Welcome to the North East RTC
Reducing sample rejections and wrong blood in tube incidents
The North East RTC has produced a list of 10 tips to reduce sample rejections and wrong blood in tube incidents (pdf 16KB). The list was adapted from the London TP group's top 10 tips for improving sample collection and labelling practice.
The TOPPs study of prophylactic platelet transfusions in haematological malignancy
This study, published in the New England Journal of Medicine in May 2013, was an international multi centre trial that evaluated whether a policy of not giving prophylactic platelet transfusions was as safe and effective as providing prophylaxis to patients with haematological malignancies.
The primary end point was bleeding, assessed using a modified WHO bleeding scale. The study showed that WHO grade 2 - 4 bleeding occurred in 50% of patients in the no-prophylaxis group compared to 43% in the prophylaxis group. Platelet usage was markedly reduced in the no-prophylaxis group.There was no difference in length of stay in hospital or serious adverse events between the prophylaxis or non-prophylaxis groups. The results therefore support the continuing use of platelet prophylaxis in patients with haematological malignancy and thrombocytopenia, although further studies are required to improve understanding of risk factors for bleeding.
The paper is available on the New England Journal of Medicine website:http://www.nejm.org/doi/full/10.1056/NEJMoa1212772#t=article and a poster summarising the findings can be found on the Hospitals & Science website.
We aim to make your local RTC site the first place you think of looking online for transfusion related information. It is divided into these five areas:
If you have material you would like published please contact Hazel Tinegate or Janice Robertson the North East RTC website representatives. If you have ideas about other information you would like to see on the RTC site please contact Sheena Cameron, Website Development Manager.