A benchmarking program to reduce red blood cell outdating: implementation, evaluation, and a conceptual framework

Transfusion
Rebecca BartyNancy M Heddle

Abstract

Benchmarking is a quality improvement tool that compares an organization's performance to that of its peers for selected indicators, to improve practice. Processes to develop evidence-based benchmarks for red blood cell (RBC) outdating in Ontario hospitals, based on RBC hospital disposition data from Canadian Blood Services, have been previously reported. These benchmarks were implemented in 160 hospitals provincewide with a multifaceted approach, which included hospital education, inventory management tools and resources, summaries of best practice recommendations, recognition of high-performing sites, and audit tools on the Transfusion Ontario website (http://transfusionontario.org). In this study we describe the implementation process and the impact of the benchmarking program on RBC outdating. A conceptual framework for continuous quality improvement of a benchmarking program was also developed. The RBC outdating rate for all hospitals trended downward continuously from April 2006 to February 2012, irrespective of hospitals' transfusion rates or their distance from the blood supplier. The highest annual outdating rate was 2.82%, at the beginning of the observation period. Each year brought further reductions, with a nadir o...Continue Reading

References

Jan 9, 1992·Long Range Planning·R Walker
Aug 5, 2008·Transfusion·Walter Sunny DzikMichael Murphy
Jan 13, 2012·Transfusion Medicine Reviews·Torunn Oveland ApelsethNancy M Heddle
Jun 2, 2012·Implementation Science : IS·Jeremy M GrimshawJanet E Squires

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Citations

Feb 7, 2017·Transfusion·Jason G QuinnCalvino K Cheng
Sep 25, 2017·Transfusion·Fathima AyyalilAnoop K Enjeti

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