Pandey Prashant, Setya Divya, Mirza Suhail Mustafa, Singh Mukesh Kumar
Department of Transfusion Medicine, Jaypee Hospital, Noida, India.
Department of Quality and Systems, Jaypee Hospital, Noida, India.
Transfus Med. 2021 Feb;31(1):16-23. doi: 10.1111/tme.12722. Epub 2020 Sep 30.
The aim of this study was to analyse blood requisition forms sent by clinicians in a tertiary care hospital to the transfusion service to ascertain their completeness and correctness. A secondary objective was to study the effect of continuing medical education (CME) in a hospital setting on clinician's behaviour regarding the importance of details that ought to be mentioned on blood requisition forms.
Transfusion audits are useful tools in the evaluation and education of those requesting blood components.
METHODS/MATERIALS: This was a prospective, observational study conducted in the department of Transfusion Medicine at a tertiary-level healthcare centre from June 2019 to December 2019. The study was divided into two phases: pre-CME (P1) and post-CME (P2). In both phases, an audit for assessing completeness and correctness of blood requisition forms, which were divided into four sections, was performed. A scoring system was devised to compare both phases.
In the P1 phase, 45.77% of the blood requisition form entries were complete and correct; 23.45% of incomplete entries were generated by emergency and trauma. In the P2 phase, 76.75% of the blood requisition form entries were complete and correct; 35.09% of the incomplete entries were generated by obstetrics and gynaecology. Complete and correct entries increased from 45.7% (P1) to 76.75% (P2). Scores of P1 were found to be lower than scores of P2 for all four sections. Cumulative mean score for P1 (20687) was found to be significantly lower than the mean score for P2 (30870).
Audit and CME regarding different aspects of transfusion medicine practices play a major role in the improvement of transfusion practices in hospitals.
本研究旨在分析一家三级医院的临床医生提交给输血科的用血申请单，以确定其完整性和正确性。第二个目的是研究医院环境下的继续医学教育（CME）对临床医生在填写用血申请单时应提及细节的重要性方面行为的影响。
输血审核是评估和教育血液成分需求者的有用工具。
方法/材料：这是一项前瞻性观察性研究，于2019年6月至2019年12月在一家三级医疗中心的输血医学科进行。该研究分为两个阶段：CME前（P1）和CME后（P2）。在两个阶段中，都对分为四个部分的用血申请单的完整性和正确性进行了审核。设计了一个评分系统来比较两个阶段。
在P1阶段，45.77%的用血申请单条目完整且正确；23.45%的不完整条目由急诊和创伤产生。在P2阶段，76.75%的用血申请单条目完整且正确；35.09%的不完整条目由妇产科产生。完整且正确的条目从45.7%（P1）增加到76.75%（P2）。发现所有四个部分的P1分数均低于P2分数。P1的累积平均分数（20687）显著低于P2的平均分数（30870）。
关于输血医学实践不同方面的审核和CME在改善医院输血实践中起着重要作用。
