Modifying physicians' transfusion practice

Eisenstaedt, R S

doi:10.1016/s0887-7963(97)80007-7

Cited by 36 publications

(22 citation statements)

References 59 publications

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“…This is probably attributable to the increased autonomy of the clinicians and improved reliability of the transfusion service for availability of blood and efficiency of the service. 12 Because of the more efficient use of blood resources, the system provides greater flexibility and more transparency of blood allocation during blood shortages. The system does not allow the issue of ABO-compatible but non-group-specific blood units when there is shortage of one particular ABO group.…”

Section: Discussionmentioning

confidence: 99%

Operating Theater Blood Transaction System: A “Virtual” Blood Transfusion Service that Brings the Blood Bank to the Operating Table

et al. 1999

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A b s t r a c tWe describe an operating theater blood transaction system (OTBTS) Blood is sometimes needed in large amounts within a short time during surgery. Ideally, unlimited amounts of blood would be available in the operating theater (OT) for immediate transfusion. However, this often cannot be achieved because of the time required for the completion of the compatibility tests and for the transportation of the blood units from the blood bank to the OT. In 1996, Cheng et al 1 proposed the use of a computer-generated list of the serial numbers of all blood units available in the blood bank inventory for "self-service" blood ordering by nursing staff in the OT. This system is basically a manual system requiring tedious matching of numbers, and there are difficulties keeping track of the blood units. Based on this concept, we developed and tested a novel computer software system that can save workforce resources, speed the availability of blood for transfusion, and ensure safety in intraoperative blood transfusion. Materials and Methods The SystemThe operating theater blood transaction system (OTBTS) is a computer software system that incorporates electronic crossmatch and the concept of a self-service blood banking system in the OT. Appropriate numbers of group A, B, AB, and O donor units are stored separately in designated compartments of a temperature-monitored refrigerator on each OT floor, and specific blood units are no longer assigned to surgical patients with a valid negative antibody screen. The software is Windows-based (Microsoft, Redmond, WA) and is developed and networked through the

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Section: Discussionmentioning

confidence: 99%

Operating Theater Blood Transaction System: A “Virtual” Blood Transfusion Service that Brings the Blood Bank to the Operating Table

et al. 1999

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“…Requests not meeting institutional guidelines can serve to initiate educational feedback to clinicians. Several different CBUR systems have been developed at various hospitals including systems that intervene before the request is filled and systems that review requests retrospectively 22‐24 . Due to computer‐processing speeds, CBUR allows timely review of all requests from all treating physicians.…”

Section: Solutions To the Problems Of Transfusion Safetymentioning

confidence: 99%

Emily Cooley Lecture 2002: transfusion safety in the hospital

Dzik¹

2003

Transfusion

130

131

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“…A controlled trial examining individuals receiving whole blood and/or RBCs found a lower rate of overtransfusion in five major surgical procedures in a hospital with a comprehensive transfusion education program compared to four other hospitals 19 . Several studies have demonstrated the ability of a variety of behavioral interventions to reduce the overall volume of transfusions, percentage of individuals who received transfusion, and total donor exposures per patient 20 . A review of 44 systematic reviews examining the effectiveness of interventions to promote the uptake of research findings by health care providers found some evidence that interventions could alter practice 21 .…”

Section: Lessons Learned From This Systematic Reviewmentioning

confidence: 99%