Transfusion monitoring: care practice analysis in a public teaching hospital

Reis, Valesca Nunes dos; Paixão, Isabella Bertolin; Perrone, Ana Carolina Amaral de São José; Monteiro, Maria Inês; Santos, Kelli Borges dos

doi:10.1590/s1679-45082016ao3555

Cited by 17 publications

(22 citation statements)

References 16 publications

(31 reference statements)

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“…There were also no records for vital signs before, during and after transfusion in 69.9%%, 48.2% and 98.4% of patients respectively. Our findings compare with those of other studies [5][6][7][8][9]. The study by Audet [5] showed that patient consent was documented in only 1% (2/155) of transfusion events.…”

Section: Discussionsupporting

confidence: 84%

Documentation of the Clinical Blood Transfusion Practice at a Teaching and Referral Hospital in Western Kenya

Kipkulei¹

2019

AJHR

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Blood transfusion is an essential component of modern health care. It can restore normal life expectancy and improve quality of life when used safely. Blood is scarce, costly and its use could be associated. with complications. Good clinical practice, which includes proper documentation, ensures safe and effective transfusion practice. The objective of the study was to analyze the process of documenting the clinical blood transfusion practice at public teaching and referral hospital. A hospital based medical chart review of 384 patients who were transfused from June 2013 to November 2013 was carried out. Systematic random sampling method was used to sample the patient medical charts and a data was collected using a structured data collection. Data was analyzed using frequency tables and is presented in form of text, tables and charts. Approval was obtained from Institutional Research and Ethical Committee of Moi University and the patient's medical records were deidentified. The median age of the recipients was 31.5 years (IQR 13, 45.8) and the range was 1 day to 89 years. Females comprised 55.2% of the recipients. The indication of the transfusion, pre-transfusion Hb, consent, blood and blood product unit number, start times, duration of transfusion and observations of vital signs were documented in the charts of 91.1%. 99.0%, 0.8%, 73.4%, 43%, 47.1% and 27.6% of all the recipients respectively. It was concluded that there were inadequacies in the documentation of the transfusion process. The strategies of clinical audit and continuing medical education of health workers ought to be applied in order to improve the documentation of the clinical practice of blood transfusion. In addition, studies to establish the reasons for inadequate documentation of the transfusion process should be carried out.

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Section: Discussionsupporting

confidence: 84%

Documentation of the Clinical Blood Transfusion Practice at a Teaching and Referral Hospital in Western Kenya

Kipkulei¹

2019

AJHR

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“…Regarding the undernotification of transfusion reactions, Reis et al (40) found that therapeutic measures were only recorded in 36.7% of the receptors, who manifested a change in their vital signs during the transfusion of blood components, and the percentage of nurses with knowledge about hemotherapy practices of Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly Sobral PAS, Göttems LBD, Santana LA.…”

Section: Discussionmentioning

confidence: 99%

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

2020

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Objective: To identify immediate transfusion reactions in elders hospitalized in a public hospital in the Federal District. Methods: This is an observational, retrospective, documental, and analytical research, with a quantitative analysis of 516 transfusions of packed red blood cells in elders hospitalized in the largest public hospital, who required blood components, from June to December 2017, through descriptive statistics. Results: The sample corresponded to 46.36% of the total number of transfusions in elders in the period. The mean age was 70 years old. There were adverse effects (reactions to the transfusion) in 12 (2.3%) transfusions. Respiratory alterations (33.3%) and fever (23.8%) were the most common events. Conclusion: The incidence of reactions to the transfusion is below national and international rates, indicating probable undernotification, which could be associated to a lack of knowledge regarding its clinical manifestations and the lack of systematic monitoring of the transfusion.

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“…The relatively inadequate duration of transfusion was probably due to the lack of knowledge about procedures or due to inadequate duration of transfusion per se. In one of the studies by Reis et al, duration of transfusion was inadequate in 8% of transfusions [ 27 ]. The frequency of monitoring and recording of vital signs in the initial period of initiation of transfusion was lesser in our study in comparison to another similar study [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Blood Transfusion Practice among Healthcare Personnel in Nepal: An Observational Study

Sapkota

Poudel

Sedhain

et al. 2018

Journal of Blood Transfusion

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Background The complications associated with errors in transfusion practice can be minimized by assessing transfusion practices. In Nepal, there is no standard protocol on blood transfusion. So, this study was conducted with an aim to assess the blood transfusion practice among healthcare personnel. Methods A descriptive observational study was conducted in two tertiary hospitals in Kathmandu, Nepal, over a period of 10 months. Bedside blood transfusion procedures were observed using structured checklist. Results Altogether, 86 observations were made. Time taken from dispatch from the blood bank to transfusion was >2 hours in 53.2% of cases. In majority of the cases, blood was kept in the ward in uncontrolled and unprotected manner by the patients' relatives. Only 8.2% of the patients and/or the relatives were informed about the reasons, associated probable risks (2.4%), and the benefits of transfusion (4.7%). Assessment of vital signs at 15 minutes of initiation of transfusion was done on about 2 to 4% of cases. Conclusion We found a suboptimal blood transfusion practice in Nepal, which could be attributable to substantial knowledge gap among healthcare personnel and the absence of quality culture, quality system, and quality management in the area of blood transfusion practices.

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Transfusion monitoring: care practice analysis in a public teaching hospital

Cited by 17 publications

References 16 publications

Documentation of the Clinical Blood Transfusion Practice at a Teaching and Referral Hospital in Western Kenya

Documentation of the Clinical Blood Transfusion Practice at a Teaching and Referral Hospital in Western Kenya

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

Blood Transfusion Practice among Healthcare Personnel in Nepal: An Observational Study

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