The success of our patient blood management program depended on an institution-wide change in transfusion practices

Transfusion ◽  
2014 ◽  
Vol 54 (10pt2) ◽  
pp. 2617-2624 ◽  
Author(s):  
James C. Oliver ◽  
Russell L. Griffin ◽  
Timothy Hannon ◽  
Marisa B. Marques
Keyword(s):  
Management Program ◽  
Patient Blood Management ◽  
Blood Management

scholarly journals Seeking Strategies to Optimize Blood Utilization: The Preliminary Experience with Implementing a Patient Blood Management Program in a Greek Tertiary Hospital

2021 ◽  
Vol 10 (10) ◽  
pp. 2141
Author(s):  
Aimilia Tsante ◽  
Anastasia Papandreadi ◽  
Andreas G. Tsantes ◽  
Elias Kyriakou ◽  
Panagiota Douramani ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Management Program ◽  
Transfusion Practice ◽  
Patient Blood Management ◽  
Medical Patients ◽  
Blood Management ◽  
Transfusion Threshold ◽  
Restrictive Transfusion ◽  
Implementation Period ◽  
Blood Utilization

Objectives: Our aim was to assess blood utilization after implementation of a patient blood management (PBM) program in a Greek tertiary hospital. Methods: An electronic transfusion request form and a prospective audit of transfusion practice were implemented. After the one-year implementation period, a retrospective review was performed to assess transfusion practice in medical patients. Results: Pre-PBM, a total of 9478 RBC units were transfused (mean: 1.75 units per patient) compared with 9289 transfused units (mean: 1.57 units per patient) post-PBM. Regarding the post-PBM period, the mean hemoglobin (Hb) level of the 3099 medical patients without comorbidities transfused was 7.19 ± 0.79 gr/dL. Among them, 2065 (66.6%) had Hb levels >7.0 gr/dL, while 167 (5.3%) had Hb levels >8.0 gr/dL. In addition, 331 (25.3%) of the transfused patients with comorbidities had Hb >8.0 gr/dL. The Hb transfusion thresholds significantly differed across the clinics (p < 0.001), while 21.8% of all medical non-bleeding patients received more than one RBC unit transfusion. Conclusion: A poor adherence with the restrictive transfusion threshold of 7.0 gr/dL was observed. The adoption of a less strict threshold might be a temporary step to allow physicians to become familiar with the program and be informed on the safety and advantages of the restrictive transfusion strategy.

scholarly journals Building a patient blood management program in a large-volume tertiary hospital setting: Problems and solutions

2020 ◽  
Vol 28 (3) ◽  
pp. 560-569
Author(s):  
Serdar Serdar Günaydın
Keyword(s):  
Large Volume ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Management Program ◽  
Successful Implementation ◽  
Patient Blood Management ◽  
Blood Management ◽  
Specific Patient ◽  
Management Protocol ◽  
Problems And Solutions

Successful implementation of a patient blood management program necessitates the collaboration of a strong organization and a multidisciplinary approach. We organized a meeting with broad participation in our center to establish a consensus for implementation of a specific patient blood management program. International and domestic experiences were shared, the importance of coordination and execution of different pillars in patient blood management were discussed, and the problems about the blood transfusion system were also investigated with the proposal for solutions. The data obtained from this meeting are presented to be a guide for similar large-volume tertiary hospitals for integration of a patient blood management protocol.

A Patient Blood Management Program in Prosthetic Joint Arthroplasty Decreases Blood Use and Improves Outcomes

2016 ◽  
Vol 31 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Terrence J. Loftus ◽  
Larry Spratling ◽  
Barbara A. Stone ◽  
Liang Xiao ◽  
David J. Jacofsky
Keyword(s):  
Management Program ◽  
Joint Arthroplasty ◽  
Patient Blood Management ◽  
Blood Management ◽  
Prosthetic Joint

scholarly journals Multimodal Patient Blood Management Program Based on a Three-pillar Strategy

2019 ◽  
Vol 269 (5) ◽  
pp. 794-804 ◽  
Author(s):  
Friederike C. Althoff ◽  
Holger Neb ◽  
Eva Herrmann ◽  
Kevin M. Trentino ◽  
Lee Vernich ◽  
...  
Keyword(s):  
Management Program ◽  
Patient Blood Management ◽  
Blood Management

Patient blood management program in oncological surgery: A multicenter prospective study.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e18793-e18793
Author(s):  
Alessandro Bonini ◽  
Lucia Merolle ◽  
Erminia Di Bartolomeo ◽  
Pamela Berni ◽  
Agostino Rossi ◽  
...  
Keyword(s):  
Prospective Study ◽  
Management Program ◽  
Patient Blood Management ◽  
Blood Management ◽  
Oncological Surgery ◽  
Multicenter Prospective Study

scholarly journals Implementation of a Patient Blood Management Program Results in Decreased Transfusions Without Negatively Impacting Outcomes

2021 ◽  
Vol 233 (5) ◽  
pp. e101
Author(s):  
Helen A. Potter ◽  
Stephanie Hall ◽  
Thomas Bates ◽  
Scott Atay ◽  
Yong Kwon ◽  
...  
Keyword(s):  
Management Program ◽  
Patient Blood Management ◽  
Blood Management
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