Patient blood management bundles to facilitate implementation

  • 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.
Metadaten
Author:Patrick MeybohmORCiDGND, Toby Richards, James Isbister, Axel Hofmann, Aryeh Shander, Lawrence Tim Goodnough, Manuel Muñoz, Hans Gombotz, Christian Friedrich WeberORCiDGND, Suma Choorapoikayil, Donat Rudolf Spahn, Kai ZacharowskiORCiDGND
URN:urn:nbn:de:hebis:30:3-458916
DOI:https://doi.org/10.1016/j.tmrv.2016.05.012
ISSN:1532-9496
ISSN:0887-7963
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/27317382
Parent Title (English):Transfusion medicine reviews
Publisher:Elsevier
Place of publication:Amsterdam [u. a.]
Contributor(s):Gavin J. Murphy, Tamara Friedman
Document Type:Article
Language:English
Year of Completion:2016
Date of first Publication:2016/05/28
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2018/03/15
Tag:Anemia; Blood loss; Blood transfusion; Hemostasis; Patient blood management
Volume:31
Issue:1
Page Number:10
First Page:62
Last Page:71
Note:
© 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/).
HeBIS-PPN:43215907X
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung-Nicht kommerziell - Keine Bearbeitung 4.0