Identifying Barriers and Facilitators in Utilization of Tranexamic Acid for Anemia Prevention Using the Theoretical Domains Framework
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Date
2022-08
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The Ohio State University
Abstract
Background: Patients who experience a hip fracture is an increasing population contributing to
over 341,000 emergency department visits a year. These patients have an increased risk of
anemia and blood transfusions that could increase their length of stay, readmission rate and even
mortality. A literature search for best practice that affects this population's outcomes lead to a
further evaluation of tranexamic acid (TXA) utilization.
Methods: The aim of this study was to evaluate determinants of routine use of tranexamic (TXA)
for hip fracture patients using the theoretical domains framework (TDF). An anonymous survey
created in QualtricsXM was sent out via email to two network leaders in Ohio and Texas who
disseminated the link to their peers for completion. Participants had to be involved in the
intraoperative process within the hip fracture population. The survey was open for a 16-day
window and consisted of 34 questions, 30 domain questions with a 1-5 Likert scale answer and 4
demographic questions.
Results: Barriers and facilitators differed between registered nurses and physicians in the 11
domains that were evaluated. Registered nurses identified skills and social/professional role and
identity to be barriers while physicians only identified the goals domain to be a barrier to
utilization of TXA.
Conclusion: This study was able to identify barriers and facilitators for TXA utilization within a
small network of Ohio and Texas peers. If the survey were to be concentrated to one facility it
would give insight into how to increase implementation success of TXA utilization within that
facility.
Description
Keywords
Hip Fracture, Anemia, Tranexamic Acid, Blood Transfusion