A pragmatic approach to embedding patient blood management in a tertiary hospital
A pragmatic approach to embedding patient blood management in a tertiary hospital
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DOI：
10.1111/trf.12362
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发表时间：
2014-04-01
期刊：
影响因子：
2.9
通讯作者：
Towler, Simon
中科院分区：
文献类型：
--
作者：
Leahy, Michael F.;Roberts, Heather;Towler, Simon
BackgroundWe describe the implementation and impact of a patient blood management program (PBMP) in an Australian teaching hospital.Study Design and MethodsA PBMP was introduced at a single tertiary care hospital in 2009 as a pilot for the Western Australian Health Department statewide PBMP. The first 3 years of interventions aimed to make effective use of preoperative clinics, manage perioperative anemia, improve perioperative hemostasis, reduce blood sample volumes, and implement restrictive transfusion triggers and a single-unit transfusion policy.ResultsBetween 2008 and 2011, admissions to Fremantle Hospital and Health Services increased by 22%. Using 2008 as a reference year, the mean number of red blood cell (RBC) units per admission declined 26% by 2011. Use of fresh-frozen plasma and platelets showed 38 and 16% declines, respectively. Cryoprecipitate increased 7% over the 4-year period. For elective admissions between 2008 and 2011, the leading decline in RBC transfusion rate was seen in cardiothoracic surgery (27.5% to 12.8%). The proportion of single RBC unit use increased from 13% to 28% (p
