Volume 21, Issue 2 (Summer 2024)                   Sci J Iran Blood Transfus Organ 2024, 21(2): 97-107 | Back to browse issues page

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Javadzadeh Shahshahani H, Nazari M. Evaluating the level of residents' awareness about patient blood management and the impact of education on it. Sci J Iran Blood Transfus Organ 2024; 21 (2) :97-107
URL: http://bloodjournal.ir/article-1-1518-en.html
Evaluating the level of residents' awareness about patient blood management and the impact of education on it
H. Javadzadeh Shahshahani * , M. Nazari
Keywords: Key words: Transfusion Medicine, Education, Knowledge
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References:
  1. Shander A, Hardy JF, Ozawa S, Farmer SL, Hofmann A, Frank SM, Kor DJ, Faraoni D, Freedman J; Collaborators. A global definition of Patient Blood Management. Anesth Analg 2022; 135(3): 476-488.
  2. Spahn DR, Muñoz M, Klein AA, Levy JH, Zacharowski K. Patient Blood Management: Effectiveness and Future Potential. Anesthesiology 2020; 133(1): 212-222.
  3. Torkaman Asadi F, Mohammadi A, Saman Z, Alemi M. Knowledge and attitude of physicians about autologous blood donation (PAD method) before and after training intervention. Sci J Iran Blood Transfus Organ 2016, 13(2): 83-8. [Article in Farsi]
  4. Sabzehka F, Yaghoobi M, Pakzad R, Charkhat-gorgich E, Shirzaie K, Salehiniya H. Effect of education on the knowledge of health care workers about blood products, blood administration, and transfusion complications. Sci J Iran Blood Transfus Organ 2015; 11(4): 337-42. [Article in Farsi]
  5. Fischer DP. Zacharowskia M M, Müller MM, Geisen C, Seifried E, Müller H, et al. Patient Blood Management   Implementation     Strategies   and Their Effect    on     Physicians’  Risk    Perception   , Clinical Knowledge and Perioperative Practice--the Frankfurt Experience Transfus Med Hemother 2015; 42: 91-7.
  6. Vaena MMV, Alves LA. Assessment of the knowledge and perceptions of Brazilian medical residents on transfusion Medicine. Transfus Cell Ther 2019; 41(1): 37-43.
  7. Fung AK, Eder AF, Spitalnik SL, Westhoff CM. Technical Manual. 19th ed. USA: American Association of Blood Banks; 2017. p. 528-556.
  8. Franchini M, Marano G, Veropalumbo E, Masiello F, Pati I, Candura F, et al. Patient blood management: a revolutionary approach to transfusion medicine. Blood Transfus 2019; 17(3): 191-3.
  9. Thomson A, Farmer S, Hofmann A, Isbister J, Shander A. Patient blood management--A new paradigm for transfusion medicine? ISBT Sci Ser 2009; 4: 423-35.
  10. Isbister JP. The three-pillar matrix of patient blood management – An overview. Best Pract Res Clin Anaesthesiol 2013; 27(1): 69-81.
  11. Leahy   MF,   Mukhtar   SA.  From blood transfusion to patient  blood management: a new paradigm for patient care and cost assessment of blood transfusion practice. Intern Med J 2012; 42(3): 328-32.
  12. Khalaf Adeli E, Alavi S M, eslami F, Pourfathollah A. Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital. Sci J Iran Blood Transfus Organ  2018; 15(3): 165-72. [Article in Farsi]
  13. Kasraian L. Tavassoli A. A survey of resident physicians’ knowledge concerning transfusion medicine in Shiraz, Iran. Asian J Transfus Sci 2014; 8(2): 118-20.
  14. Gharehbaghian A, Javadzadeh Shahshahani H, Attar M, Rahbari Bonab M, Mehran M, Tabrizi Namini M. Assessment of physician's knowledge in transfusion medicine, Iran. Transfus Med 2009; 19: 132-8.
  15. Alvarado- Navarroa DM, Cázares-Tameza R, Pérez- ChávezaC F, Díaz-Olacheab G, Lee- Gonzálezc BA, Ramos-Garcíaa AG, et al. Assessment of physicians in training’s knowledge of transfusion medicine at a university hospital. Medicina Universitaria 2016;18 (72): 139-47.
  16. Chegini A, Jamalian A, Abdolhosseini R, Broujerdi A, Zadsar M. Comparison of face-to-face and virtual training in implementation of patient blood management. Sci J Iran Blood Transfus Organ 2023; 20(1): 19-27. [Article in Farsi]
  17. Schlenke P, Spahn DR. Patient Blood Management: It IsTime to StreamlineTargeted Therapy Options. Transfus Med Hemother 2015; 42: 72-3.
  18. Beyable AA, Berhe YW, Nigatu YA, Tawuye HY. Prevalence and factors associated with preoperative anemia among adult patients scheduled for major elective surgery at University hospital in Northwest Ethiopia; a cross-sectional study. Heliyon 2022; 8(2): e08921.
  19. Munting K, Klein A. Optimisation of pre-operative
    anaemia in patients before elective major surgery–why, who, when and how? Anaesthesia 2019; 74: 49-57.
  20. Gómez-Ramirez S, Jericó C, Muñoz M. Perioperative anemia: prevalence, consequences and pathophysiology. Transfus Apher Sci 2019; 58(4): 369-74.
  21. Abdullah HR, Sim YE, Sim YTM, Lamoureux E. Preoperative anemia among the elderly undergoing major abdominal surgery (PANAMA) study: Protocol for a single-center observational cohort study of preoperative anemia management and the impact on healthcare outcomes. Medicine (Baltimore) 2018; 97(21): e10838.
  22. Duarte GC, Catanoce AP, Zabeu JL, Ribeiro GN, Moschen M, de Oliveira NAG, et al. Association of preoperative anemia and increased risk of blood transfusion and length of hospital stay in adults undergoing hip and knee arthroplasty: An observational study in a single tertiary center. Health Sci Rep 2021; 4(4): e448.
  23. Yang WW, Thakkar RN, Gehrie EA, Chen W, Frank SM. Single-unit transfusions and hemoglobin trigger: relative impact on red cell utilization. Transfusion 2017; 57(5): 1163-70.
  24. Berger MD, Gerber B, Arn K, Senn O, Schanz U, Stussi G. Significant reduction of red blood cell transfusion requirements by changing from a double-unit to a single-unit transfusion policy in patients receiving intensive chemotherapy or stem cell transplantation. Haematologica 2012; 97(1): 116-22.
  25. Javadzadeh Shahshahani H. Status of Transfusion Medicine Education in Iran. Arch Iran Med 2016; 19 (6): 439-45.










