Clinical Audit of Transfusion Safety and Monitoring at Al-Kareemat Specialized Complex, Sudan: A Two-Cycle Quality Improvement Study

While foundational pre-transfusion safety steps were strong, baseline deficits were evident in active monitoring and hemovigilance reporting. The quality improvement intervention was associated with substantial improvements sustained at one-year re-audit. Continued reinforcement of standardized documentation and periodic repeat audits are recommended to maintain progress and achieve full compliance with safety-critical standards.