Haematology audit template
Date of
completion
(To be inserted when completed)
Name of lead
author/
participants
(To be inserted)
Specialty
Haematology
Title
An audit of compliance with the BCSH/BSBMT guidelines on the organspecific management and supportive care in chronic graft-versus-host
disease
Background
The BCSH/BSBMT has published guidance on the organ-specific management
and supportive care of chronic graft-versus-host disease. This audit will review
compliance of current practice with this guideline.
Aim and
objectives
1. To review whether all patients with cGvHD are reviewed by a team
experienced in managing transplant-related complications
2. To review whether referral to a specialist e.g ophthalmologist, dermatologist
has been considered for patients with significant symptoms.
3. To review whether all patients are receiving prophylaxis against viral, fungal,
Pneumocystis jiroveci and Streptococcus pneumonia infection.
4. To review whether all patients with cGvHD are receiving vaccinations against
pneumococcus, influenza and Haemophilus influenzae
Standards
and criteria
Criteria range: 100% or, if not achieved, there is documentation in the case
notes that explains the variance.
Standards
1. Patients with chronic graft-versus-host disease should be reviewed by a team
experienced in managing transplant-related complications
2. Referral to a specialist e.g. ophthalmologist, dermatologist should be
considered for patients with significant symptoms
3. Prophylaxis against viral, fungal, Pneumocystis jiroveci and Streptococcus
pneumonia infection should be considered in all patients receiving
immunosuppressive agents for chronic GvHD
4. All patients with chronic GvHD should receive vaccination against
pneumococcus, influenza and Haemophilus influenzae.
Method
Sample selection: All patients diagnosed in the preceding 12 months.
Data to be collected on proforma (see below).
Results
(To be completed by the author)
The results of this audit show the following % compliance with the standards:
1
FDignan 05052013 Version 2
% compliance
Review
Patients with chronic graft-versus-host disease should be
reviewed by a team experienced in managing transplantrelated complications
Specialist referral
Referral to a specialist e.g. ophthalmologist, dermatologist
should be considered for patients with significant symptoms
Prophylaxis against infection
Viral, fungal, S.pneumoniae, P.jiroveci prophylaxis given or
reason not given documented in patient record.
Vaccination
Vaccination against pneumococcus, influenza and
Haemophilus influenzae given
2
FDignan 05052013 Version 2
Conclusion
(To be completed by the author)
Recommendations for
improvement
Present the results with recommendations, actions, and responsibilities for
action and a timescale for implementation. Assign a person/s responsible
to do the work within a timeframe.
Some suggestions:
 highlight areas of practice that are different
 present findings.
Action plan
(To be completed by the author – see attached action plan proforma)
Re-audit date
(To be completed by the author)
Reference
Organ-specific management and supportive care in chronic graft-versus-host
disease.
Dignan FL, Scarisbrick JJ, Cornish J, Clark A, Amrolia P, Jackson G, Mahendra
P, Taylor PC, Shah P, Lightman S, Fortune F, Kibbler C, Andreyev J, Albanese A,
Hadzic N, Potter MN, Shaw BE; Haemato-oncology Task Force of British
Committee for Standards in Haematology; British Society for Blood and Marrow
Transplantation.
Br J Haematol. 2012 Jul;158(1):62-78. doi: 10.1111/j.1365-2141.2012.09131.x.
Epub 2012 Apr 26.
3
FDignan 05052013 Version 2
Data collection proforma for audit of the organ-specific management and
supportive care of patients with chronic graft-versus-host disease
Audit reviewing practice
Patient name:
Hospital number:
Date of birth:
Consultant:
1
Yes
2
No
3 If no, was there
documentation to
explain the
variance?
Yes/No plus freetext comment
Review
Patients with chronic graftversus-host disease should
be reviewed by a team
experienced in managing
transplant-related
complications
Specialist referral
Referral to a specialist e.g.
ophthalmologist,
dermatologist should be
considered for patients with
significant symptoms
Prophylaxis against Infection
Viral, fungal, S.pneumoniae,
P.jiroveci prophylaxis given
Vaccination
Vaccination against
pneumococcus, influenza and
Haemophilus influenzae given
4
FDignan 05052013 Version 2
4 Compliant with
guideline based on
Yes from column 1
or an appropriate
explanation from
column 3. Yes/No
Audit action plan
An audit of compliance with BSCH/BSBMT guidelines on organ specific management and
supportive care of patients with chronic graft-versus-host disease
Audit
Objective Action Timescale Barriers
Outcome Monitoring
recommendation
and
constraints
5
FDignan 05052013 Version 2