How I use clinical decision support to improve red blood cell utilization

Transfusion

Volumn 56, Issue 10, 2016, Pages 2406-2411

  Tim Goodnough, Lawrence ^a,b   Andrew Baker, Steven ^a   Shah, Neil ^a  

^a Department of Pathology ^*  (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BLOOD TRANSFUSION; CLINICAL OUTCOME; DECISION SUPPORT SYSTEM; ERYTHROCYTE; HUMAN; CLINICAL DECISION SUPPORT SYSTEM; CLINICAL PRACTICE; ELECTRONIC HEALTH RECORD; ERYTHROCYTE TRANSFUSION; TRENDS; UNITED STATES; UTILIZATION;

BLOOD TRANSFUSION; DECISION SUPPORT SYSTEMS, CLINICAL; ELECTRONIC HEALTH RECORDS; ERYTHROCYTE TRANSFUSION; HUMANS; PRACTICE PATTERNS, PHYSICIANS'; UNITED STATES;

EID: 84991660351     PISSN: 00411132     EISSN: 15372995     Source Type: Journal    
DOI: 10.1111/trf.13767     Document Type: Article

References (27)

1. Five things physicians and patients should question. Choosing Wisely [Internet]. Philadelphia: ABIM Foundation; 2012 [cited 2016 Jun 30]. Available from: http://www.choosingwisely.org.
2. Goodnough LT, Shander A. Patient blood management. Anesthesiology 2012;116:1367–76.
3. Goodnough LT, Levy JH, Murphy MF. Concepts of blood transfusion in adults. Lancet 2013;381:1845–54.
4. Bulger J, Nickel W, Messler J, et al. Choosing wisely in adult hospital medicine: five opportunities for improved healthcare value. J Hosp Med 2013;8:486–92.
5. Callum JL, Waters JH, Shaz BH, et al. The AABB recommendations for the Choosing Wisely campaign of the American Board of Internal Medicine. Transfusion 2014;54:2344–52.
6. Hicks LK, Bering H, Carson KR, et al. The ASH Choosing Wisely campaign: five hematologic tests and treatments to question. Blood 2013;122:3879–83.
7. Audet AM, Goodnough LT. American College of Physicians Position Paper: strategies for elective red blood cell transfusion. Ann Intern Med 1992;116:403–6.
8. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458–65.
9. Gardner RM, Christiansen PD, Tate KE, et al. Computerized continuous quality improvement methods used to optimize blood transfusions. Proc Annu Symp Comput Appl Med Care 1993;166–70.
10. Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 2005;330:765.
11. Haspel RL, Uhl L. How do I audit hospital blood product utilization? Transfusion 2012;52:227–30.
12. Rothschild JM, McGurk S, Honour M, et al. Assessment of education and computerized decision support interventions for improving transfusion practice. Transfusion 2007;47:228–39.
13. Hibbs SP, Nielsen ND, Brunskill S, et al. The impact of electronic decision support on transfusion practice: a systematic review. Transfus Med Rev 2015;29:14–23.
14. Tavares M, DiQuattro P, Nolette N, et al. Reduction in plasma transfusion after enforcement of transfusion guidelines. Transfusion 2011;51:754–61.
15. Boral LI, Bernard A, Hjorth T, et al. How do I implement a more restrictive transfusion trigger of hemoglobin level of 7 g/dL at my hospital? Transfusion 2015;55:937–45.
16. Devaraj S, Sharma SK, Fausto DJ, et al. Barriers and facilitators to clinical decision support systems adoption: a systematic review. J Bus Adm Res 2014;3:36–53.
17. Goodnough LT, Shieh L, Hadhazy E, et al. Improved blood utilization using real-time clinical decision support. Transfusion 2014;54:1358–65.
18. Carson JL, Hill S, Carless P, et al. Transfusion triggers: a systematic review of the literature. Transfus Med Rev 2002;16:187–99.
19. Hébert PC, Wells G, Blajchman MA, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med 1999;340:409–17.
20. Goodnough LT, Shah N. Is there a “magic” hemoglobin number? Clinical decision support promoting restrictive blood transfusion practices. Am J Hematol 2015;90:927–33.
21. Goodnough LT, Maggio P, Hadhazy E, et al. Restrictive blood transfusion practices are associated with improved patient outcomes. Transfusion 2014;54:2753–9.
22. Goodnough LT, Shah N. The next chapter in patient blood management: real-time clinical decision support. Am J Clin Pathol 2014;142:741–7.
23. Hibbs S, Miles D, Staves J, et al. Is undertransfusion a problem in modern clinical practice? Transfusion 2015;55:906–10.
24. McKinney ZJ, Peters JM, Gorlin JB, et al. Improving red blood cell orders, utilization, and management with point-of-care clinical decision support. Transfusion 2015;55:2086–94.
25. Roubinian NH, Escobar GJ, Liu V, et al. Trends in red blood cell transfusion and 30-day mortality among hospitalized patients. Transfusion 2014;54:2678–86.
26. Shander A, Hofmann A, Ozawa S, et al. Activity-based costs of blood transfusions in surgical patients at four hospitals. Transfusion 2010;50:753–65.
27. Chen JH, Fang D, Shieh L, et al. Why providers transfuse blood products outside recommended guidelines in spite of integrated electronic best practice alerts. J Hosp Med 2015;10:1–7.