Evidence map›Paper›PMID 31345787›Full record

ArticleCMAJ open

An online educational module on transfusion safety and appropriateness for resident physicians: a controlled before-after quality-improvement study.

Todd C Lee, Jennifer Murray, Emily G McDonald

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Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Todd C LeeClinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General Internal Medicine (Lee, McDonald), Department of Medicine, McGill University Health Centre, Montréal, Que.
Jennifer MurrayClinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General Internal Medicine (Lee, McDonald), Department of Medicine, McGill University Health Centre, Montréal, Que.
Emily G McDonaldClinical Practice Assessment Unit (Lee, Murray, McDonald) and Division of General Internal Medicine (Lee, McDonald), Department of Medicine, McGill University Health Centre, Montréal, Que. emily.mcdonald@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral professional societies have made value-based statements in support of restrictive transfusion strategies. The aim of this study was to determine whether completion of an accredited online training program in transfusion safety could improve transfusion knowledge among medical residents and increase transfusion appropriateness.

methodsWe performed a controlled before-after evaluation of a mandatory accredited self-directed training program (Bloody Easy Lite for Physicians) that provides education about transfusion medicine on a 47-bed medical clinical teaching unit at a university-affiliated hospital centre in Montréal. The program consists of 2 modules and takes about 30 minutes to complete. We used the 45-bed medical teaching unit at another Montréal hospital as a contemporary control. We compared resident physicians' pre- and posttest scores and evaluated the impact on transfusion appropriateness by comparing the proportion occurring below a hemoglobin concentration of 80 g/L before (April 2013-June 2015) and after (July 2015-January 2016) the intervention.

resultsOf the 55 residents on the intervention unit, 53 (96%) completed the training. The median pretest score was 50% (inter-quartile range [IQR] 40%-60%). The median posttest score was 90% (IQR 80%-90%) for module 1 and 80% (IQR 80%-90%) for module 2 (

interpretationMandatory training in transfusion safety via an online program resulted in improved transfusion knowledge among residents and an increase in the proportion of transfusions occurring at a hemoglobin concentration below 80 g/L. This low-cost educational initiative may improve transfusion appropriateness.

Identifiers

PMID31345787
PMCPMC6658213

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