benchmark; national survey; red blood cell utilization; transfusion practice; Belgium; Erythrocytes; Hospitals; Benchmarking; Blood Transfusion; Hematology; General Medicine
Abstract :
[en] BACKGROUND AND OBJECTIVES: Belgian health authorities launched a national platform in 2011 to improve the quality of transfusion practices and blood use in Belgian hospitals. No data were available about the quality of hospital transfusion practice at the national level.
MATERIALS AND METHODS: Three consecutive national surveys (2012, 2014 and 2016) were performed in all 111 Belgian hospitals to assess the degree of implementation of standards in four process domains related to red blood cell (RBC) transfusion: general quality aspects, ordering of RBC, electronic traceability and reporting of adverse events. The surveys were part of a methodology based on informing, feedback and benchmarking. Responses to questions were analysed semi-quantitatively, and hospitals could score 10 points on each of the domains.
RESULTS: The proportion of hospitals scoring below 5 per domain decreased from 16%, 70%, 14% and 11% (2012) to 2%, 17%, 1% and 1% (2016), respectively. Similarly, scores above 7.5 increased from 25%, 1%, 23% and 36% (2012) to 64%, 30%, 68% and 81% (2016), respectively. In 2016, overall quality of transfusion practices, including the four pre-specified domains, improved continuously with an average total score (max = 40) increasing from 24.2 to 30.5 (p = 0.0005). In addition, there was a decrease in the number of distributed and transfused RBC per 1000 population between 2011 and 2019 from 47.0 to 36.5 and 43.5 to 36.1, respectively.
CONCLUSION: These data show that the applied methodology was a powerful tool to improve quality of transfusion practices and to optimize utilization of RBC at the national level.
Disciplines :
Hematology
Author, co-author :
Vanden Broeck, Jana ; Department of Hematology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium ; Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
Beeckman, Katrien; Nursing and Midwifery Research Unit, University Hospital Brussels, Brussels, Belgium ; Nursing and Midwifery Research Unit, Faculty of Medicine and Pharmacy, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium ; Centre for Research and Innovation in Care, Midwifery Research Education and Policymaking (MIDREP), Verpleeg- en vroedkunde, Universiteit Antwerpen, Antwerp, Belgium
Van Gastel, Evelyne; Federal Agency for Medicines and Health Products, Brussels, Belgium
De Keersmaecker, Luc; Clinical Laboratory, Jan Yperman Hospital, Ypres, Belgium
Devos, Timothy; Department of Hematology, Universitair Ziekenhuis Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium
Noens, Lucien; Blood Bank, Universitair Ziekenhuis Gent, Ghent, Belgium
Putzeys, Dominique; Department of Nursing, Centre Hospitalier Régional de la Citadelle Liège, Liège, Belgium
Van Poucke, Karin; Clinical Laboratory, Algemeen Ziekenhuis Nikolaas, Sint-Niklaas, Belgium
Haelterman, Margareta; Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
Deneys, Véronique; Blood Bank, Département des Laboratoires Cliniques, Cliniques universitaires Saint-Luc, Université Catholique de Louvain Brussels, Brussels, Belgium
Schots, Rik; Department of Hematology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium
Language :
English
Title :
Improvement of transfusion practice and reduction in red blood cell utilization in Belgian hospitals: Results of a national survey and benchmarking.
The project received general support of the Directorate-General for Health Care, Federal Public Service Health, Food Chain Safety and Environment, Belgium. All authors have actively contributed to the conception and design of the survey. K.B. realized the statistical analysis. J.V.B., K.B., R.S., C.G. and V.D. were involved in the interpretation of the data. J.V.B., K.B. and R.S. drafted the manuscript. All authors did a critical revision of the manuscript and gave final approval of the version to be published.
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