PMID- 31345787
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2291-0026 (Print)
IS  - 2291-0026 (Electronic)
IS  - 2291-0026 (Linking)
VI  - 7
IP  - 3
DP  - 2019 Jul-Sep
TI  - An online educational module on transfusion safety and appropriateness for 
      resident physicians: a controlled before-after quality-improvement study.
PG  - E492-E496
LID - 10.9778/cmajo.20180211 [doi]
AB  - BACKGROUND: Several professional societies have made value-based statements in 
      support of restrictive transfusion strategies. The aim of this study was to 
      determine whether completion of an accredited online training program in 
      transfusion safety could improve transfusion knowledge among medical residents 
      and increase transfusion appropriateness. METHODS: We performed a controlled 
      before-after evaluation of a mandatory accredited self-directed training program 
      (Bloody Easy Lite for Physicians) that provides education about transfusion 
      medicine on a 47-bed medical clinical teaching unit at a university-affiliated 
      hospital centre in Montreal. The program consists of 2 modules and takes about 30 
      minutes to complete. We used the 45-bed medical teaching unit at another Montreal 
      hospital as a contemporary control. We compared resident physicians' pre- and 
      posttest scores and evaluated the impact on transfusion appropriateness by 
      comparing the proportion occurring below a hemoglobin concentration of 80 g/L 
      before (April 2013-June 2015) and after (July 2015-January 2016) the 
      intervention. RESULTS: Of the 55 residents on the intervention unit, 53 (96%) 
      completed the training. The median pretest score was 50% (inter-quartile range 
      [IQR] 40%-60%). The median posttest score was 90% (IQR 80%-90%) for module 1 and 
      80% (IQR 80%-90%) for module 2 (p < 0.001 for both pre-post comparisons). The 
      proportion of transfusions below 80 g/L increased from 80.1% to 86.9% (p = 0.04) 
      on the intervention unit and remained relatively unchanged on the control unit 
      (75.6% v. 71.1%, p = 0.4). Although there was no statistically significant 
      difference between the units in the proportion of transfusions below 80 g/L 
      before the intervention (p = 0.07), a significant difference was observed after 
      the intervention (p = 0.002). INTERPRETATION: Mandatory training in transfusion 
      safety via an online program resulted in improved transfusion knowledge among 
      residents and an increase in the proportion of transfusions occurring at a 
      hemoglobin concentration below 80 g/L. This low-cost educational initiative may 
      improve transfusion appropriateness.
CI  - Copyright 2019, Joule Inc. or its licensors.
FAU - Lee, Todd C
AU  - Lee TC
AD  - Clinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General 
      Internal Medicine (Lee, McDonald), Department of Medicine, McGill University 
      Health Centre, Montreal, Que.
FAU - Murray, Jennifer
AU  - Murray J
AD  - Clinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General 
      Internal Medicine (Lee, McDonald), Department of Medicine, McGill University 
      Health Centre, Montreal, Que.
FAU - McDonald, Emily G
AU  - McDonald EG
AD  - Clinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General 
      Internal Medicine (Lee, McDonald), Department of Medicine, McGill University 
      Health Centre, Montreal, Que. emily.mcdonald@mcgill.ca.
LA  - eng
PT  - Journal Article
DEP - 20190725
PL  - Canada
TA  - CMAJ Open
JT  - CMAJ open
JID - 101620603
PMC - PMC6658213
COIS- Competing interests: None declared.
EDAT- 2019/07/28 06:00
MHDA- 2019/07/28 06:01
PMCR- 2019/07/01
CRDT- 2019/07/27 06:00
PHST- 2019/07/27 06:00 [entrez]
PHST- 2019/07/28 06:00 [pubmed]
PHST- 2019/07/28 06:01 [medline]
PHST- 2019/07/01 00:00 [pmc-release]
AID - 7/3/E492 [pii]
AID - cmajo.20180211 [pii]
AID - 10.9778/cmajo.20180211 [doi]
PST - epublish
SO  - CMAJ Open. 2019 Jul 25;7(3):E492-E496. doi: 10.9778/cmajo.20180211. Print 2019 
      Jul-Sep.