Sci J Iran Blood Transfus Organ 2024; 21 (2): 97-107
Original Article
 
Evaluating the level of residents' awareness about
patient blood management and the impact
of education on it

Javadzadeh Shahshahani H.1,2, Nazari M.3


1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Yazd Blood Transfusion Center, Yazd, Iran
3Fasa University Of Medical Sciences, Fasa, Iran


Abstract
Background and Objectives
Patient blood management reduces unnecessary transfusions to improve patients' health. Familiarity of physicians with this program is necessary to improve the outcomes of patients health. This study was conducted to evaluate the effect of education on the level of knowledge of residents in medical centers in Yazd, 2022-2023.

Materials and Methods
The study was a before and after quasi-experimental intervention. 57 medical residents participated. A 20 question questionnaire measured the residents' knowledge level in patient blood management before and after the education. The validity of the questionnaire was measured by a survey of experienced physicians in the management of patient's blood. Reliability with Cronbach's alpha test was 0.8. The data were analyzed using t and Paired-t tests in SPSS 20 software.

Results
35 participants (61.4%) were women and 22 (38.6%) were men. Their mean age was 30.58 ± 5.45 years.The average knowledge scores were 9.38 ± 3.77 and 14.01 ± 3.50 before and after education, respectively (p < 0.001). The lowest response rate before instructions pertained to evaluation of patients' anemia before surgery and knowledge of autologous blood usage. The knowledge score had no significant relationship with age, sex, blood prescription history, and medical practice duration.

Conclusions 
Education effectively increased the knowledge of residents. It is suggested to include hold targeted educational programs with emphasis on the areas of anemia management and the use of autologous blood, publish educational guides, and include transfusion medicine and the patient's blood management program in medical education curricula.

Key words: Transfusion Medicine, Education, Knowledge




Received: 24 Dec 2023
Accepted: 29 Apr 2024



Correspondence: Javadzadeh Shahshahani H., Pathologist. Associate Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Yazd Blood Transfusion Center.
Postal Code: 8915913971, Yazd, Iran. Tel: (+9835) 38249517; Fax: (+9835) 38247417
E-mail: javadzadehhayedeh@gmail.com
Type of Study: Research | Subject: Blood transfusion medicine
Published: 2024/06/30
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