7986412

Source:http://linkedlifedata.com/resource/pubmed/id/7986412

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0005768, umls-concept:C0005841, umls-concept:C0032893, umls-concept:C0039298, umls-concept:C0162791, umls-concept:C0205147, umls-concept:C0376298, umls-concept:C0392747, umls-concept:C0443172, umls-concept:C1875307
pubmed:issue	8
pubmed:dateCreated	1995-1-11
pubmed:abstractText	To assess the effect of introducing consensus guidelines on avoidable blood transfusions in Mwanza region, Tanzania.
pubmed:keyword	http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/BLOOD TRANSFUSION, http://linkedlifedata.com/resource/pubmed/keyword/Blood Supply, http://linkedlifedata.com/resource/pubmed/keyword/Comparative Studies, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Equipment And Supplies, http://linkedlifedata.com/resource/pubmed/keyword/HOSPITALS, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Facilities, http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections--transmission, http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration, http://linkedlifedata.com/resource/pubmed/keyword/Program Evaluation, http://linkedlifedata.com/resource/pubmed/keyword/Programs, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Studies, http://linkedlifedata.com/resource/pubmed/keyword/TANZANIA, http://linkedlifedata.com/resource/pubmed/keyword/Technical Report, http://linkedlifedata.com/resource/pubmed/keyword/Treatment, http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases
pubmed:language	eng
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/8710219
pubmed:citationSubset	IM
pubmed:status	MEDLINE
pubmed:month	Aug
pubmed:issn	0269-9370
pubmed:author	pubmed-author:BeregeZ AZA, pubmed-author:BorgdorffM WMW, pubmed-author:DolmansW MWM, pubmed-author:GumodokaBB, pubmed-author:VosJJ, pubmed-author:van AstenH AHA
pubmed:issnType	Print
pubmed:volume	8
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	1135-40
pubmed:dateRevised	2007-11-15
pubmed:otherAbstract	PIP: In 1991, senior health staff in the Mwanza region of Tanzania achieved consensus guidelines for the prescription of blood transfusions and introduced these guidelines through training workshops to staff of all hospitals providing blood transfusions. Seven months after the workshops, researchers collected data on 1042 blood transfusion recipients to evaluate the effect of the introduction of the consensus guidelines on avoidable blood transfusions. A significant reduction in the proportion of avoidable blood transfusions occurred among the 595 5-year-old children (52% vs. 33%; p .001). The reduction was even greater in the peripheral hospitals (59% vs. 32%; p .001). The proportion of avoidable blood transfusions fell considerably among 5-14 year old children (25% vs. 17%; p .05). Avoidable blood transfusions did not decline among operated patients (24%). They increased significantly among adults (25% vs. 50%) and among pregnant women (10% vs. 27%). The referral hospitals had more avoidable blood transfusions at evaluation than at baseline (45% vs. 26%; p .001), while the peripheral hospitals performed significantly better in 1992 than in 1991 (28% vs. 46%). Most of the improvement in peripheral hospitals was limited to 1 hospital (61% vs. 23%; p .001). Among the remaining peripheral hospitals, the improvement was slight (35% vs. 30%; p .05). Hospitals with regular clinic meetings to discuss the consensus guidelines and senior medical staff who strictly supervised and provided feedback to interns either improved significantly or maintained their already good blood transfusion practices. The hospital that maintained an already low proportion of avoidable blood transfusions required physicians to include the indication for blood transfusion in patient records. These findings show that there was no overall reduction in avoidable blood transfusions, and that the development and introduction of consensus guidelines alone did not change prescribing practices.
pubmed:meshHeading	pubmed-meshheading:7986412-Blood Transfusion, pubmed-meshheading:7986412-Child, pubmed-meshheading:7986412-Child, Preschool, pubmed-meshheading:7986412-Female, pubmed-meshheading:7986412-HIV Infections, pubmed-meshheading:7986412-Humans, pubmed-meshheading:7986412-Male, pubmed-meshheading:7986412-Practice Guidelines as Topic, pubmed-meshheading:7986412-Pregnancy, pubmed-meshheading:7986412-Surgical Procedures, Operative, pubmed-meshheading:7986412-Tanzania
pubmed:year	1994
pubmed:articleTitle	Changes in blood transfusion practices after the introduction of consensus guidelines in Mwanza region, Tanzania.
pubmed:affiliation	Bugando Medical Centre, Mwanza, Tanzania.
pubmed:publicationType	Journal Article, Research Support, Non-U.S. Gov't