INFORMED CONSENT FOR BLOOD-TRANSFUSION AS A TRANSFUSION MEDICINE EDUCATIONAL INTERVENTION

被引:5
作者
GOODNOUGH, LT [1 ]
HULL, AL [1 ]
KLEINHENZ, ME [1 ]
机构
[1] CASE WESTERN RESERVE UNIV,DEPT MED,CLEVELAND,OH 44106
关键词
INFORMED CONSENT; TRANSFUSION MEDICINE EDUCATION;
D O I
10.1111/j.1365-3148.1994.tb00243.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim here was to determine the effectiveness of a transfusion medicine educational intervention in a medicine core clerkship program. Third-year medical students enrolled in their medicine core clerkship rotations at tertiary care hospitals affiliated with our institution underwent a two-part educational intervention that incorporated a transfusion medicine curriculum within the context of the medicolegal, ethical and educational elements of informed consent. Part one was a l-h didactic session on standards of practice for red blood cell transfusion. Part two was a 90-min multidisciplinary workshop on informed consent. The effectiveness of the educational intervention was analysed by an objective structured clinical evaluation. The student group receiving the educational intervention scored significantly higher than in the comparison group (65.8 +/- 9.2 vs. 54.1 +/- 10.56, P < 0.001). When student scores were used to determine changes in student response patterns over time, the largest change occurred in identifying possible other options to allogeneic blood transfusion. These results suggest that a transfusion medicine curriculum using an informed consent model can be used effectively as an educational intervention in a medicine core clerkship programme.
引用
收藏
页码:51 / 55
页数:5
相关论文
共 19 条
[1]  
BOTKIN JR, 1991, BLOOD LOSS SPINAL SU, P7
[2]  
CALLEIGH AS, 1989, ACAD MED, V64, P699
[3]  
CAMPBELL S, 1986, AABB NEWSBRIEFS JUL, P1
[4]   DOES INAPPROPRIATE USE EXPLAIN GEOGRAPHIC VARIATIONS IN THE USE OF HEALTH-CARE SERVICES - A STUDY OF 3 PROCEDURES [J].
CHASSIN, MR ;
KOSECOFF, J ;
PARK, RE ;
WINSLOW, CM ;
KAHN, KL ;
MERRICK, NJ ;
KEESEY, J ;
FINK, A ;
SOLOMON, DH ;
BROOK, RH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 258 (18) :2533-2537
[5]   INFORMED CONSENT FOR BLOOD-TRANSFUSION - A REGIONAL-HOSPITAL SURVEY [J].
EISENSTAEDT, RS ;
GLANZ, K ;
SMITH, DG ;
DERSTINE, T .
TRANSFUSION, 1993, 33 (07) :558-561
[6]   IDENTIFYING PERSONNEL TO RECEIVE CONTINUING MEDICAL-EDUCATION ABOUT APPROPRIATE USE OF BLOOD-TRANSFUSIONS [J].
GOODNOUGH, LT ;
HULL, AL ;
BRENNAN, PF ;
SHAH, VA ;
MARTIN, B .
ACADEMIC MEDICINE, 1990, 65 (10) :661-661
[7]   RISKS, OPTIONS, AND INFORMED CONSENT FOR BLOOD-TRANSFUSION IN ELECTIVE SURGERY [J].
GOODNOUGH, LT ;
SHUCK, JM .
AMERICAN JOURNAL OF SURGERY, 1990, 159 (06) :602-609
[8]   IDENTIFYING ELECTIVE ORTHOPEDIC SURGICAL PATIENTS TRANSFUSED WITH AMOUNTS OF BLOOD IN EXCESS OF NEED - THE TRANSFUSION TRIGGER REVISITED [J].
GOODNOUGH, LT ;
VERBRUGGE, D ;
VIZMEG, K ;
RIDDELL, J .
TRANSFUSION, 1992, 32 (07) :648-653
[9]   THE VARIABILITY OF TRANSFUSION PRACTICE IN CORONARY-ARTERY BYPASS-SURGERY [J].
GOODNOUGH, LT ;
JOHNSTON, MFM ;
TOY, PTCY .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (01) :86-90
[10]  
GRUNDER TM, 1980, NEW ENGL J MED, V16, P900