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Hospital Medicine Providers' Transfusion Knowledge: A Survey Study
Brittne Halford1, Adlin Pinheiro1, Richard L Haspel2
1Division of General Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Transfusion Medicine Reviews
|May 19, 2021
Summary
Hospital medicine providers show limited transfusion medicine knowledge, especially regarding transfusion reactions. Most recognize its importance and desire further education for improved patient care.
Area of Science:
- Hematology
- Internal Medicine
- Medical Education
Background:
- Blood transfusion is a common inpatient procedure.
- Prior studies indicate suboptimal transfusion medicine knowledge (TMK) among non-specialist physicians.
- No recent evaluation of TMK exists for hospitalists, including attending physicians and advanced practice providers (APPs).
Purpose of the Study:
- To assess the transfusion medicine knowledge (TMK) of hospital medicine providers nationwide.
- To evaluate attitudes towards TMK and perceived educational needs among hospitalists and APPs.
- To identify specific areas of TMK deficiency within hospital medicine.
Main Methods:
- A nationwide online survey and a 20-question validated exam were administered.
- 183 hospital medicine providers (155 attending hospitalists, 28 APPs) participated.
- The study assessed actual TMK, perceived TMK, and attitudes towards transfusion medicine education.
Main Results:
- The overall mean score on the TMK exam was 52%, with significant variation (20%-85%).
- 41% reported less than one hour of transfusion medicine training.
- Performance was poorest (<25% correct) on questions related to transfusion reactions.
Conclusions:
- Hospital medicine providers demonstrate insufficient transfusion medicine knowledge, particularly concerning transfusion reactions.
- The majority of providers consider TMK crucial and express interest in additional education.
- Continuing medical education presents a significant opportunity to enhance TMK and patient safety in transfusion medicine.
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