Transfusion Medicine Service
Transfusion Audit Procedure
Further Information Is Available By Contacting the Medical Director of the Transfusion Medicine Service:
or the Blood Bank Medical Director, Nancy Dunbar M.D.
The Transfusion Medicine Service, in compliance with TJC requirements, performs an
audit process to monitor the transfusion of all blood and blood components transfused
at DHMC in an effort to monitor and improve clinical practice.
All transfusions are reviewed for conformance with good transfusion
practices. When a transfusion does not appear to meet the Transfusion Committee's
audit criteria, the attending staff will be contacted.
Requests for Platelets, Plasma or Cryoprecipitate are reviewed upon receipt.
If the audit criteria are not met, the request will be turned over to a Transfusion
Medicine physician for clinical consultation prior to preparation of component. Requests from
the ED or OR are filled immediately but are subject to review.
Transfusion Audit Criteria
It is important to realize that these are audit criteria, not approved indications
for transfusion. They should not be construed as indicating or suggesting that transfusion
should occur whenever the audit guidelines are met. They are used by the Transfusion
Committee only as a tool to eliminate from consideration those transfusions that are
likely to be appropriate in order to focus on those based on less well established