Appropriateness of fresh-frozen plasma usage in hospital settings: a meta-analysis of the impact of organizational interventions

被引：18

作者：

Damiani, Gianfranco ^{[1
]}

Pinnarelli, Luigi

Sommella, Lorenzo

Farelli, Valentina

Mele, Luca

Menichella, Giacomo

Ricciardi, Walter

机构：

[1] Univ Cattolica Sacro Cuore, Dept Publ Hlth, I-100168 Rome, Italy

来源：

TRANSFUSION | 2010年 / 50卷 / 01期

关键词：

QUALITY-ASSURANCE; TRANSFUSION PRACTICES; PROSPECTIVE AUDIT; OUTCOMES; IMPROVEMENT; GUIDELINES;

D O I：

10.1111/j.1537-2995.2009.02371.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: Transfusions of fresh-frozen plasma (FFP) are a worldwide ever-growing practice. The most advanced health care organizations, to guarantee high-quality standards of interventions and safe procedures, should disseminate scientific evidence for promoting the appropriateness of transfusions and reducing avoidable risks. STUDY DESIGN AND METHODS: We carried out a systematic review of scientific literature searching for studies focused on the implementation of different strategy of organizational interventions aimed at improving clinicians' practice. RESULTS: Of 915 studies, 10 articles were included in our meta-analysis of risk of inappropriate transfusion after the implementation of an organizational intervention. The risk ratio of inappropriate transfusions before organizational interventions was 2.02 (95% confidence interval, 1.44-2.84) compared with after interventions. CONCLUSION: The organizational interventions showed a positive impact on the reduction of rates of inappropriate FFP transfusion episodes.

引用

页码：139 / 144

页数：6

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