2022
DOI: 10.1016/j.htct.2020.12.010
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Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system

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Cited by 7 publications
(6 citation statements)
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“…Compared with these results, our analysis has shown approximately a percentage of inappropriate transfusions of 91%. The study carried out in Northern Ireland by Barr et al ( 22 ) demonstrated that 23% of the transfusions were considered inappropriate with a sample size of n = 1,474, taking into account the difference in the sample and the limitations of our study, our results could hypothesize that in hospitals there is still an over-transfusion in patients, in concordance with other studies ( 23 29 ). These over-transfusions can seriously compromise their safety, exposing patients to the risk of serious transfusion reactions and unwanted situations cardiac overload ( 26 ) situations that could be improved with the development of patient blood management programs.…”
Section: Discussionsupporting
confidence: 90%
“…Compared with these results, our analysis has shown approximately a percentage of inappropriate transfusions of 91%. The study carried out in Northern Ireland by Barr et al ( 22 ) demonstrated that 23% of the transfusions were considered inappropriate with a sample size of n = 1,474, taking into account the difference in the sample and the limitations of our study, our results could hypothesize that in hospitals there is still an over-transfusion in patients, in concordance with other studies ( 23 29 ). These over-transfusions can seriously compromise their safety, exposing patients to the risk of serious transfusion reactions and unwanted situations cardiac overload ( 26 ) situations that could be improved with the development of patient blood management programs.…”
Section: Discussionsupporting
confidence: 90%
“…Blood transfusion is still associated with a number of dangers for patients. Although advances in blood transfusion safety have been made since the introduction of new generation infectious disease investigations, leukoreduction, and donor selection criteria, blood transfusions are still linked to dangerous reactions [14].…”
Section: Discussionmentioning
confidence: 99%
“…The CDS system is becoming more popular in the developed world, but there are still some obstacles to be resolved before it can be used in developing countries. Segmented health-care systems, the lack of a national patient medical archive, and the presence of various software modes that are not incorporated into the patient-care structure limit its widespread use [14].…”
Section: Discussionmentioning
confidence: 99%
“…It has been described in 1998 by Hunt et al as “any software designed to directly aid in clinical decision-making in which characteristics of individual patients are matched to a computerized knowledge base for the purpose of generating patient-specific assessments or recommendations that are then presented to clinicians for consideration” [ 26 ]. These systems usually lead to an increased percentage of single-unit transfusions, which translates into a decrease in the number of blood components used while the number of orders remains unchanged [ 27 , 28 ]. It is also correlated with the reduction of costs associated with these procedures [ 29 ].…”
Section: Discussionmentioning
confidence: 99%