Volume 28, Issue 98 (February 2016)                   IJN 2016, 28(98): 39-49 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Dehghan Nayeri N, Arab Ameri Z, Seylani K. Patient’s Safety during Blood Transfusions in Hospitals Affiliated with Tehran University of Medical Sciences. IJN 2016; 28 (98) :39-49
URL: http://ijn.iums.ac.ir/article-1-2264-en.html
1- Nursing and Midwifery Care Research Center, Management and Critical Care department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. (Corresponding author): Tel: 02166927171 Email:dehghann@tums.ac.ir
2- Nursing and Midwifery Care Research Center, Management and Critical Care department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. (Corresponding author)
3- Ardabil University of Medical Sciences, Khalkhal school of Medical Sciences, Tehran, Iran
Abstract:   (6915 Views)

Abstract

Background & Aim: Blood transfusion is one of the most common procedures performed for hospitalized patients. Despite the significant contribution of these products to preserve and improve the quality of life, poor control at any stage - before, during or after the injection- can lead to complications for the patients and it can cause many risks and affect patient safety. Therefore, this study aimed to assess patient safety in the process of transfusion at the Hospitals affiliated to Tehran University of Medical sciences.

Material & Methods: This study was a descriptive and observational study. The surgical wards, emergency units and ICU were randomly selected from two hospitals. The instrument of this study was a Checklist with 38 questions developed based on the guidelines for transfusion process, as well as an extensive review of published literature. The observations performed using patients' files and nurses' performances. Data analyzed by SPSS version 16.

Results: The results of the study have shown that the patient safety met favorably in less than a fifth (19.2%) prior to injection and about one third during injection (32.7%). In case of side effects, the majority of subjects had desired performance (over 70%) for treat the signs and notifying the doctor.

Conclusion: According to the results, it is recommended that in-service courses be taken in the transfusion process and emphasize on observing patient safety before and during injection as a protective stage for preventing from any risk and complication. In addition, it is recommended the guidelines of the transfusion process provide to nurses so that they can implement them. 

Full-Text [PDF 845 kb]   (3220 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/11/16 | Accepted: 2016/02/17 | Published: 2016/02/17

