Implementing a Health System-wide Patient Blood Management Program with a Clinical Community Approach

Anesthesiology

Volumn 127, Issue 5, 2017, Pages 754-764

  Frank, Steven M ^a   Thakkar, Rajiv N ^b   Podlasek, Stanley J ^b   Lee, K H Ken ^b   Wintermeyer, Tyler L ^b   Yang, Will W ^a   Liu, Jing ^b   Rotello, Leo C ^b   Fleury, Thomas A ^b   Wachter, Pat A ^b   Ishii, Lisa E ^b   Demski, Renee ^b   Pronovost, Peter J ^a,b   Ness, Paul M ^b  

^a JOHNS HOPKINS HOSPITAL   (United States)

^b DEPARTMENT OF PATHOLOGY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOOD TRANSFUSION; CLINICAL DECISION SUPPORT SYSTEM; CLINICAL PRACTICE; COMMUNITY CARE; COMPUTERIZED PROVIDER ORDER ENTRY; COST CONTROL; ERYTHROCYTE TRANSFUSION; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HUMAN; INTERNATIONAL NORMALIZED RATIO; MULTICENTER STUDY; PATIENT SAFETY; PLASMA TRANSFUSION; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; THROMBOCYTE TRANSFUSION; TOTAL QUALITY MANAGEMENT; BLOOD BANK; CLINICAL DECISION MAKING; HEALTH CARE DELIVERY; HOSPITAL; PROCEDURES; STANDARDS;

BLOOD BANKS; BLOOD TRANSFUSION; CLINICAL DECISION-MAKING; COMMUNITY HEALTH SERVICES; DELIVERY OF HEALTH CARE; HOSPITALS; HUMANS;

EID: 85032160443     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0000000000001851     Document Type: Article

References (53)

