Involvement of transfusion unit staff in the informed consent process

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• 作者：Hiroaki Furumaki ; Harumi Fujihara ; Chiaki Yamada ; Hiroko Watanabe ; Hiroki Shibata ; Makoto Kaneko ; Seiya Nagai ; Keiko Ishizuka ; Mariko Tsuzuki ; Miwa Adachi ; Akihiro Takeshita ; ^{akihirot@hama-med.ac.jp" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Informed consent (IC) ; Self-determination ; Blood management ; Transfusion safety ; Transfusion service operations
• 刊名：Transfusion and Apheresis Science
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：54
• 期：1
• 页码：150-157
• 全文大小：1907 K

文摘

Obtaining informed consent (IC) for a blood transfusion is an absolute requirement. In this study, we compared the depth of understanding of blood transfusion among patients with or without an explanation by the transfusion unit staff and evaluated the usefulness of this intervention in obtaining IC.

Materials and Methods

Expert staff from the transfusion unit started to provide patients with a basic explanation of blood transfusion (intervention group, n = 129). The efficacy of this strategy was assessed by comparison with explanation given by the primary doctors only (conventional group, n = 31). We performed a questionnaire survey to analyze the length of time spent providing information of blood transfusion and the depth of understanding of blood transfusion in the two groups.

Results

The median time in providing information in the conventional and intervention groups was 6 and 20 minutes, respectively (P < 0.0001). Patients in the intervention group had a better understanding of several key points on blood transfusion than those in the conventional group.

Conclusion

Our results show that expert staff from the transfusion unit should be involved in obtaining IC for a blood transfusion. Patients who were provided information by transfusion unit staff were more likely to have a better understanding of the risks and benefits of transfusion.