A Multifaceted Educational Intervention to Reduce Plasma Utilization
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 o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Plasmatology |
| Online Access: | https://doi.org/10.1177/26348535231177667 |
| _version_ | 1797751785091235840 |
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| author | Maha A. Badawi MD Ali Algiraigri MD Afnan J. Al-Sulami BSc(MLS) Anas A. Abunar BSc(MLS) Rami Alharbi BSc(MLS) Yoon Soo Park PhD Ara Tekian PhD |
| author_facet | Maha A. Badawi MD Ali Algiraigri MD Afnan J. Al-Sulami BSc(MLS) Anas A. Abunar BSc(MLS) Rami Alharbi BSc(MLS) Yoon Soo Park PhD Ara Tekian PhD |
| author_sort | Maha A. Badawi MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T16:54:38Z |
| format | Article |
| id | doaj.art-6316aba27e054de1bd6cbbde18fc6934 |
| institution | Directory Open Access Journal |
| issn | 2634-8535 |
| language | English |
| last_indexed | 2024-03-12T16:54:38Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Plasmatology |
| spelling | doaj.art-6316aba27e054de1bd6cbbde18fc69342023-08-08T10:33:53ZengSAGE PublishingPlasmatology2634-85352023-05-011710.1177/26348535231177667A Multifaceted Educational Intervention to Reduce Plasma UtilizationMaha A. Badawi MD0Ali Algiraigri MD1Afnan J. Al-Sulami BSc(MLS)2Anas A. Abunar BSc(MLS)3Rami Alharbi BSc(MLS)4Yoon Soo Park PhD5Ara Tekian PhD6 Blood Transfusion Services Unit, , Jeddah, Saudi Arabia Hematology Research Unit, King Fahd Medical Research Center, , Jeddah, Saudi Arabia Blood Transfusion Services Unit, , Jeddah, Saudi Arabia Blood Transfusion Services Unit, , Jeddah, Saudi Arabia Blood Transfusion Services Unit, , Jeddah, Saudi Arabia , Boston, MA, USA Department of Medical Education, College of Medicine, , Chicago, IL, USABlood 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.https://doi.org/10.1177/26348535231177667 |
| spellingShingle | Maha A. Badawi MD Ali Algiraigri MD Afnan J. Al-Sulami BSc(MLS) Anas A. Abunar BSc(MLS) Rami Alharbi BSc(MLS) Yoon Soo Park PhD Ara Tekian PhD A Multifaceted Educational Intervention to Reduce Plasma Utilization Plasmatology |
| title | A Multifaceted Educational Intervention to Reduce Plasma Utilization |
| title_full | A Multifaceted Educational Intervention to Reduce Plasma Utilization |
| title_fullStr | A Multifaceted Educational Intervention to Reduce Plasma Utilization |
| title_full_unstemmed | A Multifaceted Educational Intervention to Reduce Plasma Utilization |
| title_short | A Multifaceted Educational Intervention to Reduce Plasma Utilization |
| title_sort | multifaceted educational intervention to reduce plasma utilization |
| url | https://doi.org/10.1177/26348535231177667 |
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