Effectiveness of a prospective physician self-audit transfusion-monitoring system

Transfusion
H T LamG W Sun

Abstract

The purpose of this study was to search for a more effective transfusion-monitoring system than the existing system of retrospective peer review. This research used a study-control, preintervention and postintervention design, to evaluate the effectiveness of a prospective physician self-audit transfusion-monitoring system that functioned without the direct involvement of transfusion service physicians. This research also evaluated the effectiveness of issuing to physicians a memo with transfusion guidelines. Three process indicators were used to assess physician behavior at various stages of the blood-ordering process: 1) the number of crossmatches ordered per admission, 2) the transfusion-to-crossmatch ratio, and 3) the number of blood units returned to the laboratory after physician self-auditing. The study used two outcome indicators to reflect overall blood utilization: 1) the percentage of patients who received red cell transfusions and 2) the number of blood units transfused per recipient each month. The prospective physician self-audit system implemented at the study hospital did not reverse physician transfusion decisions, and the process of issuing to physicians a memo with transfusion guidelines at the control hospit...Continue Reading

Citations

Feb 6, 1998·Transfusion Science·S W Renner
Feb 6, 1998·Transfusion Science·P Toy
Oct 1, 2009·Critical Care Medicine·Rinaldo BellomoMichael C Reade
Aug 15, 1998·Vox Sanguinis·J E Menitove
Aug 30, 2008·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Joseph D Sweeney
May 20, 2014·American Journal of Clinical Pathology·Sarah AlghamdiRobert Goldszer
Aug 31, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Katherine M SteffenUNKNOWN Pediatric Critical Care Blood Research Network (BloodNet), and the Pediatric Acute Lung Injury and Sepsis Investigators (PAL
Jul 2, 1999·Archives of Pathology & Laboratory Medicine·P Toy
Apr 6, 2006·Archives of Pathology & Laboratory Medicine·Mark T Friedman, Amber Ebrahim

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