Implementation of a neonatal platelet transfusion guideline to reduce non-indicated transfusions using a quality improvement framework.

ABSTRACT:

Objective

Variation exists in neonatal platelet transfusion practices. Recent studies found potential harm in liberal platelet transfusion practices, supporting the use of lower transfusion thresholds. Our aim was to reduce non-indicated platelet transfusions through implementation of a restrictive platelet transfusion guideline.

Study design

Platelet transfusions from January 2017 to December 2019 were classified as indicated or non-indicated using the new guideline. Interventions included guideline implementation and staff education. Outcomes were evaluated using statistical process control charts. Major bleeding was the balancing measure.

Result

During study, 438 platelet transfusions were administered to 105 neonates. The mean number of non-indicated platelet tran

SUBMITTER: Davenport PE 

PROVIDER: S-EPMC7985577 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature