Nationwide survey of home transfusion practices.
Limited information exists on home transfusion practices.
STUDY DESIGN AND METHODS
In 1995, a survey requesting data for 1994 was sent to 1273 American Association of Blood Banks (AABB) institutional members and 113 non-AABB home health care agencies that provide out-of-hospital transfusions.
Of 943 respondents, 102 provide blood to a home transfusion program, 37 provide blood and run a home transfusion program, and 13 run a home transfusion program only, for a total of 152 (16%) with some involvement in home blood transfusions.
Most of the 50 respondents with a home transfusion program are licensed by their state and accredited by the Joint Commission on Accreditation of Healthcare Organizations.
All respondents have written policies for home transfusion, and 90 percent require a signed informed-consent document before initiating transfusions in the home.
Most have policies requiring that there be a second adult and a telephone in the home, that the home be deemed safe for transfusion, that the patient's physician be readily available, and that the patient have had prior transfusions.
The most common component issued by the blood providers was red cells, followed by platelets.
White cell-reduced components were always provided by 36 percent of respondents.
The most common patient diagnosis was cancer.
Home transfusions were provided primarily by registered nurses. (...)
Mots-clés Pascal : Transfusion, Sang, A domicile, Etats Unis, Amérique du Nord, Amérique, Mesure sécurité, Epidémiologie, Politique sanitaire, Homme, Programme sanitaire
Mots-clés Pascal anglais : Transfusion, Blood, At home, United States, North America, America, Safety measure, Epidemiology, Health policy, Human, Sanitary program
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0153631
Code Inist : 002B27D01. Création : 21/07/1998.