Hospital Medicine Providers’ Transfusion Knowledge: A Survey Study

Halford, Brittne; Pinheiro, Adlin; Haspel, Richard L.

doi:10.1016/j.tmrv.2021.04.003

Cited by 13 publications

(21 citation statements)

References 20 publications

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“…RBCs are the commonest blood component transfused, sub-optimal responses for its threshold could be related to the question where a case vignette was used for a specific group of patients (cardiac). Other studies by Halford et al and Hartford et al have reported similar rates with regards to the threshold for blood component transfusions [ 15 , 16 ]. Knowledge and understanding of blood grouping were assessed by asking for alternate compatible FFP for group O patients, approximately 63.6% participants answered correctly.…”

Section: Discussionsupporting

confidence: 52%

Assessment of Transfusion Practices Among Doctors During COVID-19 Pandemic Using Questionnaire-Based Survey

Khatiwada

Chaurasia

Patidar

et al. 2022

Indian J Hematol Blood Transfus

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During COVID-19 pandemic, many doctors were redirected from various disciplines for care of COVID-19 patients. A survey was conducted among doctors involved, to assess transfusion practices during the pandemic. To assess the knowledge, attitude, and practices of blood transfusion among doctors involved in care of COVID-19 patients. A cross-sectional survey using an online questionnaire (Google form) was used to assess knowledge and need of transfusion, attitude towards modifications in transfusion process, and practices during pandemic. Analysis was done among subgroups based on experience (designation), user type (speciality) and frequency of blood usage in parent department. Of 1900 invitations, 437 responses were received from resident doctors and faculty members across various disciplines. Of these, 354(81%) participants were included in analysis. Mean knowledge score was 6.2, majority 297(83.9%) had adequate knowledge scores (≥ 5 of total 12). Knowledge levels were higher among frequent blood users. Positive attitude towards changes in transfusion process was observed in 72.9% participants with similar scores in subgroups. Practice was assessed in 222(62.7%) participants. Mean practice score was 6.9, wherein 57.7% participants had optimal scores (≥ 7 of total 14). Positive correlation was observed between attitude and practice, unlike knowledge and practice. Although most participants had demonstrated adequate transfusion knowledge levels and positive attitude, transfusion practices during pandemic were affected mainly due to shortage of blood components and modifications in transfusion requisition process due to stringent COVID-19 containment measures. Thus, indicating need for improvement in the basic understanding of the transfusion process. Supplementary Information The online version contains supplementary material available at 10.1007/s12288-022-01613-2.

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Section: Discussionsupporting

confidence: 52%

Assessment of Transfusion Practices Among Doctors During COVID-19 Pandemic Using Questionnaire-Based Survey

Khatiwada

Chaurasia

Patidar

et al. 2022

Indian J Hematol Blood Transfus

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“…For instance, another Israeli study demonstrated a comparable level of transfusion guidelines knowledge among participating physicians 19 . Several surveys that used validated exams 20 demonstrated insufficient level of transfusion medicine knowledge among hematology trainees, 21 hospitalists, 22 internal medicine, 23 and pediatric residents 24 in American and international hospitals. A structured review of transfusion medicine education for nontransfusion medicine physicians also reported inappropriate physician knowledge in transfusion medicine 25 …”

Section: Discussionmentioning

confidence: 99%

Does training make a difference? Proficiency training in transfusion guidelines and its effect on red blood cell administration

et al. 2022

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Background Packed red blood cell (RBC) transfusion is a very common and frequently lifesaving therapeutic intervention, but a liberal transfusion policy may be associated with inferior patient outcomes. Various guidelines have been proposed to reduce the rate of unnecessary RBC transfusions. However, physicians' proficiency in such guidelines and the effect of training on RBC administration remain unknown. Methods We performed a questionnaire‐based assessment of physicians' knowledge of the guidelines in a tertiary hospital in Israel, followed by an analysis of RBC administration six months before and six months after training was delivered. Results The level of proficiency was higher among Israeli university graduates (Odds Ratio [OR] 2.59, p‐value = 0.02), internists (OR 2.8, p‐value = 0.02), and physicians beyond the step‐one residency exam (OR 3.08, p‐value = 0.02). There was no significant effect of training on the rates of RBC administration (incidence rate ratio [IRR] = 0.96 [CI 95% 0.81–1.14], p‐value = 0.655). Conclusion Educational intervention alone is an ineffective means of reducing the rates of RBC administration. A more complex approach is required to prevent unnecessary RBC transfusions.

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“…The overall mean score was 52% (range 20%-85%) [3]. Forty-one percent of participants reported less than 1 h of training in transfusion medicine [3].…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, medical education at both graduate and post‐graduate levels includes minimal transfusion medicine instruction, the majority of which is in the form of passive lectures [3,9]. Therefore, hospital medicine providers are likely to have developed transfusion practices based on the limited knowledge taught in their training [3]. Transfusion decisions for acutely ill patients presenting with multiple co‐morbidities may become complex and require a more in‐depth understanding in order to minimize risks of transfusion and to identify, treat and report reactions for the health and safety at both the individual and population levels [3].…”

Section: Introductionmentioning

confidence: 99%

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Patient blood management: Myths and facts about red blood cell transfusions

et al. 2023

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Transfusion medicine resembles all of medicine in that expert opinion predominates because hard data on clinical outcomes from randomized controlled trials and high quality observational data are simply unavailable. Indeed, some of the first trials evaluating important outcomes are barely two decades old. Patient blood management (PBM) depends on high quality data for assisting clinicians in making clinical decisions. In this review, we focus on several red blood cell (RBC) transfusion practices that new data suggest need reconsideration. The practices that may need revision include transfusion for iron deficiency anaemia, except in life threatening situations, toleration of anaemia as a largely benign condition and use of haemoglobin/haematocrit as primary indications for RBC transfusion, as opposed to adjuncts to clinical judgement. In addition, the long‐standing notion that the minimum transfusion should be two units needs to be abandoned due to the danger to patients and a lack of clinical evidence of benefit. Finally, the difference in indications for leucoreduction versus irradiation needs to be understood by all practitioners. PBM is one of the strategies for managing anaemia and bleeding that holds great promise for patients, and transfusion is only one facet of the bundle of practices.

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Hospital Medicine Providers’ Transfusion Knowledge: A Survey Study

Cited by 13 publications

References 20 publications

Assessment of Transfusion Practices Among Doctors During COVID-19 Pandemic Using Questionnaire-Based Survey

Assessment of Transfusion Practices Among Doctors During COVID-19 Pandemic Using Questionnaire-Based Survey

Does training make a difference? Proficiency training in transfusion guidelines and its effect on red blood cell administration

Patient blood management: Myths and facts about red blood cell transfusions

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