Evidence map›Paper›PMID 35362566›Full record

ArticleTransfusion2022

Does training make a difference? Proficiency training in transfusion guidelines and its effect on red blood cell administration.

Svetlana Daichman, Daniel Ostrovsky, Jacob Dreiher, Oleg Pikovsky

Abstract read
In one paragraph

Article in Transfusion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Svetlana DaichmanDepartment for Industrial Management, Sami Shamoon College of Engineering, Beer Sheva, Israel.
Daniel OstrovskyFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Jacob DreiherDivision of Health in the Community, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Oleg PikovskyTransfusion Medicine and Apheresis Institute, Soroka University Medical Center, Beer Sheva, Israel.ORCID 0000-0001-7711-5410

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPacked red blood cell (RBC) transfusion is a very common and frequently lifesaving therapeutic intervention, but a liberal transfusion policy may be associated with inferior patient outcomes. Various guidelines have been proposed to reduce the rate of unnecessary RBC transfusions. However, physicians' proficiency in such guidelines and the effect of training on RBC administration remain unknown.

methodsWe performed a questionnaire-based assessment of physicians' knowledge of the guidelines in a tertiary hospital in Israel, followed by an analysis of RBC administration six months before and six months after training was delivered.

resultsThe level of proficiency was higher among Israeli university graduates (Odds Ratio [OR] 2.59, p-value = 0.02), internists (OR 2.8, p-value = 0.02), and physicians beyond the step-one residency exam (OR 3.08, p-value = 0.02). There was no significant effect of training on the rates of RBC administration (incidence rate ratio [IRR] = 0.96 [CI 95% 0.81-1.14], p-value = 0.655).

conclusionEducational intervention alone is an ineffective means of reducing the rates of RBC administration. A more complex approach is required to prevent unnecessary RBC transfusions.

Indexed as

Blood TransfusionErythrocyte TransfusionErythrocytesHumansIsraelblood transfusionclinical decision supporttransfusion guidelines

Identifiers

PMID35362566
PMCPMC9322411

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.