Department of Transfusion Medicine, AIIMS Jodhpur, India.
Department of Transfusion Medicine, PGIMER Chandigarh, India.
Transfus Apher Sci. 2024 Dec;63(6):104005. doi: 10.1016/j.transci.2024.104005. Epub 2024 Sep 16.
Blood transfusion is a cornerstone of modern healthcare, pivotal in saving countless lives annually. However, inadequate knowledge among healthcare providers can lead to serious complications. Despite the availability of assessment tools like the Biomedical Excellence for Safer Transfusion (BEST) test, there is a need for indigenous-validated questionnaires to address knowledge gaps effectively. This study aimed to evaluate bedside transfusion medicine knowledge among clinical residents using a validated questionnaire, focusing on knowledge gaps.
A cross-sectional study was conducted at a tertiary care referral center in Northern India. The questionnaire, developed based on national and international transfusion guidelines, was validated by an expert panel, and administered to 245 clinical residents. The questionnaire covered six domains related to transfusion medicine: blood component storage, blood bank procedures, transfusion-transmitted infections, administration of blood components, transfusion reactions, and transfusion practices.
The study revealed varying levels of knowledge across specialties and residency years. Overall, residents scored 61 % in transfusion medicine knowledge, with Pediatrics residents demonstrating the highest scores. The incremental increase in knowledge from first to third-year residents underscores the value of continuous, experience-based learning throughout the residency period.
Study highlights significant knowledge gaps in bedside transfusion practices among clinical residents, emphasizing the need for structured educational interventions. Tailored programs, integrated into undergraduate and postgraduate curricula, are essential to improve transfusion safety and patient outcomes. Addressing these gaps can lead to better bedside transfusion practices, reducing risks and improving the quality of patient care.
输血是现代医疗保健的基石，每年都能挽救无数生命。然而，医护人员知识不足可能会导致严重的并发症。尽管有像 Biomedical Excellence for Safer Transfusion（BEST）测试这样的评估工具，但仍需要具有本土有效性的问卷来有效解决知识差距问题。本研究旨在使用经过验证的问卷评估临床住院医师的床边输血医学知识，重点关注知识差距。
在印度北部的一家三级保健转诊中心进行了一项横断面研究。该问卷是根据国家和国际输血指南制定的，由专家小组进行了验证，并对 245 名临床住院医师进行了测试。问卷涵盖了输血医学的六个领域：血液成分储存、血库程序、输血传播感染、血液成分的管理、输血反应和输血实践。
研究表明，不同专业和住院年限的知识水平存在差异。总体而言，住院医师的输血医学知识得分为 61%，儿科住院医师的得分最高。从第一年到第三年住院医师的知识呈递增趋势，这突显了在住院期间持续进行基于经验的学习的价值。
研究强调了临床住院医师在床边输血实践方面存在显著的知识差距，这强调了需要进行结构化的教育干预。量身定制的计划，整合到本科和研究生课程中，对于提高输血安全性和患者结局至关重要。解决这些差距可以导致更好的床边输血实践，降低风险并提高患者护理质量。
