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inappropriate blood requests a laboratory audit donna knight associate practitioner transfusion department introduction concern red cell availability challenges financial restraints various studies increased mortality morbidity chronic anaemia transfusion practice changing try reduce blood usage what we laboratory based approach pro active team effort laboratory clinical grades inappropriate transfusions deficiency related anaemias taco requests a component request just that a request one assess

bleed audit initiative improving parental assent transfusion blood components neonates s armitage v venkatesh j es s sinha d dave v kairamkonda background ethical medico legal imperative consent obtained medical treatment specific recommendation doh sabto bcsh rcn consent obtained transfusion blood components assent agreement parents obtained a proxy consent busy tertiary neonatal unit bleed audit initiative baseline audit line local national guidelines 1 ensure parental assent agreement transfu

treating anaemia heart failure clinical audit maryanne mariyaselvam s jaffery r nata queen elizabeth hospital kings lynn heart failure failure heart a pump support physiological circulation systolic heart failure reduced cardiac contractility diastolic heart failure impaired cardiac relaxation abnormal ventricular filling symptoms breathlessness exertional dyspnoea orthopnoea paroxysmal nocturnal dyspnoea fatigue ankle swelling causes coronary artery disease mostly mi hypertension af why a probl

45 40 35 30 25 20 15 10 5 0 39 13 27 15 25 06 23 54 n 13 n 47 n 15 n 28 pre sim intervention control post sim 45 40 35 30 25 20 15 10 5 0 39 13 27 15 25 06 23 54 p 0 22 n 13 n 47 n 15 n 28 pre sim intervention control post sim intervention group pre number questionnaires total score 50 mean sd confidence 4 sd awareness protocol 3 sd ability prioritise 22 sd knowledge protocol 21 sd post p value control group pre post p value 13 27 15 4 02 2 0 82 1 6 1 04 15 2 16 8 54 1 9 15 39 13 3 91 3 26 0 59

2012 audit blood sample collection labelling hazel tinegate clinical lead october 2013 national comparative audit blood transfusion 2012 audit blood sample collection labelling method samples received transfusion laboratory during months may june july 2012 rejected reasons mislabelling details collected took sample taken whether core hours nature mislabelling asked follow up 3 rejected samples per week interview collector discover reasons error asked complete organisational survey national compa