The Transfusion Practices of Hospitalists and Their Response to an Educational Intervention: An Exploratory Study 公开

VanderEnde, Daniel (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/4q77fr444?locale=zh
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Abstract






Abstract

The Transfusion Practices of Hospitalists and Their Response to an Educational Intervention:
An Exploratory Study
BY
Daniel Scott VanderEnde
Purpose
Red blood cell transfusions are commonly ordered by hospitalists to treat anemic patients
with little evidence of its impact on patient morbidity and mortality. The purpose of this study is
to characterize the red blood cell transfusion practice patterns among this unstudied group,
ascertain if transfusions are appropriate, and determine if an educational intervention changes
hospitalist practice patterns.
Methods
This is a single center retrospective cohort study comparison of patients transfused by
hospitalists before and after an educational intervention
Results
There was a 65.7 % drop in the total number of transfusions after the education
intervention. A decline occurred in all individual categories of anemia, with statistical
significance change in the categories chronic blood loss, hemolytic anemia, and AOCD.
Conclusions
The decrease in the number of transfusions performed after the educational intervention
suggests that mistransfusions occur frequently in many types of anemia and education may be an
effective way to promote appropriate use of red blood cells. Further studies are needed to
validate our observations and corroborate their significance.
iv


The Transfusion Practices of Hospitalists and Their Response to an Educational Intervention:
An Exploratory Study
BY
Daniel Scott VanderEnde
DTM&H, London School of Tropical Medicine and Hygiene, 2006
M.D., Case Western Reserve University School of Medicine, 1997
B.S., Wheaton College, 1993
Special Studies Project Committee Chair, Dr. Walter Burnett
Special Studies Project submitted to the Faculty of the
Rollins School of Public Health of Emory University
in partial fulfillment of the requirement of the degree of
Master of Public Health in the Career MPH program
2010
v

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