EAB81 9 Posted February 6, 2019 When reviewing transfusions (documentation, etc), how many is required by AABB, CAP? Do you just review a percentage a month or so many a year? I ask because I took over blood bank late 2016. All of 2017 I reviewed every backcopy for completion. This year I'm kinda starting new, and its inspection year. Can anyone help? Thanks in advance! Share this post Link to post Share on other sites
John C. Staley 1,086 Posted February 6, 2019 This was a few years ago but when we changed our way of doing things I reviewed every transfusion for 3 months to get a base line and identify any issues with the change such as nurses needing more training or stronger threats. After the initial 3 months I reviewed every transfusion for one month quarterly then after a year of that I did the month long review every 6 months. Seemed to work for us. This was in a 300 bed level II trauma center with a 28 bed NICU and active heart program. I'm not sure if there are any new requirements but generally such requirements never seem to be specific enough to really give in guidance. At least that's how I remember things. Share this post Link to post Share on other sites
David Saikin 1,353 Posted February 6, 2019 I don't know that there is a prescribed number of transfusions to review. Each institution determines what and how review is done. My hospital is very small. I review everything. Share this post Link to post Share on other sites
pinktoptube 45 Posted February 6, 2019 As the previous posters stated there isn't a requirement on the number. I reviewed every record each month for years. Probably 4 years ago I changed this to 10% of total transfusions for the month. Then about 2 years ago it was changed to at least 30 records each month. 1 mcgouc reacted to this Share this post Link to post Share on other sites
applejw 81 Posted February 12, 2019 Would anyone be willing to share their process for transfusion review? Specifically criteria and how review is documented (forms?). Share this post Link to post Share on other sites
Darren 15 Posted April 12, 2019 I "review" everything. I put it in quotes because it's actually done automatically thanks to my girlfriend being a SQL report writer in IT. If you have a SQL writer you can have them whip up a report that does the reviews for you and you just stamp it reviewed and take whatever corrective actions you need. I guess this also assumes that your facility is using a TAR system for nursing to enter vitals and whatnot. It's really baffling why we don't see LIS systems taking more into account the regulating agencies and tailoring their software to it. So many things that are manually looked at could be done in the background. Share this post Link to post Share on other sites
