: Case of April 2011 . "Thomas Frietsch and the evaluation committee of the error register". Insufficient communication about the provision of red cell concentrates between the blood bank and the clinic ( https://www.cirs-ains.de/files/fall-des-monats/CIRS-AINS-Fall-des-Monats-April-2011.pdf )
  • Measures to avoid errors in clinical hemotherapy 2011. "Ralf Karger". Anaesthesiology and Intensive Care Medicine ( [2] )
  • Guidelines, Standard Operating Procedures and Patient Pathways in Hemotherapy - Standardization versus Individualization? 2011 . "Martin Schipplick, Thomas Frietsch". Anaesthesiology and Intensive Care Medicine 52: 48-54
  • Interdisciplinary hemotherapy in intensive care medicine 2011 . "Thomas Frietsch et al." Anaesthesiology and Intensive Care Medicine 52: 58-66
  • Established a national register of errors for blood transfusions in 2009 . "Thomas Frietsch et al." Anaesthesiology and Intensive Care Medicine 50:66 ( [3] )
  • The interdisciplinary working group for clinical haemotherapy: Starting shot for a German haemovigilance system 2009. "Thomas Frietsch et al." Anesthesiology Intensivmed Emergency Med Schmerzther 44 (9): 626-628, doi : 10.1055 / s-0029-1241166
  • IAG Symposium Quality Management in Clinical Haemotherapy: Results of the Error Analyzes in a Southern German University Hospital 2008 "Martin Schipplick". DIVI Congress for Intensive Care Medicine and Emergency Medicine (DIVI) Hamburg, 2008
  • Laudation on the 60th birthday of Prof. Dr. med. V. Kretschmer 2003 . "Ewald Götz". Anaesthesiology and Intensive Care Medicine 44: 172
  • Interdisciplinary working group for clinical haemotherapy founded in 2002. “Volker Kretschmer”. Anaesthesiology and Intensive Care Medicine 43: 382 ( http://www.ai-online.info/aionline/Artikel/artikelId/309/jahr/2002/Monat/Juni/Titel/Interdisziplinaere_Arbeitsgemeinschaft_fuer_Klinische_Haemotherapie_gegruendet/wicket:pageMapName/AI-Artikel )

Books with the participation of the IAKH board members

Web links