Wesolowska et al., 2019(14)
|
To compare HM pasteurization methods to improve the safety and quality of donated milk. |
Critical analysis |
HPP and ultraviolet-C irradiation methods seem to minimize losses as a result of HM processing. |
Hartmann, 2017(15)
|
To assess the risks and benefits for HMB donors and recipients using a systematic method. |
Risk management - HACCP |
Potential hazards and benefits are identified at each stage of HMB processes, and the minimum acceptable standard for safe practice is defined. |
Peila et al., 2017(16)
|
To assess the evidence on the effectiveness of new pasteurization techniques on the quality and safety of HM |
Critical analysis |
The HTST method showed equivalence to the standard pasteurization method, guaranteeing the microbiological safety of HM. |
Grazziotin et al., 2016(17)
|
To assess the evidence on the raw HM storage protocol according to Brazilian regulations. |
Critical analysis |
The methods of storage in refrigeration (5°C/12 hours) and freezing (20°C/15 days) were validated and the energy content of milk was preserved. |
Naicker et al., 2015(18)
|
To assess the safety and effectiveness of a mobile pasteurization monitor, FoneAstra, based on Smartphone, as a quality control system for the pasteurization process. |
Information technology |
None of the samples pasteurized using FoneAstra showed bacterial growth. The innovative tool proved to be safe, effective and low cost for HM pasteurization. |
De Nisi et al., 2015(19)
|
To compare the operating procedures of 28 Italian HMB to identify areas of strength and improvement. |
Benchmarking |
Divergence in the structure (number of hours worked, number of rooms and number of equipment), in the selection processes and mandatory microbiological control. |
ME Maes et al., 2015(20)
|
To manage risk and control food safety hazards at HMB. |
Risk management - HACCP |
The critical points were identified: 6 prevented (CCPp), 4 eliminated (CCPe) and 1 reduced (CCPr), which made corrective actions possible. |
Menezes et al., 2014(21)
|
To assess home collection and transport of raw HM during home visits. |
Checklist |
Weaknesses in the collection process were identified, such as hair protection (93.8%), hand hygiene (83.3%), nail care (87.5%) and neglecting the first drops (33.3%). |
Brownell et al., 2014(22)
|
To monitor data from HMBANA belonging to HMBANA, on the characteristics of the donor and donated milk, the feasibility and the interest in participating in a central registry. |
Information technology |
There was no uniformity in the data collected. A lack of standardization and transparency of information was identified. |
Spatz et al., 2014(23)
|
To analyze the key activities in the implementation of an HM management center in a children's hospital. |
Flow mapping |
Structural weaknesses, the need to improve processes, change in local culture, training of teams and periodic assessment of results were identified. |
Carroll, 2014(24)
|
To draw the flow of the donated HM of two HMB, from selection to distribution and assess the the process safety. |
Flow mapping |
The variety of practices and security process in the selection and education of donors, pasteurization and microbiological analysis of the HM between the two HMB were identified. |
Vieczorek & Wolff, 2012(25)
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To compare the structure and processes of 8 HMB paranaense based on RDC 171/2006 and ANVISA's HMB operating manual. |
Benchmarking |
The weak and strong points in the eight HMB were identified. The percentage of compliance ranged from 72 to 85% and non-compliance showed an average of 21%. |
Torrezan, 2011(26)
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To implement the Process Management methodology in HM assistance and processing activities. |
Flow mapping PDCA Benchmarking |
All stages were known and an action plan to improve and monitor all processes was implemented. |
Grazziotin et al., 2010(27)
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To assess the causes of disposal of the donated HM and the impact of the implemented measures. |
Checklist |
The causes of disposal were identified and showed a positive impact in reducing the volume of discarded donated milk. |
Silva, 2009(28)
|
To know the technological innovations produced by the HMBWEB system in the qualification of HMB performance. |
Information system |
Construction of indicators that qualify HMB management, processes and procedures. |
Silva et al., 2008(29)
|
To compare the physical-chemical and microbiological quality of raw HM at home and at HMB before and after a new educational action. |
Educational action |
There was no improvement in relation to Dornic acidity and microbiological analysis after educational actions. |
Costa et al., 2003(30)
|
To compare the structure, processes and results of two HMB in the city of São Luís, state of Maranhão. |
Benchmarking |
Divergences were identified regarding the physical, organizational and process control structures that compromise the quality of the product. |