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Patient Blood Management Bundles to Facilitate Implementation.
Journal article

Patient Blood Management Bundles to Facilitate Implementation.

  • Meybohm P Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany. Electronic address: patrick.meybohm@kgu.de.
  • Richards T Centre for CardioVascular and Interventional Research (CAVIAR), University College London, London, United Kingdom.
  • Isbister J Department of Haematology and Transfusion Medicine, Sydney Medical School, Royal North Shore Hospital of Sydney, Sydney, Australia.
  • Hofmann A Institute of Anaesthesiology, University and University Hospital Zurich, Zurich, Switzerland.
  • Shander A Department of Anaesthesiology and Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ, United States.
  • Goodnough LT Pathology and Medicine (Hematology), Stanford University, Stanford, CA, United States.
  • Muñoz M Transfusion Medicine, School of Medicine, University of Málaga, Málaga, Spain.
  • Gombotz H Austrian Institute of Technology, Vienna, Austria.
  • Weber CF Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
  • Choorapoikayil S Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
  • Spahn DR Department of Anaesthesiology, UniversitätsSpital Zuerich, Zürich, Switzerland.
  • Zacharowski K Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
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  • 2016-06-19
Published in:
  • Transfusion medicine reviews. - 2017
Anemia
Blood loss
Blood transfusion
Hemostasis
Patient blood management
Anemia
Blood Loss, Surgical
Blood Transfusion
Critical Pathways
Health Plan Implementation
Hemostatic Techniques
Humans
Precision Medicine
Quality Improvement
Transfusion Medicine
English 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.
Language
  • English
Open access status
hybrid
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/30246
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