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Khatiwada B, Chaurasia R, Patidar GK, Pandey HC. Assessment of Transfusion Practices Among Doctors During COVID-19 Pandemic Using Questionnaire-Based Survey. Indian J Hematol Blood Transfus 2023; 39:470-477. [PMID: 36467511 PMCID: PMC9702665 DOI: 10.1007/s12288-022-01613-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/17/2022] [Indexed: 11/27/2022] Open
Abstract
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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Affiliation(s)
| | - Rahul Chaurasia
- Department of Transfusion Medicine, AIIMS, New Delhi, Delhi India
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Vuk T, Politis C, de Angelis V, Lozano M, Haddad A, Laspina S, Garraud O. Education in transfusion medicine, Part III - The importance of haemovigilance education. Transfus Clin Biol 2023; 30:294-302. [PMID: 36773797 DOI: 10.1016/j.tracli.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 02/02/2023] [Accepted: 02/03/2023] [Indexed: 02/12/2023]
Abstract
According to the literature, there are significant differences in the availability of education and training in transfusion medicine worldwide, with significant heterogeneity in the existing curricula. Recognising the need for education with the aim of achieving globally standardised competencies in transfusion medicine, a group of experts collaborating in the European and Mediterranean Initiative in Transfusion medicine (EMITm) proposed a process of incremental training and education. Subsequent to two previous papers published by this group on general education in transfusion medicine, this paper specifically refers to the field of education in haemovigilance. This topic is of particular importance when one considers the role of haemovigilance in improving the safety of transfusion practice, and the fact that this role can only be realised through the cooperation of all participants in the transfusion chain. In addition to promoting the importance of education in haemovigilance, this paper provides an overview of the available literature on this topic and proposes an education programme on haemovigilance for medical students and residents.
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Affiliation(s)
- Tomislav Vuk
- Croatian Institute of Transfusion Medicine, Zagreb, Croatia.
| | - Constantina Politis
- Coordinating Centre for Haemovigilance and Surveillance of Transfusion, National Public Health Organization, Athens, Greece
| | | | - Miquel Lozano
- Department of Hemotherapy and Hemostasis. ICMHO, University Clinic Hospital, IDIBAPS, University of Barcelona, Barcelona, Spain
| | - Antoine Haddad
- Department of Clinical Pathology and Blood Bank, Sacré-Coeur Hospital, Lebanese University, Beirut, Lebanon; Lebanese American University, Beirut, Lebanon
| | | | - Olivier Garraud
- SAINBIOSE-INSERM_U1059, Faculty of Medicine, University of Saint-Etienne, Saint-Etienne, France
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Wasiluk T, So-Osman C, van den Burg P, Herczenik E, Al-Riyami AZ. The ISBT e-learning module in transfusion reaction: An initiative for a global outreach. Transfus Apher Sci 2023; 62:103633. [PMID: 36572573 DOI: 10.1016/j.transci.2022.103633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Tomasz Wasiluk
- Regional Centre for Transfusion Medicine, Bialystok, Poland
| | - Cynthia So-Osman
- Department of Transfusion Medicine, Sanquin Blood Supply Foundation, Amsterdam, the Netherlands; Deptartment of Haematology, Erasmus Medical Centre, Rotterdam, the Netherlands
| | - Peter van den Burg
- Department of Transfusion Medicine, Sanquin Blood Supply Foundation, Amsterdam, the Netherlands
| | | | - Arwa Z Al-Riyami
- Department of Hematology, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
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KOÇ A, TAYAZ E. Comparison of Knowledge Levels of Nursing Students and Clinical Nurses Related to Hemovigilance: Preliminary Work to Develop a Measurement Tool. BEZMIALEM SCIENCE 2022. [DOI: 10.14235/bas.galenos.2021.4548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Halford B, Pinheiro A, Haspel RL. Hospital Medicine Providers' Transfusion Knowledge: A Survey Study. Transfus Med Rev 2021; 35:140-145. [PMID: 34006426 DOI: 10.1016/j.tmrv.2021.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 04/12/2021] [Accepted: 04/14/2021] [Indexed: 11/19/2022]
Abstract
Blood transfusion is one of the most common procedures performed in the inpatient setting. Although ordering a transfusion is a component of routine practice for most hospitalists, prior literature has shown that non-transfusion medicine physicians have poor to intermediate transfusion medicine knowledge (TMK). No recent study has evaluated TMK among hospitalists, including both attending hospitalists and advanced practice providers (APPs). Using a validated exam and a truncated version of a validated survey, we obtained an initial impression of attitudes, perceived and actual TMK. A total of 183 hospital medicine providers nation-wide completed the 12-question online survey and 20 question exam, including 155 attending hospitalists and 28 APPs. The overall mean score was 52% (range 20%-85%). Forty-one percent of participants reported less than 1 hour of training in transfusion medicine. Five of the seven questions with the worst performance (<25% correct) were on transfusion reactions. Almost all respondents reported consenting a patient for blood transfusion and 60% believed that TMK was very or extremely important in order to provide appropriate care for patients. More than 80% believed that having additional transfusion medicine education would be at least moderately helpful. Although routinely consenting patients for transfusion, hospital medicine providers may have insufficient TMK particularly as it pertains to transfusion reactions. The majority of hospitalists rated TMK important to clinical practice and had an interest in additional training, thus continuing medical education has the potential to improve TMK and patient care.
