Abstract: Objective This is to explore from the hospital transfusion physicians involved in transfusion-related cases of consultation to the use of blood transfusion expertise in the development of clinical transfusion therapy adjustment program, which more directly involved in the clinicalservice. Methods A retrospective analysis was made on the inpatients of Wuhan First Hospital who participated in in-hospital consultation from June 2016 to October 2018. The basic situation of patients, the distribution of departments, the purpose of consultation, consultation opinions, the adoption of doctors' suggestions and the evaluation of patients' efficacy were analyzed. Results 290 patients were consulted 304 times, covering 22 clinical departments such as orthopaedics, neurosurgery and oncology. The purpose of the consultation was mainly related to 9 aspects, such as red blood cell transfusion, DIC or hyperfibrinolysis transfusion, blood transfusion therapy guidance, etc. The rate of adoption of consultation advice was 88.8%, of which 69.7% were effective after adoption, and the blood treatment and coagulation indexes of the effective treatment patients were significantly improved. Conclusion Blood transfusion physicians play an important role in guiding clinical blood transfusion, coagulation management and transfusion therapy, and play an active role in participating in clinical consultation. It has greatly improved in the effectiveness and rationality of transfusion related treatment. At the same time, as a clinical transformation department, blood transfusion department is gradually recognized by clinical practice.

Key words: Blood transfusion physician, Red blood cell transfusion, Blood transfusion therapy, Clinical consultation, Blood transfusion protocol