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Does training make a difference? Proficiency training in transfusion guidelines and its effect on red blood cell administration
Author(s) -
Daichman Svetlana,
Ostrovsky Daniel,
Dreiher Jacob,
Pikovsky Oleg
Publication year - 2022
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/trf.16866
Subject(s) - medicine , odds ratio , significant difference , incidence (geometry) , blood transfusion , intervention (counseling) , red blood cell , emergency medicine , residency training , nursing , continuing education , medical education , physics , optics
Background Packed red blood cell (RBC) transfusion is a very common and frequently lifesaving therapeutic intervention, but a liberal transfusion policy may be associated with inferior patient outcomes. Various guidelines have been proposed to reduce the rate of unnecessary RBC transfusions. However, physicians' proficiency in such guidelines and the effect of training on RBC administration remain unknown. Methods We performed a questionnaire‐based assessment of physicians' knowledge of the guidelines in a tertiary hospital in Israel, followed by an analysis of RBC administration six months before and six months after training was delivered. Results The level of proficiency was higher among Israeli university graduates (Odds Ratio [OR] 2.59, p ‐value = 0.02), internists (OR 2.8, p ‐value = 0.02), and physicians beyond the step‐one residency exam (OR 3.08, p ‐value = 0.02). There was no significant effect of training on the rates of RBC administration (incidence rate ratio [IRR] = 0.96 [CI 95% 0.81–1.14], p ‐value = 0.655). Conclusion Educational intervention alone is an ineffective means of reducing the rates of RBC administration. A more complex approach is required to prevent unnecessary RBC transfusions.