KMID : 1143420190120411696
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Public Health Weekly Report 2019 Volume.12 No. 41 p.1696 ~ p.1702
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Development of Indicators for Transfusion Appropriateness in Korea
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Yang Jin-Hyuk
Oh Jin-A Kim Jun-Nyun Um Tae-Hyun
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Abstract
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To ensure transfusion safety, it is required to evaluate transfusion appropriateness. Objective criteria and indicators for
transfusion should be followed accordingly. We developed 53 candidate indicators from National Transfusion Guideline 2016, which was published by Korea Centers for Disease Control & Prevention (KCDC) and The Korean Society of Blood Transfusion. Through expert meetings, consultations and e-mail surveys, 16 indicators were selected to hold the most relevance; institutional transfusion guidelines, education, massive transfusion protocol, re-confirmation of blood types of blood products, unexpected antibody screening test, blood return rate, blood waste rate, transfusion reaction report, case record form, check list utilization, transfusion consent rate, analysis of frequency and causes of preoperative anemia, one unit transfusion rate, transfusion index, optimal transfusion rate (quarterly) and optimal transfusion rate of fresh frozen plasma. The developed indicators will be used to measure the adequacy of transfusions in medical institutions and to study Hospital Quality Assessment by Health Insurance Review & Assessment Service. KCDC continues to improve indicators to properly appraise transfusion safety and adequacy.
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KEYWORD
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transfusion, appropriateness, indicators
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