We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
A policy informing qualitative study to improve the process of blood product recalls and withdrawals.
- Authors
Heddle, Nancy M.; Eyles, John; Webert, Kathryn E.; Arnold, Emmie; McCurdy, Bronwen R.
- Abstract
BACKGROUND: Challenges associated with blood product recalls and/or withdrawals in Canada identified a need to understand the process and identify ways in which it could be improved. With the use of qualitative techniques and a modified grounded theory approach, the current process was mapped, issues were identified, and recommendations to improve the system were developed. STUDY DESIGN AND METHODS: Potential participants were identified using a sampling strategy that included key stakeholder groups. After consenting, participants were interviewed using a semistructured interview guide. Interviews were audiotaped, transcribed, and coded using a coding scheme developed from the content of the interviews. A team approach to analysis identified relevant emergent themes and led to the development of recommendations. Draft recommendations were presented at a consensus meeting, and feedback was incorporated into the final set of recommendations. RESULTS: Forty-five interviews were conducted. Major themes arising from the data were communication, timeliness of follow-up information, and challenges related to patient notification. The current recall and/or withdrawal process was described and a new model for the recall and/or withdrawal process was developed. Nineteen recommendations were formulated: 12 general and 7 hospital-specific. CONCLUSION: Large-scale recalls and/or withdrawals involving unknown or uncertain risks can be challenging both for hospitals and for the blood supplier. However, using a qualitative research approach, recommendations and a model for improving the system were developed. Key recommendations include the development of national guidelines for notification and the use of a group of resource experts to assess risk and assist with notification decision making.
- Subjects
CANADA; BLOOD products; BIOLOGICALS; GROUNDED theory; PRODUCT recall; PRODUCT elimination
- Publication
Transfusion, 2008, Vol 48, Issue 12, p2585
- ISSN
0041-1132
- Publication type
Article
- DOI
10.1111/j.1537-2995.2008.01909.x