Patient blood management: how is implementation going?: A report comparing the 2015 survey with the 2013 survey of PBM in England

Transfusion Medicine
L SherlikerB Hockley

Abstract

Patient blood management (PBM) is an evidence-based approach to optimising the care of patients who might need transfusion. In 2013, all NHS Trusts in England were surveyed about their readiness to implement PBM. National PBM recommendations were launched in 2014. The aim of this study was to determine progress of PBM initiatives. A survey was constructed by staff in hospitals and NHS Blood and Transplant (NHSBT). An online questionnaire was sent to all NHS Trusts in England (N = 149) in November 2015. Improvements in 2015: Education/training in transfusion: 80-100% from 60-90% in 2013 Provision of information relating to consent for transfusion: 98% from 65% in 2013 (P = <0·001) The management of anaemia: elective general surgery management, 66% from 41% in 2013 (P = <0·001) Transfusion alternatives: Tranexamic use in surgery, 92% from 71% in 2013 (P = <0·001) Laboratory staff empowered to challenge transfusion requests, 95% from 65% in 2013 (P = 0·001) Further work required: Electronic systems to support requesting (e.g. mandatory recording of diagnosis: 47% from 48% in 2013 (P = 0·85), incorporation of standardised requesting codes: 27% from 33% in 2013 (P = 0·24) Appropriate use of components: in 2015, only 42% had a lower ...Continue Reading

References

May 28, 2013·Lancet·Donat R Spahn, Lawrence T Goodnough
Mar 24, 2016·Transfusion·Aryeh ShanderHans Gombotz
Sep 20, 2016·Anesthesia and Analgesia·Aryeh ShanderMarisa B Marques

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