Monitoring and reporting transfusion reactions as a quality indicator – a clinical audit

Hussain, Shabneez; Moiz, Bushra; Ausat, Fatima Azra; Khurshid, Mohammad

doi:10.1016/j.transci.2014.03.012

Cited by 13 publications

(10 citation statements)

References 30 publications

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“…In total, 48 studies reported rates for five types of transfusion reactions, providing a total of 120 separately reported transfusion reaction rates—allergic transfusion reactions (35), FNHTRs (18), transfusion‐associated circulatory overload (TACO) (9), anaphylactic transfusion reactions (12), and transfusion‐related acute lung injury (TRALI) (46). The 48 studies, many of which reported on transfusion reaction rates for multiple plasma types, investigated AI‐FFP (4), SDP (8), MO‐FFP (7), MB‐FFP (3), and MS‐FFP (39).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Comparing transfusion reaction rates for various plasma types: a systematic review and meta‐analysis/regression

Saadah¹,

Hout²,

Schipperus

et al. 2017

Transfusion

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Section: Resultsmentioning

confidence: 99%

“…The studies were performed between 2001 and 2016 in 20 different countries and included observations from over 25 million transfusions. Complete study characteristics and extracted data, along with their ROBINS‐I evaluations, are provided in Table S1 (available as supporting information in the online version of this paper) …”

Section: Resultsmentioning

confidence: 99%

Comparing transfusion reaction rates for various plasma types: a systematic review and meta‐analysis/regression

Saadah¹,

Hout²,

Schipperus

et al. 2017

Transfusion

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“…Reporting the adverse events of transfusion is an essential component of a hemovigilance system. 5 A standard operating procedure for documenting, reporting, evaluating, and following up all adverse reactions was established and integrated into our hospital’s information system. 6 Routine monitoring of patients’ clinical status during transfusion may permit patients to receive early appropriate treatment.…”

mentioning

confidence: 99%

“… 7 By contrast, online reporting procedures are more effective and can reduce human error in the evaluation of blood transfusion reactions. 5 , 8 …”

mentioning

confidence: 99%

Associated Factors With Acute Transfusion Reaction From Hospital Online Reporting Events: A Retrospective Cohort Study

Yao

Chien²,

Chuang

et al. 2018

J Patient Saf

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Objectives In our hospital’s hemovigilance system, a Wi-Fi–based vital signs monitor that automatically transmits data to ensure patient safety has been implemented. We derived the potential clinical characteristics for subsequent association of acute transfusion reactions (ATRs) using the hospital information system database. Methods We retrospectively analyzed multiple factors to identify the possible associations between clinical factors and developing ATRs. The following data were collected: recipient’s pretransfusion and posttransfusion vital signs, clinical and laboratory characteristics, and presence of ATRs. Results In all, 44,691 events were analyzed. Of these, ATR events occurred in 1586 (3.5%). Logistic regression analysis revealed that leukopenia (<5×10 3 /μL) before transfusion was shown a statistically associated with developing mild ATRs (odds ratio [OR] = 2.38, 95% confidence interval [CI] = 1.68–3.35, P < 0.001). The association between elevated body temperature (forehead temperature > 37.5°C) and moderate ATRs was significant (OR = 1.55, 95% CI = 1.22–1.98, P < 0.001). In addition, the association between high diastolic pressure (>90 mm Hg) and severe ATRs was significant (OR = 1.78, 95% CI = 1.06–2.99, P = 0.03). Therefore, evaluated patient’s status such as vital signs before transfusion is very important. In addition, every hospital should established a complete hemovigilance program focus on effectively reporting and real-time monitoring ATRs to improve transfusion patient safety. Conclusions Vital signs monitoring and leukocyte counts before transfusion were significantly associated with the subsequent risk of ATRs. When patients with elevated body temperature, leukopenia, and high diastolic pressure who are scheduled to receive transfusion, clinicians should be aware of increasing the risk of ATRs in these patients.

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“…Hussain (2014) performed a clinical audit on reporting of transfusion reactions as a quality indicator and reported that febrile nonhemolytic transfusion reactions were the most common. [ 14 ] In the year 2011, one case of transfusion reaction was reported, which was a nonhemolytic transfusion reaction due to mismatch. Then in 2012, transfusion reactions were reduced by taking a few preventive actions: clerical errors were avoided leading to all types of mismatch and proper identification of patients was done, which was followed by more rigorously, double checking of labeling of the blood samples for blood grouping and cross-matching.…”

Section: Discussionmentioning

confidence: 99%

Role of National Accreditation Board of Hospitals and Healthcare Providers (NABH) core indicators monitoring in quality and safety of blood transfusion

Gupta

2016

Asian J Transfus Sci

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Context:Certain quality indicators are mandatory in the maintenance and improvement of quality in blood transfusion. Monitoring of such indicators should be done regularly and deficiencies are to be corrected for effective blood transfusion services.Aims:To study the usefulness of monitoring of the National Accreditation Board for Hospitals and Healthcare Providers (NABH) core indicators in blood transfusion and in the maintenance of hemovigilance.Settings and Design:Hemovigilance is a quality process to improve quality and increase the safety of blood transfusion. It covers and surveys all activities of the blood transfusion chain from donors to recipients. Core indicators’ monitoring is a part of the hemovigilance process.Materials and Methods:A 2-year retrospective study was conducted in a blood storage unit of a NABH accredited tertiary care hospital of a metropolitan city. Four NABH core indicators in blood transfusion were observed and monitored by the clinical and blood storage unit staff of different levels.Results:It was observed that there was an improvement in quality by core indicators monitoring with decreased wastage of blood and blood components, decreased average turnaround time for issue of blood and blood components, and lesser number of transfusion reactions.Conclusion:This study demonstrated that monitoring of NABH core indicators results in the enhancement of quality and safety in blood transfusion services, reducing the incidence of transfusion reactions.

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Monitoring and reporting transfusion reactions as a quality indicator – a clinical audit

Cited by 13 publications

References 30 publications

Comparing transfusion reaction rates for various plasma types: a systematic review and meta‐analysis/regression

Comparing transfusion reaction rates for various plasma types: a systematic review and meta‐analysis/regression

Associated Factors With Acute Transfusion Reaction From Hospital Online Reporting Events: A Retrospective Cohort Study

Role of National Accreditation Board of Hospitals and Healthcare Providers (NABH) core indicators monitoring in quality and safety of blood transfusion

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