1. Scope of the Survey

   1.1 Are you completing this survey on behalf of your:

         - Hospital
         - Region, Province, Canton or equivalent
         - Country
         - Other (please specify)

2. Clinical / Appropriate Use of Blood

   2.1 Do you have guidance or information such as booklets or leaflets etc for the following
         purpose?

         - Provide patients with information on transfusion
         - For staff who participate in the clinical transfusion process
         - For doctors who prescribe blood transfusions

Please answer yes, no or don't know for each of the above

   2.2 Do you have any system of accreditation and inspection such as the US Joint
         Commission (www.jointcommission.org) or NHSScotland Clinical Standards in Blood
         Transfusion (www.nhshealthquality.org) for quality management in hospitals?
         - Yes
         - No
         - Don't Know

   2.3 If yes, does it refer to transfusion?
         - Yes
         - No
         - Don't Know

3. Blood Data for your hospital, region or country

   3.1 Does your hospital, region or country collect data on any of the following:

         Red cell/whole blood units:
         -   Collected
         -   Transfused
         -   Not Transfused
        
       Please answer yes, no or don't know for each of the above.

         If you answered yes to any of the above, is the data:
         - Available already
         - Would be able to obtain

   3.2 Would it be possible for you to obtain data on the use of red cell/whole blood units for
         specific groups of patients including:

         - Patients undergoing hip replacement
         - Patients undergoing coronary artery grafting (CABG)
         - Other groups of patients (please give an example)

      Please answer yes, no or don't know for each of the above.

         If you answered yes to any of the above, is the data:
         - Available already
         - Would be able to obtain

4. Overview of the Clinical Transfusion Process

   4.1 In Scotland, we use the term 'clinical transfusion process' to describe the steps in the diagram
         below. To help develop a better understanding of the transfusion process in each of our partner
         countries, please review the diagrams that follow and fill in the blank copy of the diagram to
         describe the processes that are used in your hospital, region or country.