TY  - JOUR
A1  - Meybohm, Patrick
A1  - Richards, Toby
A1  - Isbister, James
A1  - Hofmann, Axel
A1  - Shander, Aryeh
A1  - Goodnough, Lawrence Tim
A1  - Muñoz, Manuel
A1  - Gombotz, Hans
A1  - Weber, Christian Friedrich
A1  - Choorapoikayil, Suma
A1  - Spahn, Donat Rudolf
A1  - Zacharowski, Kai
T1  - Patient blood management bundles to facilitate implementation
T2  - Transfusion medicine reviews
N2  - More than 30% of the world's population are anemic with serious economic consequences including reduced work capacity and other obstacles to national welfare and development. Red blood cell transfusion is the mainstay to correct anemia, but it is also 1 of the top 5 overused procedures. Patient blood management (PBM) is a proactive, patient-centered, and multidisciplinary approach to manage anemia, optimize hemostasis, minimize iatrogenic blood loss, and harness tolerance to anemia. Although the World Health Organization has endorsed PBM in 2010, many hospitals still seek guidance with the implementation of PBM in clinical routine. Given the use of proven change management principles, we propose simple, cost-effective measures enabling any hospital to reduce both anemia and red blood cell transfusions in surgical and medical patients. This article provides comprehensive bundles of PBM components encompassing 107 different PBM measures, divided into 6 bundle blocks acting as a working template to develop institutions' individual PBM practices for hospitals beginning a program or trying to improve an already existing program. A stepwise selection of the most feasible measures will facilitate the implementation of PBM. In this manner, PBM represents a new quality and safety standard.
KW  - Anemia
KW  - Blood loss
KW  - Blood transfusion
KW  - Hemostasis
KW  - Patient blood management
Y1  - 2016
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45891
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-458916
SN  - 1532-9496
SN  - 0887-7963
N1  - © 2016 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
VL  - 31
IS  - 1
SP  - 62
EP  - 71
PB  - Elsevier
CY  - Amsterdam [u. a.]
ER  -