At the hospital
level, the hospital transfusion committee is an
important vehicle in that it can promote the development
of these guidelines. However, even at this
level, auditing and enforcement is required.
One of
the most effective levels at which transfusion practice
can be altered is by engaging groups of physicians,
for example, cardiologists, hematologists,
radiologists and orthopedic surgeons and developing
a consensus within the group