Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11191
Title: Use of fresh-frozen plasma at Royal Darwin Hospital: a retrospective audit.
Authors: Moylan, S
Szabo, F
Scott, H
Kwok, G
Affiliation: Department of Haematology, Royal Darwin Hospital, Darwin, Northern Territory, Australia..
Issue Date: Sep-2008
Citation: Internal medicine journal 2008-09; 38(9): 686-91
Abstract: The aim of the study was to assess the appropriateness of use of fresh-frozen plasma (FFP) at Royal Darwin Hospital against the National Health and Medical Research Council and Australian and New Zealand Society for Blood Transfusion guidelines. A retrospective review of blood product request forms, online pathology storage system data, pathology records and clinical notes between 1 January 2006 and 31 December 2006 was carried out. The appropriateness of requests was assessed against existing guidelines. The percentage of appropriate and inappropriate FFP transfusions was obtained. Six hundred and forty-eight of 950 units (68%) of FFP were used with an appropriate indication as per National Health and Medical Research Council/Australian and New Zealand Society for Blood Transfusion guidelines. Of the remaining units, 14% (137 units) was given without a clear indication and a decision of appropriateness could not be established for 17% (165 units) because of inadequate clinical or pathology information (e.g. coagulation results). Multiple issues around prescribing practice were identified. There is significant use of FFP at Royal Darwin Hospital without clear clinical indication. The employment of a transfusion nurse to monitor use of FFP (and other blood products) and provide education is aimed at improving transfusion efficiency and patient safety.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11191
DOI: 10.1111/j.1445-5994.2008.01730.x
Type: Comparative Study
Journal Article
Subjects: Blood Component Transfusion
Humans
Medical Audit
Northern Territory
Practice Guidelines as Topic
Retrospective Studies
Hospitals
Plasma
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