ASSESSMENT OF KNOWLEDGE, ATTITUDE, AND PRACTICE OF HAEMOVIGILANCE AMONG POST-GRADUATES AT A TERTIARY CARE TEACHING HOSPITAL IN HYDERABAD–A CROSS-SECTIONAL STUDY

SWARUPA RANI KASUKURTHI; CHAKRADHAR T; AITHA SWETHA RANI; BHUVANESHWARI E; SRAVANI MARPAKA

doi:10.22159/ajpcr.2022.v15i3.44124

Authors

SWARUPA RANI KASUKURTHI Department of Pharmacology, Osmania Medical College, Hyderabad, Telangana, India. https://orcid.org/0000-0002-5337-6488
CHAKRADHAR T Department of Pharmacology, Osmania Medical College, Hyderabad, Telangana, India. https://orcid.org/0000-0002-3211-2854
AITHA SWETHA RANI Department of Pharmacology, Osmania Medical College, Hyderabad, Telangana, India. https://orcid.org/0000-0001-9053-0184
BHUVANESHWARI E Department of Pharmacology, Osmania Medical College, Hyderabad, Telangana, India. https://orcid.org/0000-0002-2052-5301
SRAVANI MARPAKA Department of Pharmacology, Osmania Medical College, Hyderabad, Telangana, India. https://orcid.org/0000-0003-2523-8704

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i3.44124

Keywords:

Haemovigilance, knowledge, attitude, practice, Haemovigilance program of India, KAP study

Abstract

Objective: Transfusion of blood and blood products is a life-saving intervention but has the potential to cause adverse events. Haemovigilance is an organized system that includes monitoring, identification, reporting, investigating, and analyzing adverse events related to transfusion and the manufacture of blood products. However, reporting of adverse reactions is markedly less in our country. This study is intended to assess knowledge, attitude, and practice of Haemovigilance among post-graduates (PGs) and to scrutinize various causes of Underreporting.

Methods: A cross-sectional pre-validated questionnaire-based study was carried out in Osmania medical college and hospital, Hyderabad over 4 months among 150 PGs.

Results: Only120 PGs out of 150, provided their responses. Only 20% of the PGs knew about the Haemovigilance program. 41.6% knew how to report and who can report. 2% knew about Hemo-vigil and Donor vigil software. 100% of PGs show a positive attitude towards transfusion reaction reporting and agreed that Haemovigilance activities should include in the undergraduate curriculum. Medicolegal liability issues, lack of knowledge, and lack of time were the main factors that forbade them from reporting.

Conclusion: A positive attitude towards Haemovigilance exists among PGs but knowledge regarding the Haemovigilance program was poor and the practice of transfusion reactions reporting was significantly reduced. Hence, our study suggests the inclusion of the procedure of transfusion reactions reporting in the Undergraduate curriculum and augmentation of CMEs/workshops/seminars to PGs.

Downloads

Download data is not yet available.

References

Boparai JK, Singh S. Hemovigilance: A new beginning in India. Int J Appl Basic Med Res 2015;5:200-2.

Bisht A. Haemovigilance Programme of India Organization Structure; 2014. Available from: http://www.ihnorg.com/wpcontent/ uploads/2014/01

Jain A, Kaur R. Hemovigilance and blood safety. Asian J Transfus Sci 2012;6:137-8.

World Health Organization. Blood Safety and Availability. Geneva: World Health Organization; 2016.

Proposed Standard Definitions for Surveillance of Non-Infectious Adverse Transfusion Reactions, International Haemovigilance Network; 2011. Available from: http://www.isbtweb.org/fileadmin/ user_upload/wp_on

Vasudev R, Sawhney V, Dogra M, Raina TR. Transfusion-related adverse reactions: From institutional haemovigilance effort to national haemovigilance program. Asian J Transfus Sci 2016;10:31-6.

IPC. NIB Guidance Document for Reporting Serious Adverse Reactions in blood Transfusion Service. National Institute of Biologicals and Indian Pharmacopoeia Commission Collaboration, Haemovigilance; 2015. Available from: http://www.nib.gov.in [Last accessed on 2015 Sep 21].

Available from: http://www.haemovigilance-programme-of-india-by-akankshabisht.pdf [Last accessed on 2014 Mar 07].

Haemovigilance Programme of India; 2020. Available from: http:// www.gov.in/nib/haemovigilance/hvpi%20analysis_july_dec_2020.pdf

Haemovigilance Programme of India, News Letter; 2020. Available from: https://www.nib.gov.in/haemovigilance/newsletter%20(vol%20 no.%208,%20issue%2016,%20july-dec%202020)%20english%20 version.pdf

TRRF; 2020. Available from: http://www.nib.gov.in/haemovigilance/ trrf_form_new.pdf

Engelbrecht S, Wood EM, Merrole F. Cole-Sinclair, clinical transfusion practice update: Haemovigilance, complications, patient blood management and national standards. Med J Aust 2013;199:397-401.

Chowdhary R, Khajuria V, Sawhney V. Knowledge, attitude, and practice of reporting transfusion reactions in hemovigilance among health-care professionals in a tertiary care teaching hospital of northern India. Natl J Physiol Pharm Pharmacol 2020;10:1-6.

Haemovigilance. Newsletter. Vol. 3. India: Haemovigilance Programme of India; 2015. p. 1-16.

World Health Organization, AIDE-MEMOIRE. National Haemovigilance System. Geneva: World Health Organization; 2015.

Gupta SK, Nayak RP, Shivaranjani R, Vidyarthi SK. A questionnaire study on the knowledge, attitude, and the practice of pharmacovigilance among the healthcare professionals in a teaching hospital in South India. Perspect Clin Res 2015;6:45-52.

Date AP, Date AA, Dashputra AV, Borkar AS. Knowledge, attitude, and practice of haemovigilance among doctors in tertiary care hospital in Nagpur, Maharashtra, India. Int J Basic Clin Pharmacol 2016;5:788-93.

Shivgunde PP, Besekar SM, Bhojwani KM, Bhojwani DG. Knowledge, attitude, and practice of haemovigilance amongst healthcare professionals in Nashik, Maharashtra, India. Int J Basic Clin Pharmacol 2018;7:986-91.

HimaBindu K, Sudha J. Knowledge, attitude, perception of hemovigilance among post-graduates in tertiary care hospital, King George Hospital, Visakhapatnam, Andhra Pradesh. IOSR J Dent Med Sci 2020;19:28-31.

Bhattacharya P, Marwaha N, Dhawan HK, Roy P, Sharma RR. Transfusion-related adverse events at the tertiary care center in North India: An institutional hemovigilance effort. Asian J Transfus Sci 2011;5:164-70.

Kaur G, Kaur P. Hospital transfusion committee: Role and responsibilities. Indian J Pathol Microbiol 2014;57:352-4