title: Operative blood transfusion quality improvement audit.
abstract: BACKGROUND
  To determine how current anesthesia team handless the identification of surgical anaesthetized patient (right patient). And the check of blood unit before collecting and immediately before blood administration (right blood) in operating rooms where nurses have minimal duties and responsibility to handle blood for transfusion in anaesthetized patients.
  
  
  OBJECTIVE
  To elicit the degree of anesthesia staff compliance with new policies and procedures for anaesthetized surgical patient the blood transfusion administration.
  
  
  METHODS
  
  
  
  METHODS
  A large tertiary care reference and teaching hospital.
  
  
  METHODS
  A prospective quality improvement. Elaboration on steps for administration of transfusion from policies and procedures to anaesthetized patients; and analysis of the audit forms for conducted transfusions.
  
  
  METHODS
  An audit form was used to get key performance indicators (KPIs) observed in all procedures involve blood transfusion and was ticked as item was met, partially met, not met or not applicable.
  
  
  METHODS
  Descriptive statistics as number and percentage Microsoft excel 2003. Central quality improvement committee presented the results in number percentage and graphs.
  
  
  RESULTS
  The degree of compliance in performing the phases of blood transfusion by anesthesia staff reached high percentage which let us feel certain that the quality is assured that the internal policy and procedures (IPP) are followed in the great majority of all types of red cells and other blood products transfusion from the start of requesting the blood or blood product to the prescript of checking the patient in the immediate post-transfusion period.
  
  
  CONCLUSIONS
  Specific problem area of giving blood transfusion to anaesthetized patient was checking KPI concerning the phases of blood transfusion was audited and assured the investigators of high quality performance in procedures of transfusion.
authors.affiliation: Department of Anesthesiology and Operating Room, Staff at KFMC, King Fahad Medical City, Riyadh, KSA.
authors.forename: Mazen
authors.initials: M
authors.lastname: Al Sohaibani
authors.affiliation: Department of Anesthesiology and Operating Room, Staff at KFMC, King Fahad Medical City, Riyadh, KSA.
authors.forename: Assaf
authors.initials: A
authors.lastname: Al Malki
authors.affiliation: Department of Anesthesiology and Operating Room, Staff at KFMC, King Fahad Medical City, Riyadh, KSA.
authors.forename: Venumadhav
authors.initials: V
authors.lastname: Pogaku
authors.affiliation: Department of Anesthesiology and Operating Room, Staff at KFMC, King Fahad Medical City, Riyadh, KSA.
authors.forename: Saad
authors.initials: S
authors.lastname: Al Dossary
authors.affiliation: Department of Anesthesiology and Operating Room, Staff at KFMC, King Fahad Medical City, Riyadh, KSA.
authors.forename: Hanan
authors.initials: H
authors.lastname: Al Bernawi
keywords: Certified privileged anesthetic staff; operative blood transfusion; quality improvement audit