Education: Winning Abstract 2017

Influencing transfusion practice utilising account for patient data

J. Lussier, C. Hendry, L. Stout & M. Vickers
NHS National Services Scotland, SNBTS, Aberdeen, United Kingdom

Background
It was recognised in January 2016 that NHS Grampian’s cross - match to transfusion ratio (C:T) was one of the highest in Scotland.

A collaborative improvement project between SNBTS and NHS Grampian clinicians was developed to reduce the high C:T ratio and translate this into a review of the Maximum Blood Ordering Schedule(MSBOS). The reviewed MSBOS would ensure that blood was used more effectively and reduce unnecessary cross-matching.

Method:
Utilising account for patient data, we presented the high C:T ratios to the Hospital Transfusion Committee. We targeted wards which had the highest usage and C:T ratios, then engaged with surgeons and their teams at departmental meetings. An action plan was developed for each clinical area with ongoing monitoring of adherence to the agreed schedule.

Results:
Continued tracking, trending and engagement with clinical teams has seen a reduction of the C:T ratio in Grampian, from 2.2 prior to interventions to 1.8 in March 2017.

Conclusion:
This collaborative approach has resulted in a more effective use of the donors’ ‘gift’ and saved labour and consumables within blood bank.

Presenting Account for Patient data to clinicians can be a powerful tool to effect positive changes in practice. 

In order to embed this change, key interventions need to continue:

  • use data to track and trend progress
  • continue to engage with clinicians to review practice
  • celebrate successes
  • promote the agreed MSBOS to ensure standardised practice particularly amongst rotational clinical staff

REFERENCES
Account for patient, SNBTS (2016) Summary cross-match to transfusion ratios by laboratory and quarter, Scottish National Blood Transfusion Services, NHS National Services Scotland

Account for patient, SNBTS (2017) Summary cross-match to transfusion ratios by laboratory and quarter, Scottish National Blood Transfusion Services, NHS National Services Scotland

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