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Improving communication of inpatient blood transfusion events to GPs
1University Hospitals Coventry and Warwickshire NHS Trust.
Insights
Hospital discharge summaries must include blood transfusion information for General Practitioners (GPs). A simple e-discharge pro-forma update and doctor training improved documentation rates from 50% to 80%.
Area of Science:
- Medicine
- Healthcare Management
Background:
- Effective communication of patient care events, such as blood transfusions, to General Practitioners (GPs) is crucial for continuity of care.
- Existing hospital discharge procedures inadequately documented blood transfusion events for GP notification.
Purpose of the Study:
- To improve the documentation and communication of blood transfusion events in hospital discharge summaries to GPs.
- To assess the impact of a targeted intervention on improving the accuracy and completeness of this communication.
Main Methods:
- An audit identified initial low rates (50%) of blood transfusion documentation in discharge letters.
- An intervention was implemented, including a dedicated section on the electronic discharge (e-discharge) pro-forma and focused training for junior doctors (FY1).
Main Results:
- Post-intervention, the documentation rate of blood transfusions in medical patients increased to 80%.
- The intervention also led to more detailed documentation of these transfusion events.
Conclusions:
- A simple, cost-neutral intervention involving an updated e-discharge pro-forma and targeted education significantly improves the communication of blood transfusion information to GPs.
- This enhancement in communication can lead to improved patient care and reduced clinical risk.
Abstract:
Patients who have had blood transfusions whilst in hospital must have this information communicated to their General Practitioner at discharge. Audit demonstrated that just 50% of patients (n=15) under medical specialties who had undergone a blood transfusion had this information included in their discharge letter. To improve this, a section was specifically designated on the e-discharge pro-forma for the documentation of blood transfusion events, and focused teaching was delivered to all new FY1 doctors at their induction. Post intervention, 80% of blood transfusions occurring in medical patients were documented on the e-discharge, with an improvement in how detailed this documentation was (n=40). This simple intervention is an easily reproducible, cost neutral method of ensuring that more blood transfusion events are communicated to patients' GPs; improving care and reducing risk.
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