First Implementation of Transfusion Consent Policy in Oman : Audit of compliance from a tertiary care university hospital

Sultan Qaboos University Medical Journal

Naif Al-Ghafri¹  Salam Al-Kindi²  Shahina Daar³  Sachin Jose⁴  Abdul-Hakeem Al-Rawas⁵  Murtadha Al-Khabori⁶  Fehmida Zia⁶  Arwa Z. Al-Riyami⁶  Mohammed Al-Huneini⁶  Hilal Al-Sabti⁷ 

[1] College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman;Department of Haematology, Oman Medical Specialty Board, Muscat, Oman;Department of Haematology, Sultan Qaboos University, Muscat, Oman;Department of Planning & Studies, Oman Medical Specialty Board, Muscat, Oman;Departments of Child Health Sultan Qaboos University Hospital;Departments of Haematology, Sultan Qaboos University Hospital;Departments of Surgery, Sultan Qaboos University Hospital;

关键词: blood transfusion;    informed consent;    policy compliance;    clinical audit;    oman.;   

DOI  :  10.18295/squmj.2016.16.03.005

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown