Standard 7


Standard 7: Blood and blood products


Blood is a limited resource that can be lifesaving. It is a live biological product and if not used properly can  have a high level of risk. These risks can be minimised by proper systems and processes to monitor our rate of compliance in collection and delivery of blood products.

Hospital Standards


Epworth is accredited under the National Safety and Quality Health Service Standards. These national standards apply to all health services organisations and state the minimum level of care – the national benchmark – that consumers can expect. Hospitals must report their performance against the standards on a regular basis and are also subject to periodic reviews and assessments.

For further information, refer to the National Safety and Quality Health Service Standards Guide (PDF).


Epworth Standards


At Epworth we want to provide excellent patient care. For this reason, we set our own, stricter benchmarks against each of the standards, and we add a few of our own that we think are important, and we measure our performance against these. The table below provides details of the national benchmark, the Epworth internal benchmark and our average result against each of the items.

​Standard 7: Blood and blood products
​National Benchmark
​Epworth HealthCare Internal Benchmark
​Epworth HealthCare Average 2014
​Epworth HealthCare Average 2015 Average FY
2015-16 † ​
​Transfusion and specimen incident rate n/a** ​0.20 ​0.12 0.12 #​ 0.14 #​
​Non-compliant samples rate n/a** ​0.65 ​0.50 0.57 #​ 0.72 #​

Rate=per 1,000 bed days.

* n/a denotes that no national benchmark has been defined, so Epworth has set its own.
# A lower number is better.
† Figures for year ending 30/6/2016.​



We have introduced processes and systems to ensure the safety of blood transfusions and blood products used:


  • We monitor all usage of blood and blood products
  • We review and investigate any adverse reactions to blood transfusions or blood products
  • We adhere to strict sample compliance, and monitor any variance in data even if minor.


What we are working on

At Epworth, we encourage our staff to report incidents and near misses so that we can improve our safety. Increased reporting reflects our positive culture of self-reporting and continuous improvement.

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