TY - JOUR
T1 - First implementation of transfusion consent policy in Oman
T2 - Audit of compliance from a tertiary care university hospital
AU - Al-Riyami, Arwa Z.
AU - Al-Ghafri, Naif
AU - Zia, Fehmida
AU - Al-Huneini, Mohammed
AU - Al-Rawas, Abdul Hakeem
AU - Al-Kindi, Salam
AU - Jose, Sachin
AU - Al-Khabori, Murtadha
AU - Al-Sabti, Hilal
AU - Daar, Shahina
N1 - Publisher Copyright:
© 2016, Sultan Qaboos University. All rights reserved.
PY - 2016/8
Y1 - 2016/8
N2 - 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.
AB - 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.
KW - Blood transfusion
KW - Clinical audit
KW - Informed consent
KW - Oman
KW - Policy compliance
UR - http://www.scopus.com/inward/record.url?scp=84983233380&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84983233380&partnerID=8YFLogxK
U2 - 10.18295/squmj.2016.16.03.005
DO - 10.18295/squmj.2016.16.03.005
M3 - Article
C2 - 27606107
AN - SCOPUS:84983233380
SN - 2075-051X
VL - 16
SP - e293-e297
JO - Sultan Qaboos University Medical Journal
JF - Sultan Qaboos University Medical Journal
IS - 3
ER -