Determination Of Health Employess' Blood Transfusion Direction Knowledge Levels

Abstract

OBJECTIVE:This study was conducted to determine the knowledge level of healthcare workers about blood transfusion.METHODS:The study was conducted between October 1, 2015 and November 2, 2015 with 100 healthcare personnel working in a training and research hospital. A survey consisting of 19 questions based on the literature was prepared and administered. In addition to descriptive statistical methods (frequency), Fisher’s exact chi-square test and Yates’ correction for continuity were used to compare qualitative data. Significance was assessed at p<0.05.RESULTS:Of the total, 52% of the participants were ≤29 years of age and 94% were women. In all, 71% were nurses and 42% had been working at the hospital for 2 to 5 years. Seventy-nine percent indicated that they had been trained in blood and blood product transfusion, 86% stated that transfusions were performed to replace deficient blood volume, and 95% responded that blood was to be requested by a physician, and 97% indicated that informed consent of the patient should be obtained for a blood transfusion. In all, 78% of respondents identified crossmatching as the final check for ABO compatibility. With respect to blood unit quality, 90% of the respondents stated that they would return blood if the label could not be read and 98% would reject the product if the integrity of the blood bag was compromised or of the blood had a cloudy or foamy appearance. In the event of a patient experiencing fever and shock, 96% of the survey participants indicated that they would consider that it could be a reaction to a blood transfusion. The need to confirm the patient’s identity and the type of blood products was corroborated by 91%, and 85% agreed that no other medication should be added to the blood to be transfused. Furthermore, 88% of the study participants approved of continuous training regarding the transfusion of blood and blood products.CONCLUSION:According to the results of this research, while the knowledge of the healthcare professionals surveyed was adequate, standardization was lacking. In this respect, it may be advisable to conduct further studies on blood transfusion practices, and to provide additional in-service training to ensure patient safety and avoid medical errors.

Bedside Blood Transfusion – What Nurses Know and Perform: A Cross-Sectional Study from A Tertiary-Level Cancer Hospital in Rural Kerala

“…Human errors largely due to failure to comply with proper guidelines and repeated cross-checks disrupt the execution of safe transfusions. [ 4 5 ] The Serious Hazards of Transfusion survey revealed 87.3% of total serious adverse blood reactions and events in the United Kingdom to be due to human errors like “near miss events” and “right blood right person” issues. [ 5 ] The hemovigilance programme of India, on the other hand, reported that among hemolytic transfusion reactions, 51.2% errors were due to improper handling or bedside storage of blood and that 27.3% of ABO incompatibility hemolytic reactions were due to bedside sampling errors.…”

Survey on Blood Transfusion Practices among Medical and Paramedical Staff in the Pediatric Unit of the Mohammed VI University Hospital in Marrakesh, Morocco

“…In a study conducted in India in 2018, 85% of the staff knew that the crossmatch must be carried out systematically before transfusion [41]. In the Turkish study conducted in 2017, 78% of participants described the cross-match test as an important step in guaranteeing ABO compatibility [42]. In our study, almost all staff (97%) performed the cross-match routinely.…”

“…In our series, all the medical and paramedical staff interviewed systematically checked the patient's identity when transfusing blood products. According to a study conducted in Turkey in 2017, 91% of staff affirmed the need to confirm patient identity [42]. The study carried out in Jordan in 2012 showed that 70% of nursing staff ensured the patient's identity, and this task was the responsibility of the nurses [44].…”

Cross Matching to Transfusion Ratios: Comparison between Menoufia University Surgical Departments, Egypt. Surprising Results

“…The stock in the blood centers is greatly affected by unnecessary blood ordering by surgeons because with each unnecessary request , inventory issues for blood banks and reduction in shelf life of blood units occur (5) . For instance, 7-10% of the blood ordered in South Africa, every year is wasted.…”