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Patient Blood Management Bundles to Facilitate Implementation.

Meybohm, P; Richards, T; Isbister, J; Hofmann, A; Shander, A; Goodnough, LT; Muñoz, M; ... Zacharowski, K; + view all (2017) Patient Blood Management Bundles to Facilitate Implementation. Transfusion Medicine Reviews , 31 (1) pp. 62-71. 10.1016/j.tmrv.2016.05.012. Green open access

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Abstract

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.

Type: Article
Title: Patient Blood Management Bundles to Facilitate Implementation.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.tmrv.2016.05.012
Publisher version: http://dx.doi.org/10.1016/j.tmrv.2016.05.012
Additional information: © 2016 The Author. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Anemia, Blood loss, Blood transfusion, Hemostasis, Patient blood management
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/1502765
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