A Team Approach To Decrease Wasted Blood Products

Jefferies, Leigh C.; Smith, Matt; Magee, Deborah; Wallace, Patricia; Horgan, Meg

doi:10.1093/labmed/27.12.833

Cited by 3 publications

(5 citation statements)

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“…The database for this study was derived from a group of university hospitals providing tertiary care. University hospitals typically have higher costs and perform more complex procedures than community hospitals 23 . While these facts mitigate against direct extrapolation of our findings to the general hospital community, the results might be useful for comparisons by hospitals with similar cost structures.…”

Section: Discussionmentioning

confidence: 78%

“…For example, at the authors' institution, the annual expenses (including payroll) are over $11 million, of which 75 percent is for blood and blood component procurement. Therefore, targeting particular surgical and/or medical DRGs with high blood utilization to audit ordering practices, promote blood conservation strategies, or determine the incidence of blood wastage could potentially result in significant cost reduction 19–23 …”

Section: Discussionmentioning

confidence: 99%

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Blood transfusion costs by diagnosis‐related groupsin 60 university hospitals in 1995

2001

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Members of the UHC may utilize such analyses to identify surgical or medical diagnoses with transfusion costs at variance with the group norm. These DRGs could then be targeted for further evaluation of components contributing to high costs, for possible alterations in physician or clinical laboratory practices. Considering those conditions with the highest cumulative transfusion costs (e.g., BMT, liver transplant, acute leukemia, and cardiothoracic procedures), changes in transfusion practices that affect these particular patient categories may have a significant impact on global blood transfusion costs.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Blood transfusion costs by diagnosis‐related groupsin 60 university hospitals in 1995

2001

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“…Also, Jefferies et al proposed some established strategies which led to reduction of blood loss consisting of monitoring the blood bank supervisors, giving feedback to the investigation committee and analyzing individual errors, training staff and reporting the related issues to the quality improvement committee of hospital [13].…”

Section: Discussionmentioning

confidence: 99%

“…In developing countries such as Iran, where the standards related to preparation, ordering process, cross-matching, transportation, and transfusion are not performed accurately, blood products´ wastage noticeably occurs [1,[7][8][9][10][11][12]. Conversely, in developed countries such as the United States and Australia proper usage and monitoring of blood transfusion standards in different stages like registration of blood bank information and regular training have reduced blood loss and unnecessary cross-matching and consequently decreased the related costs [4,5,[13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Strategies for improvement of blood consumption management in the operating rooms: experts´ suggestions

Gholami

Miladi

Riahi

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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Background: In operating rooms, blood product wastage occurs with various reasons especially over-demand ordering during elective surgeries. Consequently, it imposes a heavy financial burden on health system. Therefore, managing blood consumption in the operating rooms is of special importance. Surgeons and anesthesiologists play a key role in blood transfusion practice in operating rooms. Objective: To investigate surgeons´ and anesthesiologists´ perspectives in regard to the effective strategies for better management of blood transfusion practice in operating rooms. Method: In this qualitative cross-sectional study, from January to March 2020, 60 surgeons and anesthesiologists were participated. All of them were working in surgical departments of the general hospitals affiliated with Shiraz University of Medical Sciences, in Shiraz, Southern Iran. Their viewpoints regarding the improvement of blood consumption management in operating rooms were recorded through interviews and several focus group sessions. Results: After content analysis, the most important recommendations with the highest scores were regular training programs for surgical team (23.3%), collaboration of surgeons, anesthesiologists, and managers of the surgical departments by arrangement of monthly meetings to estimate the number of required blood bags more accurately (23.3%), establishing a wellorganized electronic requesting and registration system (13.3%), promoting the ordering process by a comprehensive preoperative evaluation (11.6%), and updating transfusion protocols based on the standards and monitoring the adherence to these standards (10%). Conclusion: Implementing the proposed policies, which are based on the invaluable experiences of related experts would be effective in improving blood consumption management in operating rooms.

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“…University hospitals are different from other hospitals because they typically perform more complex procedures, have higher costs, and result in longer patient length-of-stays than community hospitals. [ 54 ] Therefore, the results of this study may not be directly extrapolated to the general hospital community of the USA…”

Section: Discussionmentioning

confidence: 99%

Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients: A Multihospital Study

Joshi

Holdford

Brophy

et al. 2012

Anemia

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Intravenous (IV) iron and Erythropoiesis Stimulating Agents (ESAs) are recommended for anemia management in chronic kidney disease (CKD). This retrospective cohort study analyzed utilization patterns of IV iron and ESA in patients over 18 years of age admitted to University Health System Hospitals with a primary or secondary diagnosis of CKD between January 1, 2006 to December 31, 2008. A clustered binomial logistic regression using the GEE methodology was used to identify predictors of IV iron utilization. Only 8% (n = 6678) of CKD patients on ESA therapy received IV iron supplementation in university hospitals. Those receiving iron used significantly less amounts of ESAs. Patient demographics (age, race, primary payer), patient clinical conditions (admission status, severity of illness, dialysis status), and physician specialty were identified as predictors of IV iron use in CKD patients. Use of IV iron with ESAs was low despite recommendations from consensus guidelines. The low treatment rate of IV iron represents a gap in treatment practices and signals an opportunity for healthcare improvement in CKD anemic patients.

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A Team Approach To Decrease Wasted Blood Products

Cited by 3 publications

References 0 publications

Blood transfusion costs by diagnosis‐related groupsin 60 university hospitals in 1995

Blood transfusion costs by diagnosis‐related groupsin 60 university hospitals in 1995

Strategies for improvement of blood consumption management in the operating rooms: experts´ suggestions

Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients: A Multihospital Study

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