When should we tell patients there may be no blood? Evaluating the ‘informed’ consent process

Booth, Garrett S.; Jacobs, Jeremy W; Stephens, Laura; Chooljian, David M; Savani, Bipin N.; Gehrie, Eric A.

doi:10.1111/bjh.18156

Cited by 2 publications

(3 citation statements)

References 8 publications

(9 reference statements)

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“… 33 , 34 The inclusion of transfusion futility protocols in modern practice represents a grim reality of sustained blood shortages. 35 …”

Section: Discussionmentioning

confidence: 99%

“…As evidenced by our respondents, futility protocols are generally felt to require a group consensus and would optimally include an institution's clinical ethicist as well as other stakeholders who may form a transfusion triage team 33,34 . The inclusion of transfusion futility protocols in modern practice represents a grim reality of sustained blood shortages 35 …”

Section: Discussionmentioning

confidence: 99%

“…33,34 The inclusion of transfusion futility protocols in modern practice represents a grim reality of sustained blood shortages. 35 In addition, we assessed institutions' interpretation of undertransfusion, as this may be a new concept for many blood bankers. Undertransfusion is of particular importance as it is considered both a transfusion complication and error.…”

Section: (A) (B) F I G U R E 4 Transfusion Futility Protocols (A) Pro...mentioning

confidence: 99%

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Blood conservation strategies at United States hospitals during the COVID‐19 pandemic: Findings from a multi‐institutional analysis ‐ International Society of Blood Transfusion survey

et al. 2022

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Background Due to the coronavirus disease 2019 (COVID‐19) pandemic, the transfusion medicine community has experienced unprecedented blood supply shortages since March 2020. As such, numerous changes to everyday practice have occurred with a specific emphasis on blood conservation. We sought to determine the strategies used to mitigate blood shortages and promote blood conservation during the pandemic. Methods An anonymous, 37‐question survey was developed using Research Electronic Data Capture and distributed via e‐mail to transfusion medicine specialists across the US obtained via publicly available databases. Results Amongst surveyed [41.1% response rate (51/124 institutions)], 98.0% experienced a product shortage, with the greatest number reporting red blood cell (RBC) shortages ( 92.0%). This led to 35.3% of institutions altering the composition and/or number of blood product suppliers, including a 100% increase in the number of institutions acquiring blood from organizations that connect hospital transfusion services with blood collection centers (e.g., Blood Buy) compared to before March 2020. Prospective triaging of blood products was the most common blood conservation strategy (68.1%), though 35.4% altered their RBC exchange or transfusion program for patients receiving chronic RBC transfusion/exchange. As a result of these changes, 78.6% of institutions reported that these changes resulted in a reduction in blood product usage, and 38.1% reported a decrease in product wastage. Conclusions Most hospitals experienced the effects of the supply shortage, and many of them implemented blood conserving measures. Conservation strategies were associated with decreased blood utilization and waste, and future studies could evaluate whether these changes persist.

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“… 33 , 34 The inclusion of transfusion futility protocols in modern practice represents a grim reality of sustained blood shortages. 35 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: (A) (B) F I G U R E 4 Transfusion Futility Protocols (A) Pro...mentioning

confidence: 99%

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Blood conservation strategies at United States hospitals during the COVID‐19 pandemic: Findings from a multi‐institutional analysis ‐ International Society of Blood Transfusion survey

et al. 2022

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Cybersecurity and the blood supply: The vulnerabilities of the technological revolution

Jacobs,

De Simone,

Duque

et al. 2024

American J Hematol

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When should we tell patients there may be no blood? Evaluating the ‘informed’ consent process

Cited by 2 publications

References 8 publications

Blood conservation strategies at United States hospitals during the COVID‐19 pandemic: Findings from a multi‐institutional analysis ‐ International Society of Blood Transfusion survey

Blood conservation strategies at United States hospitals during the COVID‐19 pandemic: Findings from a multi‐institutional analysis ‐ International Society of Blood Transfusion survey

Cybersecurity and the blood supply: The vulnerabilities of the technological revolution

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