Effects of interventions on the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/159912
Type:
Presentation
Title:
Effects of interventions on the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital
Abstract:
Effects of interventions on the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Lin, Feng-Lien
P.I. Institution Name:National Taiwan University Hospital
Contact Address:No.7 Chung San South Road, Taipei, Taiwan, 100, ROC
Contact Telephone:886-922-429-095
Co-Authors:F. Lin, , National Taiwan University Hospital Department of Nursing , Taipei, TAIWAN; H. Tzeng, , University of Michigan School of Nursing, Ann Arbor, MI;
Objective: This quality improvement project intended to monitor and evaluate the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital. Methods: This project was conducted in the inpatient care units of an academic medical center located in Taiwan. The compliance rate was determined based on the findings of patient/family and nurse interviews as conducted by a designated nursing quality specialist. Then, the compliance rates were calculated as: number of compliance counts/total patients. The data collected from all three audit cycles, and before and after adopting the interventions were compared and analyzed using binary statistics. A total of three audit cycles were conducted: (1st audit) 43 patients who received one blood unit in July 2007, (2nd audit) 44 patients in April 2008, and (3rd audit) 28 patients in September 2008. The compliance rate from the first audit was 51.2%. Reasons for not reaching a 100% compliance rate were identified and the related interventions were developed by the nursing quality improvement committee. Results: The compliance rate was 51.2% in the first audit cycle (July 2007). After implementing the interventions, the compliance rate reached 100% in the second (April 2008) and third audit cycles (September 2008). It was concluded that the changes and interventions implemented after the first audit cycle were effective and sustained. These interventions effectively improved the compliance rate of nurses' adherence to the protocol. Conclusions: Hospitals should review the policies and procedures related to administering blood transfusion at least once a year, and update these policies as needed. Hospitals may provide regular on-job training to enforce nurses' knowledge and skills of administering blood transfusion, and audit nurses' adherence to the blood transfusion protocol randomly in a regular base for the purpose of reinsuring a satisfactory compliance rate and blood transfusion safety for hospitalized patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of interventions on the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159912-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of interventions on the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lin, Feng-Lien</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Taiwan University Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">No.7 Chung San South Road, Taipei, Taiwan, 100, ROC</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">886-922-429-095</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lotus@ntuh.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">F. Lin, , National Taiwan University Hospital Department of Nursing , Taipei, TAIWAN; H. Tzeng, , University of Michigan School of Nursing, Ann Arbor, MI;</td></tr><tr><td colspan="2" class="item-abstract">Objective: This quality improvement project intended to monitor and evaluate the compliance rates of nurses' adherence to the blood transfusion protocol in a Taiwanese hospital. Methods: This project was conducted in the inpatient care units of an academic medical center located in Taiwan. The compliance rate was determined based on the findings of patient/family and nurse interviews as conducted by a designated nursing quality specialist. Then, the compliance rates were calculated as: number of compliance counts/total patients. The data collected from all three audit cycles, and before and after adopting the interventions were compared and analyzed using binary statistics. A total of three audit cycles were conducted: (1st audit) 43 patients who received one blood unit in July 2007, (2nd audit) 44 patients in April 2008, and (3rd audit) 28 patients in September 2008. The compliance rate from the first audit was 51.2%. Reasons for not reaching a 100% compliance rate were identified and the related interventions were developed by the nursing quality improvement committee. Results: The compliance rate was 51.2% in the first audit cycle (July 2007). After implementing the interventions, the compliance rate reached 100% in the second (April 2008) and third audit cycles (September 2008). It was concluded that the changes and interventions implemented after the first audit cycle were effective and sustained. These interventions effectively improved the compliance rate of nurses' adherence to the protocol. Conclusions: Hospitals should review the policies and procedures related to administering blood transfusion at least once a year, and update these policies as needed. Hospitals may provide regular on-job training to enforce nurses' knowledge and skills of administering blood transfusion, and audit nurses' adherence to the blood transfusion protocol randomly in a regular base for the purpose of reinsuring a satisfactory compliance rate and blood transfusion safety for hospitalized patients.</td></tr></table>en_GB
dc.date.available2011-10-26T22:27:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:27:03Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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