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Updated: Sep 17, 2025

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How do we improve massive transfusion protocol adherence among anesthesia providers?

Ana Julia H Parks1, Susan G Silva1, Jessica L Poisson2

  • 1School of Nursing, Duke University, Durham, North Carolina, USA.

Transfusion
|July 4, 2025
PubMed
Summary
This summary is machine-generated.

Re-educating anesthesia providers on massive transfusion protocols significantly improved their knowledge, confidence, and adherence. While adherence to transfusion ratios increased, patient survival rates did not change.

Keywords:
MTP adherenceMTP educationmassive transfusion protocol

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Area of Science:

  • Trauma care
  • Anesthesiology
  • Quality improvement

Background:

  • Massive transfusion protocols (MTPs) are critical in managing severe trauma.
  • Previous research indicates a need for improved provider adherence to MTPs.
  • Anesthesia providers play a key role in intraoperative MTP implementation.

Observation:

  • A quality improvement project targeted anesthesia provider adherence to MTPs.
  • An educational module was developed, including presentations and Q&A sessions.
  • Provider knowledge and confidence were assessed pre- and post-intervention.

Findings:

  • Significant improvements in anesthesia provider knowledge scores were observed post-intervention (p=.0005).
  • Provider confidence in utilizing the MTP substantially increased.
  • Adherence to MTP transfusion ratios (PRBC:FFP and PRBC:platelets) improved, but patient survival rates did not show an increase.

Implications:

  • Provider reeducation effectively enhances knowledge, confidence, and adherence to MTPs.
  • Further strategies may be needed to impact patient survival rates in massive transfusions.
  • This study highlights the value of targeted educational interventions in critical care settings.