A Multifaceted Educational Intervention to Reduce Plasma Utilization

IF 0.5 Q4 HEMATOLOGY Plasmatology Pub Date : 2023-01-01 DOI:10.1177/26348535231177667
Maha A. Badawi, Ali Algiraigri, Afnan J. Al-Sulami, Anas A. Abunar, Rami Alharbi, Yoon Soo Park, Ara Tekian
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Abstract

Blood transfusion services maintain quality practice through adherence to guidelines but are faced with blood component wastage due to multiple factors. One factor, in particular, is poor ordering and utilization practices followed by physicians who may not be familiar with the indications and the optimal conditions for the handling of blood products. This study evaluates whether an educational intervention would help reduce ordering of plasma and improve wastage rates after thawing. The study followed a quasi-experimental pre-test post-test design. A multifaceted educational intervention was introduced at a tertiary hospital-based combining predisposing, enabling, and reinforcing activities, based on the literature of effective continuous professional development. The activities included a brief survey to evaluate participant knowledge about indications of plasma and its storage condition, a lecture, and periodic reports and reminders sent to all department heads in the hospital. Respondents to the survey and lecture attendees included physicians in adult critical care and anesthesia departments. Monthly plasma utilization and wastage rates were compared before and after introducing the intervention. Sixty physicians participated in the survey. The questions were answered correctly by less than half. After introducing the intervention, monthly plasma transfusion rates decreased; however, wastage rates did not improve. There is a knowledge gap among physicians who order plasma. The educational intervention resulted in lower plasma transfusion rates but did not affect wastage rates. Future interventions would benefit from including physicians in other departments as well as nurses.
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减少血浆利用的多层面教育干预
输血服务机构通过遵守指南来保持高质量的做法,但由于多种因素而面临血液成分的浪费。其中一个特别的因素是,医生可能不熟悉血液制品的适应症和处理血液制品的最佳条件,他们所遵循的订购和使用做法不佳。本研究评估教育干预是否有助于减少血浆订购和改善解冻后的流失率。本研究采用准实验前测后测设计。基于有效的持续专业发展的文献,在一家三级医院引入了多方面的教育干预,结合了诱发、促进和强化活动。这些活动包括一个简短的调查,以评估参与者对血浆指征及其储存条件的了解,一个讲座,以及定期向医院所有部门主管发送报告和提醒。调查对象和讲座参与者包括成人重症监护和麻醉部门的医生。干预前后每月血浆利用率和浪费率的比较。60名医生参与了调查。这些问题答对的不到一半。引入干预措施后,每月血浆输注率下降;然而,流失率并没有改善。订购血浆的医生之间存在知识差距。教育干预导致血浆输注率降低,但对浪费率没有影响。未来的干预将受益于包括其他部门的医生和护士。
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来源期刊
Plasmatology
Plasmatology HEMATOLOGY-
CiteScore
1.10
自引率
0.00%
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0
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