Ali FETTAH, DUYGU KARA, Gokce Pinar REİS, Alev Cansu CERTEL, SONER SERTAN KARA

Assessment of physicians' knowledge in transfusion medicine in eastern part of Turkey

Transfusion of blood and blood components is one of the most common medical procedures in the developed world. Knowledge of physicians about blood transfusion is the most important determinant of their approach towards blood transfusion. In this study, we aimed to assess clinicians' basic knowledge regarding transfusion medicine through a questionnaire in a regional hospital. One hundred and one physicians including general practitioners, resident physicians, and specialists participated in the study. The participants were tested with a questionnaire consisting of 20 questions about transfusion medicine. Their scores were compared with regard to their departments, age and experience in medicine. The mean age of study population was 33.1±6 years. Of the total, 70 (69.3%) were male and the average year in medical practice was 7.3±5.8 years. Overall, 52% of the questions were correctly answered. The proportion of correct answers to the questions about basic knowledge, clinical use of blood, and transfusion reactions were as; 52.7%, 54.7%, and 47.3%, respectively. Thirty-four (33.7%) participants scored higher than 60 points, out of 100 points. The average score of total knowledge of participants about transfusion medicine was 52±10. The total knowledge scores of groups including internal departments, surgical departments, and emergency medicine were 55.7±10.2, 51.5±8.3, and 46±10.3, respectively and the differences between three groups were significant (p=0.001) . Also, a positive correlation has been shown between age, experience in medicine and total awareness score in transfusion medicine. The study yielded low/moderate levels of knowledge about transfusion medicine and it was concluded that additional education in transfusion medicine is necessary in all specialties and at each phases of medical practice

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1. Szczepiorkowski ZM, Dunbar NM. Transfusion guidlines: when to transfuse. Hematology Am Soc Hematol Educ Program. 2013;2013:638-44.

2. Kaur P, Kaur G, Kaur R, Sood T. Assessment of Impact of Training in Improving Knowledge of Blood Transfusion among Clinicians. Transfus Med Hemother. 2014;41(3):222-6.

3. Gharehbaghian A, Shahshahani HJ, Attar M, Bonab MR, Mehran M, Namini MT. Assessment of physicians knowledge in transfusion medicine, Iran, 2007. Transfus Med. 2009;19(3):132-8.

4. Rothschild JM, McGurk S, Honour M, Lu L, McClendon AA, Srivastava P, Churchill WH, Kaufman RM, Avorn J, Cook EF, Bates DW. Assessment of education and computerized decision support interventions for improving transfusion practice. Transfusion. 2007;47:228-39.

5. Tinmouth A. Reducing the amount of blood transfused by changing clinicians' transfusion practices. Transfusion. 2007;47(2):132S-136S.

6. Rock G, Berger R, Pinkerton P and Fernandes B. A pilot study to assess physician knowledge in transfusion medicine. Transfus Med. 2002;12(2):125-8.

7. Saillour-Glénisson F, Tricaud S, Mathoulin-Pélissier S, Bouchon B, Galpérine I, Fialon P, Salmi LR. Factors associated with nurses' poor knowledge and practice of transfusion safety procedures in Aquitaine, France. Int J Qual Health Care. 2002;14(1):25-32.

8. Reza PA, Aziz SV, Ali MA, Marjan MH, Reza TM. Evaluation of knowledge of healthcare workers in hospitals of Zabol city on proper methods of blood and components transfusion. Asian J Transfus Sci. 2009;3(29:78-81.

9. Hijji B, Parahoo K, Hussein MM, Barr O. Knowledge of blood transfusion among nurses. J Clin Nurs. 2013;22(17-18):2536-50.

10. Arinsburg SA, Skerrett DL, Friedman MT, Cushing MM. A survey to assess transfusion medicine education needs for clinicians. Transfus Med. 2012;22(1):44-9.

11. National Blood and Blood Products Guide, The Ministery of Health of Turkey, 2009.

12. Cauffman JG, Forsyth RA, Clark VA, Foster JP, Martin KJ, Lapsys FX, Davis DA. Randomized controlled trials of continuing medical education: what makes them most effective? J Contin Educ Health Prof. 2002;22(4):214-21.

13. Kasraian L, Tavassoli A. A survey of resident physicians' knowledge concerning transfusion medicine in Shiraz, Iran. Asian J Transfus Sci. 2014;8(2):118-20.

14. Salem-Schatz SR, Avorn J, Soumerai SB. Influence of knowledge and attitudes on the quality of physicians' transfusion practice. Med Care. 1993;31(10):868-78.

15. O'Brien KL, Champeaux AL, Sundell ZE, Short MW, Roth BJ. Transfusion medicine knowledge in Postgraduate Year 1 residents. Transfusion. 2010;50(8):1649-53.

16. Mitchell SA, Strauss RG, Albanese MA, Case DE. A survey to identify deficiencies in transfusion medicine education. Acad Med. 1989;64(4):217-9.

17. Toy P. Guiding the decision to transfuse. Arch Pathol Lab Med. 1999;123(7):592-4.

18. Cook CB, Wilson RD, Hovan MJ, Hull BP, Gray RJ, Apsey HA. Development of computer-based training to enhance resident physician management of inpatient diabetes. J Diabetes Sci Technol. 2009;3(6):1377-87