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Blood transfusion [QS138]

Measuring the use of this guidance

Statement: 3

People are clinically reassessed and have their haemoglobin levels checked after each unit of red blood cells they receive, unless they are bleeding or are on a chronic transfusion programme.

Quality standard measure: Proportion of red blood cell transfusions where the haemoglobin level of the person is checked after each unit of blood transfused, unless they are bleeding or on a chronic transfusion programme.
What was measured: Proportion of patients who had a red blood cell transfusion in a hospice that had their haemoglobin levels measured after each unit transfused.
Data collection end: December 2016
5%
Number that met the criteria: 25 / 465
Area covered: UK
Source: NHS Blood and Transplant. National Comparative Audit of Red Blood Cell Transfusion in Hospices.

Quality standard measure: Proportion of red blood cell transfusions where the haemoglobin level of the person is checked after each unit of blood transfused, unless they are bleeding or on a chronic transfusion programme.
What was measured: Proportion of adult haematology inpatients who had their haemoglobin levels measured in between transfused units.
Data collection end: July 2017
12%
Number that met the criteria: 80 / 684
Area covered: UK
Source: NHS Blood and Transplant. National Comparative Audit of Red Cell & Platelet Transfusion in Adult Haematology Patients

Quality standard measure: Proportion of red blood cell transfusions where the haemoglobin level of the person is checked after each unit of blood transfused, unless they are bleeding or on a chronic transfusion programme.
What was measured: Proportion of adult haematology outpatients who had their haemoglobin levels measured in between transfused units.
Data collection end: July 2017
1.3%
Number that met the criteria: 25 / 1941
Area covered: UK
Source: NHS Blood and Transplant. National Comparative Audit of Red Cell & Platelet Transfusion in Adult Haematology Patients

Quality standard measure: Proportion of red blood cell transfusions where the haemoglobin level of the person is checked after each unit of blood transfused, unless they are bleeding or on a chronic transfusion programme.
What was measured: The proportion of people in hospices who had their haemoglobin checked in between units or post-transfusion.
Data collection end: December 2016
28.4%
Number that met the criteria: 122 / 465
Area covered: UK
Source: Neoh, K.; Gray, R.; Grant-Casey, J.; et al. National comparative audit of red blood cell transfusion practice in hospices: Recommendations for palliative care practice, Palliative Medicine, 33, 1, 102-108, 2019. https://doi.org/10.1177/0269216318801755


Statement: 4

People who may need or who have had a blood transfusion are given verbal and written information about blood transfusion.

Quality standard measure: Proportion of people who have had a blood transfusion who are given verbal and written information about blood transfusion.
What was measured: Proportion of patients who had a red blood cell transfusion in a hospice that had the risks and benefits of transfusion explained.
Data collection end: December 2016
71%
Area covered: UK
Source: NHS Blood and Transplant. National Comparative Audit of Red Blood Cell Transfusion in Hospices.



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