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Affiliation(s)
- Brittne Halford
- Division of General Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
| | - Adlin Pinheiro
- Division of General Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
| | - Richard L Haspel
- Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
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Raturi M, Das S. Recognizing the role of transfusion medicine specialist in the modern era. Transfus Clin Biol 2020; 27:270-272. [DOI: 10.1016/j.tracli.2020.08.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 08/05/2020] [Accepted: 08/06/2020] [Indexed: 01/02/2023]
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Garraud O, Vuk T, Brand A, de Angelis V, Politis C, Haddad A, Vlaar APJ, Lozano M, Ertuğrul Örüç N, Laspina S, Tissot JD. Medical student education in transfusion medicine, part II: Moving forward to building up a "Know How" education program in transfusion medicine for under-graduate medical students. Transfus Apher Sci 2020; 59:102879. [PMID: 32718832 DOI: 10.1016/j.transci.2020.102879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/09/2020] [Accepted: 07/13/2020] [Indexed: 01/24/2023]
Abstract
There is a general trend in changing paradigm in teaching medicine; the emerging concept relies on a competence-based approach. Transfusion is either a discipline or a subsidiary of others depending on the countries and systems; this variability can be explained because transfusion is a medical care that is transdisciplinary. As a collective of professionals in both transfusion medicine practice and education, authors aim to propose a revision of the way education in transfusion medicine is delivered in this era of the 'global competency approach'. They advocate in favor of a Know How on 5 key issues: Diagnosing the patient condition in line with the Patient Blood Management principles; Facing acute blood loss; Addressing compatibility and avoiding immunization; Seeking for maximized benefits and dampening complications; and Inlaying competence within global health care issues, also comprising od economy. The methods used would be those developed for medical education at large, such as assessment tools. The global objective is to deliver the necessary competence to manage patients by an intern/resident. At the end of the curriculum, students should be able to self-evaluate the following items: 1) Do I know why my patient is anemic, thrombocytopenic, bleeding….? 2) Do I know the best approach to treat anemia, thrombocytopenia, bleeding (including the "no treatment" option)? 3) Do I know whether a transfusion approach is appropriate for my patients? 4) Do I know how to evaluate and anticipate benefits from blood transfusion and to avoid side-effects in the patient? 5) Do I know how to avoid unnecessary use of the products?
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Affiliation(s)
- Olivier Garraud
- Faculty of Medicine of Saint-Etienne, University of Lyon, Saint-Etienne, France; Institut National De La Transfusion Sanguine, Paris, France; Palliative Care Unit, Ruffec Hospital, Ruffec, France.
| | - Tomislav Vuk
- Croatian Institute of Transfusion Medicine, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek - Faculty of Medicine, Osijek, Croatia
| | - Anneke Brand
- Transfusion Medicine, Leiden University Medical Center, Leiden University, the Netherlands
| | | | - Constantina Politis
- Coordinating Haemovigilance Centre (SKAE), Hellenic Centre for Disease Control and Prevention, Athens, Greece
| | - Antoine Haddad
- Faculty of Medicine of Saint-Etienne, University of Lyon, Saint-Etienne, France; Department of Clinical Pathology and Blood Bank, Sacre-Coeur Hospital, Lebanese University, Beirut, Lebanon
| | - Alexander P J Vlaar
- Department of Intensive Care Medicine, Laboratory of Experimental Intensive Care and Anesthesiology, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands
| | - Miquel Lozano
- Clinic University Hospital Barcelona, University of Barcelona, Spain
| | - Nigar Ertuğrul Örüç
- Health Sciences University Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
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