References
1. Sadoughi F, Ahmadi M, Moghaddasi H, Sheikhtaheri A. [Patient Safety Information System: Purpose, Structure and Functions]. J Mazandaran Univ Med Sci. 2011;21(85):174-88.
2. Prentice D, O'Rourke T. Safe Practice: Using High-Fidelity Simulation to Teach Blood Transfusion Reactions. J Infus Nurs. 2013;36(3):207-10. [DOI:10.1097/NAN.0b013e318288a3d9] [PMID]
3. McCay L, Lemer C, Wu AW. Laboratory safety and the WHO World Alliance for Patient Safety. Clin Chim Acta. 2009;404(1):6-11. [DOI:10.1016/j.cca.2009.03.019] [PMID]
4. Teng C-I, Shyu Y-IL, Chiou W-K, Fan H-C, Lam SM. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int J Nurs Stud. 2010;47(11):1442-50. [DOI:10.1016/j.ijnurstu.2010.04.005] [PMID]
5. Henneman EA, Roche JP, Fisher DL, Cunningham H, Reilly CA, Nathanson BH, et al. Error identification and recovery by student nurses using human patient simulation: Opportunity to improve patient safety. Appl Nurs Res. 2010;23(1):11-21. [DOI:10.1016/j.apnr.2008.02.004] [PMID]
6. Riskin DJ, Tsai TC, Riskin L, Hernandez-Boussard T, Purtill M, Maggio PM, et al. Massive transfusion protocols: the role of aggressive resuscitation versus product ratio in mortality reduction. J Am Coll Surg. 2009;209(2):198-205. [DOI:10.1016/j.jamcollsurg.2009.04.016] [PMID]
7. Bolton‐Maggs PH, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. [DOI:10.1111/bjh.12547] [PMID] [PMCID]
8. Epstein JS. Alternative strategies in assuring blood safety: An overview. Biologicals. 2010;38(1):31-5. [DOI:10.1016/j.biologicals.2009.10.009] [PMID]
9. Yoon S, Park AJ, Kim HO. Clinical observation study of massive blood transfusion in a tertiary care hospital in Korea. Yonsei Med J. 2011;52(3):469-75. [DOI:10.3349/ymj.2011.52.3.469] [PMID] [PMCID]
10. Hearnshaw S, Travis S, Murphy M. The role of blood transfusion in the management of upper and lower intestinal tract bleeding. Best Pract Res Clin Gastroenterol. 2008;22(2):355-71. [DOI:10.1016/j.bpg.2007.10.012] [PMID]
11. Bhattacharya P, Marwaha N, Dhawan HK, Roy P, Sharma R. Transfusion-related adverse events at the tertiary care center in North India: An institutional hemovigilance effort. Asian J Transfus Sci. 2011;5(2):164. [DOI:10.4103/0973-6247.83245] [PMID] [PMCID]
12. Patricia Ault R. Understanding iron overload: screening, monitoring, and caring for patients with transfusion-dependent anemias. Clin J Oncol Nurs. 2009;13(5):511. [DOI:10.1188/09.CJON.511-517] [PMID]
13. Boucher BA, Hannon TJ. Blood management: a primer for clinicians. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. 2007;27(10):1394-411. [DOI:10.1592/phco.27.10.1394] [PMID]
14. Dehshal MH. [Three steps towards appropriate use of blood]. Khoon.1(11):1-3. Persian
15. Hijji B, Parahoo K, Hossain MM, Barr O, Murray S. Nurses' practice of blood transfusion in the United Arab Emirates: an observational study. J Clin Nurs. 2010;19(23‐24):3347-57. [DOI:10.1111/j.1365-2702.2010.03383.x] [PMID]
16. Tabiee S, Nakhaei M, Sadat Js. [Nurses'knowledge and Practice about Blood Transfusion in Birjand University of Medical Sciences'hospitals]. Journal of Birjand University of Medical Sciences 2001;8(1):13-6.
17. Alter HJ, Klein HG. The hazards of blood transfusion in historical perspective. Blood. 2008;112(7):2617-26. [DOI:10.1182/blood-2008-07-077370] [PMID] [PMCID]
18. Cannon-Diehl MR. Transfusion in the critically ill: Does it affect outcome? Crit Care Nurs Q. 2010;33(4):324-38. [DOI:10.1097/CNQ.0b013e3181f649d3] [PMID]
19. Aslani Y, Etemadyfar S, Noryan K. [Nurses' knowledge of blood transfusion in medical training centers of Shahrekord University of Medical Science in 2004]. Iran J Nurs Midwifery Res. 2010;15(3): 141–4. [PMID] [PMCID]
20. Hijji B, Parahoo K, Hussein MM, Barr O. Knowledge of blood transfusion among nurses. J Clin Nurs. 2013;22(17-18):2536-50. [DOI:10.1111/j.1365-2702.2012.04078.x] [PMID]
21. Lahlimi F, Tazi I, Sifsalam M, Bouchtia M, Mahmal L. Assessment of transfusion practice: assessing nurses' knowledge in transfusion medicine at Mohamed VI Hematology and Oncology Center of Marrakesh, Morocco. Transfus Clin Biol. 2015;22(1):12-6. [DOI:10.1016/j.tracli.2014.05.006] [PMID]
22. Salarvand S, Bahri N, Kiani N, Maafi M. [Knowledge status of clinical care workers about safe transfusion and its related factors in academic hospitals in Gonabad University of Medical Sciences]. Scientific Journal of Iranian Blood Transfusion Organization. 2013;10(1): 93-7.
23. Piri A, Shahdadi H, Badakhsh M, Karimfar MH. [Knowledge of health care workers in hospitals of Zabol about the appropriate procedure for administration of blood and blood components]. Khoon 2008. 5(3): 203-7.
24. Yousefian N, Nikbakht R, Fazeli K, Notizehi A, Salehinia H, Yaghoobi M, et al. [Awareness of health care staff in hospitals of Zahedan about blood transfusion]. Scientific Journal of Iranian Blood Transfusion Organization. 2014;11(1):71-6.
25. Kasraian L. [The awareness of medical staff of hospitals in Shiraz about transfusion medicine and the impact of education]. Scientific Journal of Iranian Blood Transfusion Organization. 2014;11(3): 214-20.
26. Kasraian L, Tavassoli A. [Physicians' knowledge about and their attitude toward autologus blood donation and the effect of education]. Scientific Journal of Iranian Blood Transfusion Organization. 2013;10(2):122-8.
27. Kaur P, Kaur G, Kaur R, Sood T. Assessment of impact of training in improving knowledge of blood transfusion among Clinicians. Transfus Med Hemother. 2014;41(3):222-6. [DOI:10.1159/000362896] [PMID] [PMCID]
28. de Lardemelle C, Auroy Y. The nurse, a key player in transfusion safety. Rev Infirm. 2012 (177):25-7. [PMID]
29. Hoareau GL, Jandrey KE, Burges J, Bremer D, Tablin F. Comparison of the platelet‐rich plasma and buffy coat protocols for preparation of canine platelet concentrates. Vet Clin Pathol. 2014;43(4):513-8. [DOI:10.1111/vcp.12195] [PMID]
30. Simon TL, McCullough J, Snyder EL, Solheim BG, Strauss RG. Rossi's principles of transfusion medicine: John Wiley & Sons; 2016. [DOI:10.1002/9781119013020]
31. Smith FC, Donaldson J, Pirie L. Pre-registration adult nurses' knowledge of safe transfusion practice: Results of a 12month follow-up study. Nurse Educ Pract. 2010;10(2):101-7. [DOI:10.1016/j.nepr.2009.04.003] [PMID]
32. Bodaghkhan F, Ramzi M, Vazirian S, Ahmadi M, Hajebi Rm, Kohan N, et al. [The Prevalence of acute Blood Transfusion Reactions in Nemazee Hospital]. Scientific Journal of Iranian Blood Transfusion Organization. 2014;11(3): 247-51.
33. Salpeter SR, Buckley JS, Chatterjee S. Impact of more restrictive blood transfusion strategies on clinical outcomes: a meta-analysis and systematic review. The American journal of medicine. 2014;127(2):124-31. e3.
34. Bae S-H. Presence of nurse mandatory overtime regulations and nurse and patient outcomes. Nurs Econ. 2013;31(2):59–68 [PMID]
35. Griffiths P, Dall'Ora C, Simon M, Ball J, Lindqvist R, Rafferty A-M, et al. Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. Med Care. 2014;52(11):975-81. [DOI:10.1097/MLR.0000000000000233] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb