Transfusion Consent in Oman: Physicians' Perception at a Tertiary Care University Hospital.

Autor: Al-Riyami AZ; Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman., Al-Marshoodi I; College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman., Zia F; Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman., Al-Huneini M; Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman., Al-Rawas AH; Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman., Jose S; Oman Medical Specialty Board, Muscat, Oman., Daar S; Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman; College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman., Al-Khabori M; Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman., Al-Sabti H; Oman Medical Specialty Board, Muscat, Oman; Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Jazyk: angličtina
Zdroj: Oman medical journal [Oman Med J] 2016 Jul; Vol. 31 (4), pp. 253-7.
DOI: 10.5001/omj.2016.50
Abstrakt: Objectives: Transfusion is a common intervention that mandates the discussion of benefits, risks, and alternatives to planned transfusions. In Oman, transfusion consent was first introduced at the Sultan Qaboos University Hospital in March 2014. We sought to evaluate our physicians' opinions, attitudes, and perception of the transfusion consent process.
Methods: Attending physicians of different specialties were invited to complete an anonymous survey on transfusion consent.
Results: A total of 114 physicians responded to the survey. Transfusion benefits and risks were explained regularly by 91% and 87% of the surveyed physicians, respectively. On the other hand, alternatives were declared by only 38%. Discomfort with the consent process was admitted by 10% of the physicians. There was no statistically significant association between discomfort in obtaining the consent and the physician seniority (p = 0.801), nor their specialties (p = 0.623). The importance of the consent process was acknowledged by 80% of surveyed physicians, who supported its implementation in other hospitals.
Conclusion: This survey reflects positive attitudes of the surveyed physicians on the importance of transfusion consent. However, actions are required to achieve physicians' full ease with the process and to ensure that transfusion alternatives are discussed. We advocate implementation of transfusion consent in other hospitals in Oman.
Databáze: MEDLINE