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Preliminary Results Summary of the Survey of Blood Transfusion Practice in Indiana 2006

Preliminary Results Summary of the Survey of Blood Transfusion Practice in Indiana 2006. Indiana State Association of Blood Banks Education Committee Presented by Jayanna Slayten, MS, MT(ASCP)SBB ISABB Education Committee.

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Preliminary Results Summary of the Survey of Blood Transfusion Practice in Indiana 2006

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  1. Preliminary ResultsSummary of the Survey of Blood Transfusion Practice in Indiana 2006 Indiana State Association of Blood Banks Education Committee Presented by Jayanna Slayten, MS, MT(ASCP)SBB ISABB Education Committee

  2. These are the preliminary findingsof the 2006 Survey. A complete analysis of the 2006 data and comparison to previous surveys will be summarized by and forwarded to the participants.

  3. Survey Development • A survey was developed covering • Blood Product Usage • Serologic Techniques and Transfusion Protocols • Transfusion Reactions • Lab Management • The survey revised • Demographics updated • Survey has new questions • Survey repeated some questions

  4. Survey • The survey was emailed and faxed to Indiana Hospital Transfusion Services • The hospitals were asked to respond • fax the completed survey (OR) • Email back the completed survey • The surveys were accepted for three weeks • August 10 – September 1, 2006

  5. Results: Survey Response 2001 2002 2003 2004 2005 2006 • Total surveys faxed 126 126 126 126 126 126 • Total completed surveys 60 41 55 60 37 50 • Percent response rate of 47.6 32.5 43.6 47.6 30.1 39.1 • Average response rate over the last 5 surveys = 40.1% • Results more difficult to assess trends with low response rate

  6. Response Group - Location • What is the make up of the response group?

  7. Response Group – Size of Facility • What size facilities responded to the survey?

  8. Lab Type • New Question for 2005 and Repeated 2006 • Question was added with the change of labs from hospital based to privatization • The response group was asked if the lab is hospital based or private lab 2005 2006 • Hospital Based Lab 94% 88% • Lab Group based in a Hospital 6% 12% • It is anticipated that this demographic will change within the next 5-10 years.

  9. Red Blood Cell Usage • Does your facility receive 100% Leukoreduced units? • 2006 response • 2006 compared to 2003 and 2004

  10. Platelets • Does your facility only order pheresis platelets? • 2006 • 2005 compared to 2003 and 2004 • Do you use Random Platelets when Pheresis are not available? • Shortages of pheresis when Bacterial Detection was implemented? • What percentage

  11. Cryo • Question: Does your facility routinely use Cryo? • Yes 29.1% • No 71.9% Would pre-pooled Cryo be easier? • Yes 66% • No/NA 34%

  12. ISBT • The majority of respondents were aware of the impending ISBT change. • Response to ISBT • Aware, but no changes 52% • Looking at updates 26% • Completed Plan 5% • Begun Performing Plan 17%

  13. Serologic Protocols • What is the primary method of antibody screening / identification? • Tube:All methods are currently being used • Tubeless: Only Ortho Gel

  14. Serologic ProtocolsAHG Reagent Used • What type of AHG reagents does our facility use? 2003 2004 2005 2006 • Polyspecific AHG 47% 37% 30% 13% • IgG AHG 53% 63% 65% 87% • This question continues to demonstrate that more facilities are using IgG-AHG vs. Poly-AHG for AHG testing.

  15. Serologic ProtocolsWeak D Testing • Does your facility complete the weak D testing on all D- negative recipients / patients? 2003 2004 2005 2006 • Yes, Full Weak D 60% 45% 38% 21% • No, No Weak D 40% 55% 62% 79% • Fewer Indiana Facilities in 2006 are completing weak D testing • 2006 survey reconfirms this trend

  16. Transfusion Service Protocols • Pre-surgical T and S • When are they drawn? • When do you “band” the patient?

  17. Transfusion Service Protocols:Compatibility Testing • What type of crossmatch does your facility complete for an antibody screen negative patient sample? • Immediate Spin • AHG • Electronic

  18. Blood Utilization Review • Do you feel that your facility has adequate blood utilization review? • Yes 66% • No 34% Has your facility considered a blood utilization management program? • Yes 54% • No 46%

  19. Transfusion Reactions • Attached for review

  20. Lab Management • For 2006 • This year’s questions focused • Evening/Nights Coverage • Staffing Strategies • Average salaries for new graduate medical technologist • Average salary increases in 2005

  21. 2006 Preliminary Summary • The final analysis will be correlated and returned by fax and emailed to the facilities

  22. Special Thanks • Thank to all the facilities that responded! • Thanks to the ISABB 2006 Survey Reviewers • Special Thanks to Jane Kimble for the tally

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