Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Leung R YY (1)(3), Wong KW (1), Chan WT (3), Chung SL (3), Mo CT (3), Lee KY (3), Ng WM (1), Pang MC (1), Chan SY (1)(2), Chan WS (1)(4), Lee SL (1)(5)
Affiliation :
(1) Quality and Safety (2) Department of Clinical Oncology (3) Division of Haematology, Department of Pathology (4) Department of Medicine (5) Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital
Introduction :
In HKWC, training on transfusion safety with hands-on training session on patient identification procedure for sample collection for type & screen (T&S) is regularly performed for interns every three months. The effectiveness of training, however, is not assessed.
Objectives :
To better assess the effectiveness of training and to identify any unfilled knowledge gap for further refinement of the training programme.
Methodology :
A set of multiple-choice questions was designed, comprising four questions, with one question specifically testing the knowledge about the correct sequence of the 16 standard procedural steps of the whole blood collection procedure for type & screen (16 marks) & the other three questions (each carried 3 marks) which were scenarios-based questions taking reference from real-life practice and pearls learnt from previous incidents. Full mark was 25. The assessment included three phases for each participant: 1) Answering the questions before training 2) Training, including class teaching, individual return demonstration of the procedure and coaching on the three scenarios-based questions with guidance on the correct answers required. 3) Answering the same set of questions. The pre- and post-training results were compared.
Result & Outcome :
A total of 24 interns participated in the pilot real-time training assessment in January 2024. The mean & median pre-training score were 17 & 18, respectively while the mean & median post-training score were 22 & 23, respectively. An average of increase of 38% in scores was noted after the training. However, in 2 cases, there was no increase in scores and in 2 cases, a decrease in scores (average of 14%) was noted. Further follow-up by haematopathologists with the interns with no score increments shall be performed to fill up any knowledge gaps concerning the safety on type & screen procedures. The effectiveness of the programme shall be continuously monitored by the trend of haemovigilance data. The data may also inform further improvement of the training programme.
