First Implementation of Transfusion Consent Policy in Oman Audit of compliance from a tertiary care university hospital
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 3
Abstract
Objectives: Transfusions are a common medical intervention. Discussion of the benefts, 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. Tis was the frst time such a policy was implemented in Oman. Tis study therefore aimed to assess adherence to this policy among different specialties within SQUH. Methods: Te 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. Te highest adherence rate was observed among adult and paediatric haematology specialists (95% and 97%, respectively). Consent forms were correctly flled 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.
Authors and Affiliations
Arwa Z. Al-Riyami| Departments of Haematology, Sultan Qaboos University Hospital, Naif Al-Ghafri| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Fehmida Zia| Departments of Haematology, Sultan Qaboos University Hospital, Mohammed Al-Huneini| Departments of Haematology, Sultan Qaboos University Hospital, Abdul-Hakeem Al-Rawas| Departments of Child Health Sultan Qaboos University Hospital, Salam Al-Kindi| Department of Haematology, Oman Medical Specialty Board, Muscat, Oman, Sachin Jose| Department of Planning & Studies, Oman Medical Specialty Board, Muscat, Oman, Murtadha Al-Khabori| Departments of Haematology, Sultan Qaboos University Hospital, Hilal Al-Sabti| Departments of Surgery, Sultan Qaboos University Hospital, Shahina Daar| Department of Haematology, Sultan Qaboos University, Muscat, Oman
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