Blood bank on-call physician's experiences at a large university medical center

Barbara Bryant, Jack B. Alperin, Alexander J. Indrikovs

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

BACKGROUND: The responsibilities of the blood bank on-call physician (blood bank physician from here on) encompass many aspects of transfusion medicine and physician education. This physician is available 24 hours a day to address any issues concerning the collection and transfusion of blood and blood components. The purpose of this study was to identify and categorize the issues that may confront a blood bank physician. STUDY DESIGN AND METHODS: Each call received over a 4-month period was logged and the resolution documented. The calls were grouped into five categories: donor issues, therapeutic procedure issues, patient issues, physician education issues, and requests for blood components not meeting previously defined transfusion guidelines. RESULTS: The blood bank physician received 224 calls during the study period. To resolve each issue, an additional 1 to 14 telephone calls were needed to gather further information. Number of calls by category were donor issues, 20 (8.9%); therapeutic procedure issues, 9 (4.0%); patient issues, 4 (1.8%); physician education issues, 33 (14.7%); and requests for blood components not meeting previously defined transfusion guidelines, 158 (70.6%). Requests for blood components were denied in 39.8 percent of the cases not meeting guidelines. Other forms of therapy were warranted in 20.9 percent of the cases. CONCLUSION: This study revealed that 85.3 percent of the calls referred to the blood bank physician related to physician education and the appropriateness of blood component orders. These results emphasize the need for ongoing education of medical staff in transfusion medicine issues.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalTransfusion
Volume45
Issue number1
DOIs
StatePublished - Jan 2005

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Blood Banks
Physicians
Education
Transfusion Medicine
Guidelines
Tissue Donors
Medical Staff
Telephone
Blood Transfusion
Therapeutics

ASJC Scopus subject areas

  • Hematology
  • Immunology

Cite this

Blood bank on-call physician's experiences at a large university medical center. / Bryant, Barbara; Alperin, Jack B.; Indrikovs, Alexander J.

In: Transfusion, Vol. 45, No. 1, 01.2005, p. 35-40.

Research output: Contribution to journalArticle

Bryant, Barbara ; Alperin, Jack B. ; Indrikovs, Alexander J. / Blood bank on-call physician's experiences at a large university medical center. In: Transfusion. 2005 ; Vol. 45, No. 1. pp. 35-40.
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