Transfusion audit of fresh-frozen plasma in southern Taiwan

The demand for transfusions has increased rapidly in southern Taiwan. Between 1993 and 2003, requests for fresh-frozen plasma (FFP) in particular rose dramatically at Kaohsiung Medical University Hospital (KMUH). Transfusion orders were not tightly regulated, and inappropriate use of blood products was common.

MATERIALS AND METHODS:

We carried out a prospective analysis of transfusion requests from October 2003 to January 2004 at KMUH, and then repeated the audit for another 3-month period after the clinical faculty had undergone five sessions of education on transfusion guidelines. Later, our consultant haematologist applied computerized guidelines to periodic audits.

RESULTS:

A 5.2% decrease in inappropriate FFP usage followed the educational programme and a further 30% reduction took place after the application of computerized transfusion guidelines. With the guidelines and periodic audits, FFP transfusions decreased by 74.6% and inappropriate requests from 65.2% to 30%.

CONCLUSIONS:

Hospital policy, computerized transfusion guidelines and periodic audits greatly reduced inappropriate FFP transfusions. An educational campaign had a more limited effect.

 

OverigEducational gatheringsFeedbackOrganizational interventionsBehandeling zonder medicatie

 

Auteurs

Yeh CJ
Wu CF
Hsu WT
Hsieh LL
Lin SF
Liu TC

 

Link

https://www.ncbi.nlm.nih.gov/pubmed/16958841