438 Packed Red Cell Transfusion in Acute Surgical Patients, Are We Over-Transfusing?

Abstract Aim To improve a general surgical department's adherence to NICE guidelines on transfusion of packed red cells for low haemoglobin by improving knowledge relevant thresholds (70g/L or 80g/L in ACS renal failure requiring chronic transfusion). Method All patients admitted large London teaching hospital under the team 4-month period (2020–2021) were audited using their electronic records. Audited data was units transfused; pre-transfusion haemoglobin, heart rate, and blood pressure; pertinent medical history; location (ward/theatre). 10 excluded due being transfused perioperative because haemodynamic instability (covered different guidelines). 16 total 31 included audit. The interventions 1) distribution poster showing guideline, reasoning baseline data; 2) session junior doctors (FY1 registrar). Results proportion transfusions adhering increased from 33% (6/18) at 60% (3/5) after intervention 1 100% (8/8) 2. combined post-intervention score 85% (11/13) statistically significant compared (p=0.013). Conclusions Acute frequently over-transfused with cells; risking adverse reactions re-bleeding. An education programme aimed successful significantly increasing national patient care. Simple educational methods are therefore effective care promoting evidence-based practice. Future auditing would aid assessing sustainability this improvement.