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[巴伊亚地区住院医师输血医学知识评估]

[Assessment of knowledge in Transfusional Medicine in residents in Bajío].

作者信息

Ruiz-García Ana Patricia, Murillo-Ortiz Blanca Olivia

机构信息

Instituto Mexicano del Seguro Social, Centro Médico Nacional Bajío, Hospital de Especialidades, Laboratorio de análisis clínicos. León de los Aldama, Guanajuato, México.

Instituto Mexicano del Seguro Social, Centro Médico Nacional Bajío, Hospital de Especialidades, Unidad de Investigación en Epidemiología Clínica. León de los Aldama, Guanajuato, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Jul 31;61(7):412-419. doi: 10.5281/zenodo.8200077.

DOI:10.5281/zenodo.8200077
PMID:37535970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10484549/
Abstract

BACKGROUND

Despite the existence of national and international guidelines, multiple studies show that the clinical use of blood components is not based on scientific evidence; this situation replicates, therefore it was necessary to apply an assessment tool in our medical unit.

OBJECTIVE

Assessment the knowledge in transfusion medicine in medical residents who have high requirements of blood hemocomponentes in Unidad Médica de Alta Especialidad Hospital de Especialidades No.1 Centro Médico Nacional Bajío.

MATERIAL AND METHODS

A descriptive cross-sectional study was designed, and through a validated test the knowledge in transfusional medicine of residents of the unit was evaluated.

RESULTS

100 residents participated in the research, most of them from the anesthesiology department; as a result, the evaluation tool showed a "Fair" performance in 75% of the participants. No specialty achieved a "Satisfactory" result.

CONCLUSIONS

The application of this tool is the first step to develop and implement strategies to reduce unjustified transfusions of blood components and thus continue to provide excellent care to beneficiaries, minimizing risks and optimizing institutional resources.

摘要

背景

尽管存在国家和国际指南,但多项研究表明,血液成分的临床使用并非基于科学证据;这种情况反复出现,因此有必要在我们的医疗单位应用一种评估工具。

目的

评估国立巴伊奥医疗中心第一专科医院高专科医疗单位对血液成分有高需求的住院医师在输血医学方面的知识。

材料与方法

设计了一项描述性横断面研究,并通过一项经过验证的测试对该单位住院医师的输血医学知识进行评估。

结果

100名住院医师参与了研究,其中大多数来自麻醉科;结果,评估工具在75%的参与者中表现为“中等”。没有一个专科取得“满意”的结果。

结论

应用此工具是制定和实施策略以减少不合理输血成分的第一步,从而继续为受益者提供优质护理,将风险降至最低并优化机构资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/125f10ecb1e3/04435117-61-4-412-c004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/3d4fb9cc8633/04435117-61-4-412-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/2a323516042a/04435117-61-4-412-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/49379f2dee8c/04435117-61-4-412-c002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/f1f4688408e3/04435117-61-4-412-c003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/125f10ecb1e3/04435117-61-4-412-c004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/3d4fb9cc8633/04435117-61-4-412-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/2a323516042a/04435117-61-4-412-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/49379f2dee8c/04435117-61-4-412-c002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/f1f4688408e3/04435117-61-4-412-c003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b18/10484549/125f10ecb1e3/04435117-61-4-412-c004.jpg

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本文引用的文献

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Global survey of transfusion medicine curricula in medical schools: Challenges and opportunities.全球医学院输血医学课程调查:挑战与机遇。
Transfusion. 2021 Feb;61(2):617-626. doi: 10.1111/trf.16147. Epub 2020 Oct 22.
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Residents' knowledge in transfusion medicine and educational programs: A pilot study.居民在输血医学方面的知识和教育项目:一项试点研究。
Transfus Clin Biol. 2020 Feb;27(1):18-24. doi: 10.1016/j.tracli.2019.10.002. Epub 2019 Oct 24.
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The top 10 things to know about transfusion medicine before intern year: an evidence-based course for graduating medical students.
实习前需了解的输血医学十大要点:面向即将毕业的医学生的循证课程。
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Hemolytic Transfusion Reactions.溶血性输血反应
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Transfusion-related red blood cell alloantibodies: induction and consequences.输血相关红细胞同种抗体:诱导与后果。
Blood. 2019 Apr 25;133(17):1821-1830. doi: 10.1182/blood-2018-08-833962. Epub 2019 Feb 26.
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Assessment of the knowledge and perceptions of Brazilian medical residents on transfusion medicine.巴西住院医师对输血医学的知识与认知评估。
Hematol Transfus Cell Ther. 2019 Jan-Mar;41(1):37-43. doi: 10.1016/j.htct.2018.06.002. Epub 2018 Jul 10.
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Assessment of the knowledge of usage of blood and blood products amongst medical doctors in the Department of Medicine at the Faculty of Health Sciences, University of the Witwatersrand affiliated academic hospitals.对威特沃特斯兰德大学健康科学学院医学系附属学术医院内科医生关于血液及血液制品使用知识的评估。
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Development, Implementation, and Evaluation of a Fourth-Year Medical School Elective Course in Blood Banking and Transfusion Medicine.发展、实施和评估一门第四学年医学生选修的血液银行学和输血医学课程。
Am J Clin Pathol. 2019 Jan 1;151(1):116-121. doi: 10.1093/ajcp/aqy115.
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Reprioritising transfusion medicine education for graduating medical students.为即将毕业的医学生重新调整输血医学教育的重点。
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