Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
Department of Pathology and Microbiology, The Aga Khan University, Karachi.
J Pak Med Assoc. 2020 Apr;70(4):694-698. doi: 10.5455/JPMA.14958.
To assess the compliance of healthcare personnel with regard to sending completely filled transfusion requisition forms.
The audit was conducted at Aga Khan University Hospital, Karachi, and comprised requisition slips received at the hospital blood bank from September 2014 to February 2015. The British Committee for Standards in Haematology guidelines was used as the standard. Percentage of each variable on the proforma was analsyed. Rating <50% for each form was defined as "needs improvement", 51-99% as "good compliance" and 100% as "excellent compliance". After implementing strategies to increase awareness and the launching of an online transfusion requisition form, a re-audit of physician compliance was done from February to April 2016 and the results were compared with the initial audit.. Data was analysed using SPSS 21.
The audit and the re-audit both comprised 1000 transfusion requisition forms each. In the audit, The sum of total scores of all the transfusion requisition forms was 4911, indicating a compliance rate of 46.9%, while the corresponding numbers in the re-audit were 10000 and 100%.
The implementation of online blood transfusion requisition system had a positive impact on compliance rate.
评估医护人员填写完整输血申请单的依从性。
本审计在卡拉奇的 Aga Khan 大学医院进行，纳入 2014 年 9 月至 2015 年 2 月期间医院血库收到的申请单。采用英国血液学标准委员会的指南作为标准。分析表单上每个变量的百分比。每份表单评分＜50%定义为“需要改进”，51-99%为“良好依从”，100%为“优秀依从”。在实施提高意识的策略并推出在线输血申请单后，于 2016 年 2 月至 4 月再次对医生的依从性进行审计，并将结果与初始审计进行比较。使用 SPSS 21 进行数据分析。
两次审计均纳入 1000 份输血申请单。在审计中，所有输血申请单的总分是 4911，表明依从率为 46.9%，而在重新审计中，总分是 10000 和 100%。
在线输血申请系统的实施对依从率产生了积极影响。
