The impact of a 10-year audit cycle on blood usage in a district general hospital
| Autor: | R. M. James, S. Brown, L. A. Parapia, A. T. Williams |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Clinical governance
Medical Audit Blood transfusion business.industry medicine.medical_treatment media_common.quotation_subject Blood Loss Surgical Transurethral Resection of Prostate Context (language use) Hematology Audit Audit plan Hospitals General medicine.disease United Kingdom Resource (project management) Accountability medicine Humans Blood Transfusion Quality (business) Medical emergency business media_common |
| Zdroj: | Transfusion Medicine. 11:371-375 |
| ISSN: | 1365-3148 0958-7578 |
| DOI: | 10.1046/j.1365-3148.2001.00324.x |
| Popis: | As clinical governance moves from concept to practice, it is emerging as a realistic strategy to promote and improve quality within the National Health Service, as well as satisfying the demand for external accountability. In the context of blood transfusion, the area of responsibility encompasses product liability, as well as efficient use of blood as a resource and transfusion as an appropriate clinical response. Clinical governance may be a modern catch phrase, but the principles it enshrines have long been established within blood transfusion, and in other aspects of haematology. Here, an audit cycle comprising four audits over a 10-year period to monitor the use of cross-matched blood in a large district general hospital is described. Initially, blood use was considered by hospital site, and by the surgical procedure for which it was requested. Later, the scope of the audit was expanded to consider usage by individual consultant. A standard of efficient use of cross-matched blood was taken to be a cross-match to transfusion ratio of |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|