Developing clinical performance indicators for pre-hospital blood transfusion: The Thames Valley Air Ambulance approach.

Transfusion Medicine
James RaittDhushy Surendra Kumar

Abstract

In this article, we describe how we developed and validated key performance indicators (KPIs) for pre-hospital blood transfusion and offer suggestions for other organisations wishing to develop performance metrics. KPIs are metrics that compare actual care against an ideal structure, process or outcome standard. An increasing number of UK-based pre-hospital critical care services now carry blood components to enable pre-hospital blood transfusion. A working group of pre-hospital physicians and paramedics was formed to create and validate performance indicators that reflected a high-quality pre-hospital transfusion. This was performed by literature searching and reviewing consensus documents that guide the best practice and then adjusting the indicators as the process evolved. Throughout the year, the performance against the domains was monitored monthly and outputs communicated within the clinical staff of the organisation; at the end of the year, the domains were amended. The final list of performance indicators was as follows: (a) rationale for transfusion documented in the notes; (b) rationale for transfusion in line with Thames Valley Air Ambulance blood transfusion guideline; (c) aggressive management of hypothermia; (d) t...Continue Reading

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Apr 13, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·James RaittSyed Masud

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Citations

Oct 6, 2020·The Journal of Trauma and Acute Care Surgery·Andrew D FisherStacy A Shackelford
Jun 3, 2021·Current Opinion in Anaesthesiology·Anna Roehl, Oliver Grottke

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