Poh, Kim Yan and Jackson, Nicholas (2023) Transfusion medicine knowledge among clinicians at a teaching hospital in Malaysia. Malaysian Journal of Pathology, 45 (2). pp. 187-194. ISSN 0126-8635, DOI https://www.mjpath.org.my/2023/v45n2/transfusion-medicine-knowledge.pdf.
Full text not available from this repository.Abstract
Introduction: Inappropriate use of blood and blood products has been well reported from many countries including Malaysia and may be due to a deficit of transfusion medicine (TM) knowledge. This study is aimed to assess TM knowledge among clinicians in a tertiary hospital. Materials and Methods: The validated exam developed by the BEST collaborative group was used to assess TM knowledge of doctors, from junior residents up to senior specialists. Scores of 42%, 62%, and 82%, corresponding to basic, intermediate, and expert levels of knowledge, respectively. Convenience sampling was done from eight blood-using departments at University Malaya Medical Centre. The Kruskal-Wallis test was used to compare the candidates' exam scores between different variables. Results: A total of 184 doctors were assessed. The overall mean score was 40.1% (SD 12.7%). The most senior doctors had a significantly lower mean score compared with resident trainees and specialists. Doctors from haematology, anesthesiology, and internal medicine had significantly higher scores (51%, 47.4%, and 46.4% respectively, p<0.05). No correlations were found between the exam scores and the self-reported amount, or quality of prior TM teaching, nor with the year of postgraduate training. Participants did poorly on questions related to transfusion reactions, especially the question on transfusion-related acute lung injury. Conclusion: Inadequate transfusion medicine knowledge was found across all the departments and levels of appointment. It is concerning that the most senior decision-making doctors had especially poor knowledge. TM training is needed by all residents, and regular updates should be given to established specialists.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Transfusion medicine knowledge; transfusion education; inappropriate blood transfusion; Malaysia |
| Subjects: | R Medicine > RB Pathology |
| Divisions: | Faculty of Medicine > Pathology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 18 Aug 2025 07:42 |
| Last Modified: | 18 Aug 2025 07:42 |
| URI: | http://eprints.um.edu.my/id/eprint/50698 |
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