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Cited by 34Blood transfusion and managementHealthcare cost, quality, practicesClinical Laboratory Practices and Quality Control

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Appropriateness of red blood cell transfusions in major urban hospitals and effectiveness of an intervention

Rubin, George L, Schofield, W N, Dean, Mark G, Shakeshaft, Anthony P·2001·Medical Journal of Australia
DOI 10.5694/j.1326-5377.2001.tb143617.x
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Abstract

OBJECTIVES: To assess the appropriateness of red blood cell (RBC) transfusions and the effectiveness of an intervention to reduce inappropriate RBC transfusions. DESIGN: Medical record audit by hospital staff using a data form, before and after randomly allocated interventions (letter only or letter+visit). Criteria for assessing appropriateness of RBC transfusions were based on a systematic literature review. SETTING: Ten major urban hospitals in Sydney, New South Wales, in 1998 and 1999. SUBJECTS: Medical records of up to 120 patients at each hospital (n=1117). INTERVENTIONS: Letter-only (5 hospitals)--results of first audit at the hospital mailed to chief executive officer of that hospital; letter+visit (5 hospitals) results of first audit at the hospital presented by the research team to a meeting of that hospital's staff, and then mailed to the chief executive officer. MAIN OUTCOME MEASURE: Proportion of RBC transfusions assessed as inappropriate. RESULTS: At first audit, 35% of RBC transfusions were assessed as inappropriate. Small reductions in inappropriate transfusions were found at the second audit, but the change was significant only for the hospitals receiving the letter-only intervention. About 5% of patients received a single RBC unit; 40% of single-unit transfusions were inappropriate. More RBC transfusions were inappropriate in surgical patients than in those treated by other specialties. CONCLUSIONS: About a third of RBC transfusions were assessed as inappropriate. The interventions had only a small effect on transfusion appropriateness.

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Crossref · 10.5694/j.1326-5377.2001.tb143617.x

Cites

22 of 22 references verified0 citation errors · 0 not checkable

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  • Rubin 2001 found no difference in appropriateness of red blood cell transfusions when adding verbal feedback at staff meetings to written feedback delivered only to hospital administration (adjusted RD = -2%; no statistical test reported).

    “They did not find a difference in appropriateness of red blood cell transfusions (adjusted RD = ‐2%; no statistical test reported for this comparison).”

    From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Rubin 2001

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Research works printed but not linked: 3

  1. 1999, Blood Safety in the European Community: an initiative for optimal use under the auspices of the Federal Ministry of Health with financial support from the Commission of the European Communities — Wild—bad Kreuth, Germany 20‐22 May
  2. Hill SR, 1999, Improving the appropriateness of red blood cell transfusion in NSW Hospitals: systematic review of the literature
  3. New South Wales Department of Health, 1999, NSW public hospitals comparison data— 1996/97

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Metadata

Authors
Rubin, G. L., Schofield, W. N., Dean, M. G., & Shakeshaft, A. P.
Affiliations
  • The University of Sydney (AU)
  • Australian Red Cross Lifeblood (AU)
ORCID
Shakeshaft, Anthony P
Venue
Medical Journal of Australia
Publisher
AMPCo
Published
2001-10
Volume
175
Issue
7
Pages
354-358
ISSN
  • 0025-729X (ISSN-L)
  • 1326-5377
DOI
10.5694/j.1326-5377.2001.tb143617.x
OpenAlex
W96143769
Cited by
34
References
22
Citations by year
2025: 2 · 2024: 3 · 2023: 1 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
FWCI
1.33
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Medical Journal of Australia (publishedVersion)
  • PubMed (publishedVersion)
Funders
NSW Ministry of Health
Topics
  • Health Sciences › Medicine › Hematology › Blood transfusion and management
  • Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
  • Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
Keywords
red blood cell transfusion, transfusion appropriateness, inappropriate transfusion, transfusion guidelines, audit and feedback, single-unit transfusion, surgical patients, urban hospitals
MeSH terms
Aged, Australia, Decision Making, Female, Hematologic Diseases, Hospitals, Urban, Humans, Male, Medical Audit, Middle Aged, Probability, Registries, Sensitivity and Specificity, Urban Population, Wounds and Injuries, Confidence Intervals, Erythrocyte Transfusion, Unnecessary Procedures

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