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First Implementation of transfusion consent policy in Oman : audit of compliance from a tertiary care university hospital
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Journal Article
First Implementation of transfusion consent policy in Oman : audit of compliance from a tertiary care university hospital
2016
Overview
Transfusions are a common medical intervention. Discussion of the benefits, risks and
alternatives with the patient is mandated by many legislations prior to planned transfusions. At the Sultan Qaboos
University Hospital (SQUH), Muscat, Oman, a written transfusion consent policy was introduced in March 2014.
This was the first time such a policy was implemented in Oman. This study therefore aimed to assess adherence to
this policy among different specialties within SQUH. Methods: The medical records of patients who underwent
elective transfusions between June and August 2014 were reviewed to assess the presence of transfusion consent
forms. If present, the consent forms were examined for completeness of patient, physician and witness information.
Results: In total, the records of 446 transfused patients (299 adult and 147 paediatric patients) were assessed.
Haematology patients accounted for 50% of adult patients and 71% of paediatric patients. Consent was obtained for
75% of adult and 91% of paediatric patients. The highest adherence rate was observed among adult and paediatric
haematology specialists (95% and 97%, respectively). Consent forms were correctly filled out with all details
provided for 51% and 52% of adult and paediatric patients, respectively. Among inadequately completed forms,
the most common error was a lack of witness details (20–25%). Conclusion: In most cases, the pre-transfusion
consent policy was successfully adhered to at SQUH. However, further work is required to ensure full compliance
with the consent procedure within different specialties. Implementation of transfusion consent in other hospitals
in the country is recommended.
