First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital

Objectives: Transfusions are a common medical intervention. Discussion of the benefits, risks and alternatives with the patient is mandated by many legislations prior to planned transfusions. At the Sultan Qaboos University Hospital (SQUH), Muscat, Oman, a written transfusion consent policy was intr...

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Main Authors: Arwa Z. Al-Riyami, Naif Al-Ghafri, Fehmida Zia, Mohammed Al-Huneini, Abdul-Hakeem Al-Rawas, Salam Al-Kindi, Sachin Jose, Murtadha Al-Khabori, Hilal Al-Sabti, Shahina Daar
Format: Article
Language:English
Published: Sultan Qaboos University 2016-08-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2155
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author Arwa Z. Al-Riyami
Naif Al-Ghafri
Fehmida Zia
Mohammed Al-Huneini
Abdul-Hakeem Al-Rawas
Salam Al-Kindi
Sachin Jose
Murtadha Al-Khabori
Hilal Al-Sabti
Shahina Daar
author_facet Arwa Z. Al-Riyami
Naif Al-Ghafri
Fehmida Zia
Mohammed Al-Huneini
Abdul-Hakeem Al-Rawas
Salam Al-Kindi
Sachin Jose
Murtadha Al-Khabori
Hilal Al-Sabti
Shahina Daar
author_sort Arwa Z. Al-Riyami
collection DOAJ
description Objectives: Transfusions are a common medical intervention. Discussion of the benefits, risks and alternatives with the patient is mandated by many legislations prior to planned transfusions. At the Sultan Qaboos University Hospital (SQUH), Muscat, Oman, a written transfusion consent policy was introduced in March 2014. This was the first time such a policy was implemented in Oman. This study therefore aimed to assess adherence to this policy among different specialties within SQUH. Methods: The medical records of patients who underwent elective transfusions between June and August 2014 were reviewed to assess the presence of transfusion consent forms. If present, the consent forms were examined for completeness of patient, physician and witness information. Results: In total, the records of 446 transfused patients (299 adult and 147 paediatric patients) were assessed. Haematology patients accounted for 50% of adult patients and 71% of paediatric patients. Consent was obtained for 75% of adult and 91% of paediatric patients. The highest adherence rate was observed among adult and paediatric haematology specialists (95% and 97%, respectively). Consent forms were correctly filled out with all details provided for 51% and 52% of adult and paediatric patients, respectively. Among inadequately completed forms, the most common error was a lack of witness details (20–25%). Conclusion: In most cases, the pre-transfusion consent policy was successfully adhered to at SQUH. However, further work is required to ensure full compliance with the consent procedure within different specialties. Implementation of transfusion consent in other hospitals in the country is recommended.
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spelling doaj.art-d10b81307b7e4eb8a7279ee3699085732022-12-21T21:49:29ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282016-08-0116329329710.18295/squmj.2016.16.03.0052075First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospitalArwa Z. Al-Riyami0Naif Al-Ghafri1Fehmida Zia2Mohammed Al-Huneini3Abdul-Hakeem Al-Rawas4Salam Al-Kindi5Sachin Jose6Murtadha Al-Khabori7Hilal Al-Sabti8Shahina Daar9Departments of Haematology, Sultan Qaboos University HospitalCollege of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanDepartments of Haematology, Sultan Qaboos University HospitalDepartments of Haematology, Sultan Qaboos University HospitalDepartments of Child Health Sultan Qaboos University HospitalDepartment of Haematology, Oman Medical Specialty Board, Muscat, OmanDepartment of Planning & Studies, Oman Medical Specialty Board, Muscat, OmanDepartments of Haematology, Sultan Qaboos University HospitalDepartments of Surgery, Sultan Qaboos University HospitalDepartment of Haematology, Sultan Qaboos University, Muscat, OmanObjectives: Transfusions are a common medical intervention. Discussion of the benefits, risks and alternatives with the patient is mandated by many legislations prior to planned transfusions. At the Sultan Qaboos University Hospital (SQUH), Muscat, Oman, a written transfusion consent policy was introduced in March 2014. This was the first time such a policy was implemented in Oman. This study therefore aimed to assess adherence to this policy among different specialties within SQUH. Methods: The medical records of patients who underwent elective transfusions between June and August 2014 were reviewed to assess the presence of transfusion consent forms. If present, the consent forms were examined for completeness of patient, physician and witness information. Results: In total, the records of 446 transfused patients (299 adult and 147 paediatric patients) were assessed. Haematology patients accounted for 50% of adult patients and 71% of paediatric patients. Consent was obtained for 75% of adult and 91% of paediatric patients. The highest adherence rate was observed among adult and paediatric haematology specialists (95% and 97%, respectively). Consent forms were correctly filled out with all details provided for 51% and 52% of adult and paediatric patients, respectively. Among inadequately completed forms, the most common error was a lack of witness details (20–25%). Conclusion: In most cases, the pre-transfusion consent policy was successfully adhered to at SQUH. However, further work is required to ensure full compliance with the consent procedure within different specialties. Implementation of transfusion consent in other hospitals in the country is recommended.https://journals.squ.edu.om/index.php/squmj/article/view/2155blood transfusioninformed consentpolicy complianceclinical auditoman.
spellingShingle Arwa Z. Al-Riyami
Naif Al-Ghafri
Fehmida Zia
Mohammed Al-Huneini
Abdul-Hakeem Al-Rawas
Salam Al-Kindi
Sachin Jose
Murtadha Al-Khabori
Hilal Al-Sabti
Shahina Daar
First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
Sultan Qaboos University Medical Journal
blood transfusion
informed consent
policy compliance
clinical audit
oman.
title First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
title_full First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
title_fullStr First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
title_full_unstemmed First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
title_short First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital
title_sort first implementation of transfusion consent policy in oman audit of compliance from a tertiary care university hospital
topic blood transfusion
informed consent
policy compliance
clinical audit
oman.
url https://journals.squ.edu.om/index.php/squmj/article/view/2155
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