Computer-assisted audits of blood component transfusion

Ga, Hoeltge; Jc, Brown; Herzig, RH; Mr, Johannisson; Bl, Millward; Pj, O'Hara; Jp, Orlowski; De, Sharp; Am, Zurick

doi:10.3949/ccjm.56.3.267

Cited by 20 publications

(2 citation statements)

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“…For purposes of this study, a transfusion episode (TE) was defined as transfusion therapy for 1 day in 1 patient. 6 Use of TE aided in data collection and analysis of changes in clinical variables and treatment and decreased problems associated with variations in patient size.…”

mentioning

confidence: 99%

Clinical indications for use of fresh frozen plasma in dogs: 74 dogs (October through December 1999)

Logan

Callan²,

Drew³

et al. 2001

javma

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mentioning

confidence: 99%

Clinical indications for use of fresh frozen plasma in dogs: 74 dogs (October through December 1999)

Logan

Callan²,

Drew³

et al. 2001

javma

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“…Empiric hemoglobin levels of 8 gm% (34) and 7 gm% that have been suggested for utilization review (22), have been regarded as unworkable due to patients' heterogeneity, whereas hemoglobin levels of up to 10 gm% may serve only to justify transfusion practices already in place (35). Furthermore, medical chart audits for utilization review of blood transfusions depend on either documentation of the rationale for transfusion, or collaborating evidence (patient symptoms, signs, or laboratory data) supporting the transfusion, A recent study found that all of these were poorly documented, as was proper identification of the transfusion decision-maker (36).…”

Section: Blood Transfusionmentioning

confidence: 99%

Blood Transfusion and Blood Conservation: Cost and Utilization Issues

Goodnough¹,

Bodner²,

Martin

1994

Am J Med Qual

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Approximately 12 million red blood cell units are transfused to nearly 4 million patients annually in the United States (1). The conservation of blood has historically arisen from awareness that the inventory of this resource is limited (2), as well as the knowledge that blood transfusion carries a risk (3). Estimates of current blood transfusion risks (4-12), and the costs of transfusion complications (13-17), are summarized in Table 1. In addition, emphasis on the costs of health care has raised issues related to the costs of blood transfusion (18, 19). Finally, recent guidelines have emphasized that in the elective transfusion setting, no blood transfusion is a desirable outcome (20, 21). Furthermore, these guidelines along with consensus conference recommendations (22) have emphasized that if blood is to be transfused, autologous (the patient's own) blood is preferable to allogeneic (from an anonymous, volunteer donor) blood. Thus, the costs of blood conservation, for which an increasing array of technologic procedures and products have become available (Table 2), have also become an issue (23). The purpose of this review is to provide an overview of emerging data on the cost-effectiveness of blood and blood conservation interventions in order to help identify areas important for future investigation.

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Transfusion Practice in Medical Patients

Saxena

Weiner²,

Rabinowitz³

et al. 1993

Arch Intern Med

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The rate of nonjustifiable or equivocal transfusion on medical services may be as high as 35%. Reliance on numbers rather than clinical status seems to be a major problem. Education is obviously a critical issue and should also target private practitioners, who seemed to perform less well than physicians in training. Transfusion guidelines that use specific hematocrit values also need to be reexamined.

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Computer-assisted audits of blood component transfusion

Cited by 20 publications

References 0 publications

Clinical indications for use of fresh frozen plasma in dogs: 74 dogs (October through December 1999)

Clinical indications for use of fresh frozen plasma in dogs: 74 dogs (October through December 1999)

Blood Transfusion and Blood Conservation: Cost and Utilization Issues

Transfusion Practice in Medical Patients

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