Is Blood Transfusion in Anesthesia Based on International Standard?
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Abstract
Background: Blood transfusion is a critical procedure where any error in the transmission chain can jeopardize patient safety. To ensure safe blood transfusions, it is essential to evaluate the performance of all personnel involved in the transfusion process, including anesthesia technologists, whose role has often been overlooked. This study was conducted with the aim of investigating the performance of in com anesthesia technologist plying with safe blood transfusion procedures during anesthesia.
Methods: This cross-sectional study was conducted on 80 Anesthesia technologist s working in Rasoul Akram and Firouzgar hospitals in Tehran. The purpose of this study was to investigate the level of adherence to safe blood transfusion standards by Anesthesia technologist s. The data was collected using a comprehensive and standard questionnaire including two parts: the first part demographic information and the second part focusing on the standards of safe blood transfusion. All completed questionnaires were entered into SPSS software version 27. Descriptive and inferential statistics were used for statistical analysis.
Results: The average age of the participants was 34 ± 10 years. Of the participants, 70% were women and 30% were men. The average score on the 36-question questionnaire was 27.32, corresponding to 73% of the maximum possible score. Performance levels were categorized as follows: good (75–100%), representing 41.25% of participants; moderate (50–75%), representing 58.75% of participants; and poor (<50%), with no participants falling into this category. Overall, the performance of anesthesia technologist in adhering to safe blood transfusion standards was considered average.
Conclusion: Anesthesia technologist performance in safe blood transfusion procedures during anesthesia was evaluated at a moderate level. Addressing these gaps and considering educational programs in health care systems can improve patient safety and improve clinical outcomes during anesthesia and surgical procedures.
[2] Shaikh MH, Bibi A, Ali R. Nurse's Knowledge Regarding Blood Transfusion in a Tertiary Care Hospital Karachi, Pakistan: Nurse's Knowledge Regarding Blood Transfusion. NURSEARCHER. J nurs midwifery sci. 2023:19-23.
[3] Babajani A, Moradimajd P, Saei A, Abolghasemi J. Development and Psychometrics of Safe Anesthesia Evaluation. Three-Step Checklist (Pre-Induction of Anesthesia, Maintenance of Anesthesia, Post-Anesthesia): A Cross Sectional Study. Arch Anesthesiol Crit Care. 2024;10(1):66-74.
[4] Akyol A. Assessing knowledge of nurses on blood transfusion in Turkey. Int J Caring Sci. 2019;12(1):521-8.
[5] Robinson S, Harris A, Atkinson S, Atterbury C, Bolton-Maggs P, Elliott C, et al. The administration of blood components: a British Society for Haematology Guideline. Transfus Med. 2018;28(1):3-21.
[6] Miller K, Akers C, Davis AK, Wood E, Hennessy C, Bielby L. The evolving role of the transfusion practitioner. Transfus Med Rev. 2015;29(2):138-44.
[7] Hijji B, Parahoo K, Hussein MM, Barr O. Knowledge of blood transfusion among nurses. J Clin Nurs. 2013;22(17-18):2536-50.
[8] Hijji BM, Oweis AE, Dabbour RS. Measuring knowledge of blood transfusion: A survey of Jordanian nurses. Am Int J Contemp Res. 2012;2(10):77-94.
[9] Fujii Y, Shibata Y, Miyata S, Inaba S, Asai T, Hoshi Y, et al. Consecutive national surveys of ABO‐incompatible blood transfusion in Japan. Vox Sang. 2009;97(3):240-6.
[10] Gholami M, Hajinabi K, Riahi L, Haghpanah S. Blood Bags Usage Management in Elective Surgery in Hospitals of Iran: A Review Study. Sci J Iran Blood Transfus Organ. 2020;17(1):67-81.
[11] Nilsson L, Lindberget O, Gupta A, Vegfors M. Implementing a pre‐operative checklist to increase patient safety: a 1‐year follow‐up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):176-82.
[12] Krombach JW, Marks JD, Dubowitz G, Radke OC. Development and implementation of checklists for routine anesthesia care: a proposal for improving patient safety. Anesth Analg. 2015;121(4):1097-103.
[13] Bediako AA, Ofosu-Poku R, Druye AA. Safe blood transfusion practices among nurses in a major referral center in Ghana. Adv Hematol. 2021;2021.
[14] Khan AI, Gupta G. Non-infectious complications of blood transfusion. 2021.
[15] Sedigh Maroufi S, Moradi Majd P, Amini A, Abolghasemi J, Mehdizadeh S. Evaluating the Effectiveness of Using Blood Transfusion Checklists in Reducing Transfusion-Related Complications: A Systematic Review. Sci J Iran Blood Transfus Organ 2023; 20 (4) :346-356
[16] Moradimajd P, Taghizadeh S, Sedigh Maroufi S. Designing and Psychometry of the Evaluation Checklist for the Registration and Labeling Guidelines of Anesthetic Drugs in the Operating Room. J Police Med. 2023;12(1):1-13.
[17] Babajani A, Moradimajd P, Saei A, Abolghasemi J. Development and Psychometrics of Safe Anesthesia Evaluation. Three-Step Checklist (Pre-Induction of Anesthesia, Maintenance of Anesthesia, Post-Anesthesia): A Cross Sectional Study. Arch Anesthesiol Crit Care. 2024;10(1):66-74.
[18] Babajani A, Sajadi AS, Beiranvand ZP, Taghizadeh S, Moradimajd P. Improving Safety and Reducing Clinical Errors in Anesthesia: Which Checklist Is Your Choice? Arch Anesthesiol Crit Care. 2024.
[19] Mahdizadeh S. Development and psychometric of the checklist of safe blood transfusion in anesthesia: [thesis]. Iran: Iran University; 2023.
[20] Elias E, Mauka W, Philemon RN, Damian DJ, Mahande MJ, Msuya SE. Knowledge, attitudes, practices, and factors associated with voluntary blood donation among university students in Kilimanjaro, Tanzania. J Blood Transfus. 2016;2016(1):8546803.
[21] Yami A, Darbandi A, Saber E, Tabrizi Namini M, Gharehbaghian A. Assessment the knowledge of blood transfusion in Iranian nurses of Tehran's hospitals. J Transfus Med. 2021;31(6):459-66.
[22] Mohd Noor NH, Saad NH, Khan M, Hassan MN, Ramli M, Bahar R, et al. Blood transfusion knowledge among nurses in Malaysia: a university hospital experience. International Int J Environ Res Public Health. 2021;18(21):11194.
[23] Kupesiz FT, Ocak S, Koc BS, Evim MS, Tufekci O, Kintrup GT, et al. Evaluation of the knowledge of intern doctors on transfusion medicine in Turkey. 2020.
[24] Babai F, Adineh M. The effect of using combined education regarding safe blood transfusion on knowledge and practice of nurses in NZAJA hospitals in southwest in 2019. J Nur Phys Within War. 2022;10(34):6-13.
[25] Adgoy ET, Solomon M, AwetGhebretinsae KG, Fissehaye D, Andemariam Z. Cross-Sectional Study on Knowledge, Attitude and Practice of Voluntary Blood Donation among Nursing Staff at Orotta National Referral Teaching Hospital Asmara, Eritrea. Chin J of Med Res. 2021;4(1):23-9.
[26] Kavaklioglu AB, Dagci S, Oren B. Determination of health workers’ level of knowledge about blood transfusion. North Clin Istanb. 2017;4(2):165.
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