1. Healthcare Cost and Utilization Project: Most frequent procedures performed in U.S. hospitals. 2013. Available at: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb149.pdf Accessed February 19, 2017
2. Joint Commission Overuse Summit 2012. Available at: http:// www.jointcommission.org/two-leading-health-care-quality- organizations-hold-national-summit-to-build-consensus- around-ways-to-minimize-overuse-of-five-treatments/. Accessed February 19, 2017
3. Yazer MH, Waters JH: How do I implement a hospital-based blood management program? Transfusion 2012; 52:1640-5
4. Waters JH, Ness PM: Patient blood management: A growing challenge and opportunity. Transfusion 2011; 51:902-3
5. Onuoha OC, Arkoosh VA, Fleisher LA: Choosing wisely in anesthesiology: The gap between evidence and practice. JAMA Intern Med 2014; 174:1391-5
6. Callum JL, Waters JH, Shaz BH, Sloan SR, Murphy MF: The AABB recommendations for the Choosing Wisely campaign of the American Board of Internal Medicine. Transfusion 2014; 54:2344-52
7. Kain ZN, Vakharia S, Garson L, Engwall S, Schwarzkopf R, Gupta R, Cannesson M: The perioperative surgical home as a future perioperative practice model. Anesth Analg 2014; 118:1126-30
8. Mechanic R, Tompkins C: Lessons learned preparing for Medicare bundled payments. N Engl J Med 2012; 367:1873-5
9. Shander A, Hofmann A, Ozawa S, Theusinger OM, Gombotz H, Spahn DR: Activity-based costs of blood transfusions in surgical patients at four hospitals. Transfusion 2010; 50:753-65
10. Aveling EL, Martin G, Armstrong N, Banerjee J, Dixon-Woods M: Quality improvement through clinical communities: Eight lessons for practice. J Health Organ Manag 2012; 26:158-74
11. Gould LJ, Wachter PA, Aboumatar H, Blanding RJ, Brotman DJ, Bullard J, Gilmore MM, Golden SH, Howell E, Ishii L, Lee KH, Paul MG, Rotello LC, Satin AJ, Wick EC, Winner L, Zenilman ME, Pronovost PJ: Clinical communities at Johns Hopkins Medicine: An emerging approach to quality improvement. Jt Comm J Qual Patient Saf 2015; 41:387-95
12. Dixon-Woods M, Bosk CL, Aveling EL, Goeschel CA, Pronovost PJ: Explaining Michigan: Developing an ex post theory of a quality improvement program. Milbank Q 2011; 89:167-205
13. Oliver JC, Griffin RL, Hannon T, Marques MB: The success of our patient blood management program depended on an institution-wide change in transfusion practices. Transfusion 2014; 54(10 Pt 2):2617-24
14. Szpila BE, Ozrazgat-Baslanti T, Zhang J, Lanz J, Davis R, Rebel A, Vanzant E, Gentile LF, Cuenca AG, Ang DN, Liu H, Lottenberg L, Marker P, Zumberg M, Bihorac A, Moore FA, Brakenridge S, Efron PA: Successful implementation of a packed red blood cell and fresh frozen plasma transfusion protocol in the surgical intensive care unit. PLoS One 2015; 10:e0126895
15. Leahy MF, Roberts H, Mukhtar SA, Farmer S, Tovey J, Jewlachow V, Dixon T, Lau P, Ward M, Vodanovich M, Trentino K, Kruger PC, Gallagher T, Koay A, Hofmann A, Semmens JB, Towler S; Western Australian Patient Blood Management Program: A pragmatic approach to embedding patient blood management in a tertiary hospital. Transfusion 2014; 54:1133-45
16. Frank SM, Resar LM, Rothschild JA, Dackiw EA, Savage WJ, Ness PM: A novel method of data analysis for utilization of red blood cell transfusion. Transfusion 2013; 53:3052-9
17. Frank SM, Savage WJ, Rothschild JA, Rivers RJ, Ness PM, Paul SL, Ulatowski JA: Variability in blood and blood component utilization as assessed by an anesthesia information management system. ANESTHESIOLOGY 2012; 117:99-106
18. Hébert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E: 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
19. Hajjar LA, Vincent JL, Galas FR, Nakamura RE, Silva CM, Santos MH, Fukushima J, Kalil Filho R, Sierra DB, Lopes NH, Mauad T, Roquim AC, Sundin MR, Leão WC, Almeida JP, Pomerantzeff PM, Dallan LO, Jatene FB, Stolf NA, Auler JO Jr: Transfusion requirements after cardiac surgery: The TRACS randomized controlled trial. JAMA 2010; 304:1559-67
20. Carson JL, Terrin ML, Noveck H, Sanders DW, Chaitman BR, Rhoads GG, Nemo G, Dragert K, Beaupre L, Hildebrand K, Macaulay W, Lewis C, Cook DR, Dobbin G, Zakriya KJ, Apple FS, Horney RA, Magaziner J; FOCUS Investigators: Liberal or restrictive transfusion in high-risk patients after hip surgery. N Engl J Med 2011; 365:2453-62
21. Lacroix J, Hébert PC, Hutchison JS, Hume HA, Tucci M, Ducruet T, Gauvin F, Collet JP, Toledano BJ, Robillard P, Joffe A, Biarent D, Meert K, Peters MJ; TRIPICU Investigators; Canadian Critical Care Trials Group; Pediatric Acute Lung Injury and Sepsis Investigators Network: Transfusion strategies for patients in pediatric intensive care units. N Engl J Med 2007; 356:1609-19
22. Villanueva C, Colomo A, Bosch A, Concepción M, Hernandez-Gea V, Aracil C, Graupera I, Poca M, Alvarez-Urturi C, Gordillo J, Guarner-Argente C, Santaló M, Muñiz E, Guarner C: Transfusion strategies for acute upper gastrointestinal bleeding. N Engl J Med 2013; 368:11-21
23. Holst LB, Haase N, Wetterslev J, Wernerman J, Guttormsen AB, Karlsson S, Johansson PI, Aneman A, Vang ML, Winding R, Nebrich L, Nibro HL, Rasmussen BS, Lauridsen JR, Nielsen JS, Oldner A, Pettilä V, Cronhjort MB, Andersen LH, Pedersen UG, Reiter N, Wiis J, White JO, Russell L, Thornberg KJ, Hjortrup PB, Müller RG, Møller MH, Steensen M, Tjäder I, Kilsand K, Odeberg-Wernerman S, Sjøbø B, Bundgaard H, Thyø MA, Lodahl D, Markedahl R, Albeck C, Illum D, Kruse M, Winkel P, Perner A; TRISS Trial Group; Scandinavian Critical Care Trials Group: Lower versus higher hemoglobin threshold for transfusion in septic shock. N Engl J Med 2014; 371:1381-91
24. Murphy GJ, Pike K, Rogers CA, Wordsworth S, Stokes EA, Angelini GD, Reeves BC; TITRe2 Investigators: Liberal or restrictive transfusion after cardiac surgery. N Engl J Med 2015; 372:997-1008
25. Robertson CS, Hannay HJ, Yamal JM, Gopinath S, Goodman JC, Tilley BC, Baldwin A, Rivera Lara L, Saucedo-Crespo H, Ahmed O, Sadasivan S, Ponce L, Cruz-Navarro J, Shahin H, Aisiku IP, Doshi P, Valadka A, Neipert L, Waguspack JM, Rubin ML, Benoit JS, Swank P; Epo Severe TBI Trial Investigators: Effect of erythropoietin and transfusion threshold on neurological recovery after traumatic brain injury: A randomized clinical trial. JAMA 2014; 312:36-47
26. Frank SM, Wick EC, Dezern AE, Ness PM, Wasey JO, Pippa AC, Dackiw E, Resar LM: Risk-adjusted clinical outcomes in patients enrolled in a bloodless program. Transfusion 2014; 54(10 Pt 2):2668-77
27. Goodnough LT, Shieh L, Hadhazy E, Cheng N, Khari P, Maggio P: Improved blood utilization using real-time clinical decision support. Transfusion 2014; 54:1358-65
28. Yazer MH, Triulzi DJ, Reddy V, Waters JH: Effectiveness of a realtime clinical decision support system for computerized physician order entry of plasma orders. Transfusion 2013; 53:3120-7
29. Wintermeyer TL, Liu J, Lee KH, Ness PM, Johnson DJ, Hoffman NA, Wachter PA, Demski R, Frank SM: Interactive dashboards to support a patient blood management program across a multi-institutional healthcare system. Transfusion 2016; 56:1480-1
30. Thakkar RN, Lee KH, Ness PM, Wintermeyer TL, Johnson DJ, Liu E, Rajprasad A, Knight AM, Wachter PA, Demski R, Frank SM: Relative impact of a patient blood management program on utilization of all three major blood components. Transfusion 2016; 56:2212-20
31. Tobian AA, Heddle NM, Wiegmann TL, Carson JL: Red blood cell transfusion: 2016 clinical practice guidelines from AABB. Transfusion 2016; 56:2627-30
32. Roback JD, Caldwell S, Carson J, Davenport R, Drew MJ, Eder A, Fung M, Hamilton M, Hess JR, Luban N, Perkins JG, Sachais BS, Shander A, Silverman T, Snyder E, Tormey C, Waters J, Djulbegovic B; American Association for the Study of Liver; American Academy of Pediatrics; United States Army; American Society of Anesthesiology; American Society of Hematology: Evidence-based practice guidelines for plasma transfusion. Transfusion 2010; 50:1227-39
33. Kaufman RM, Djulbegovic B, Gernsheimer T, Kleinman S, Tinmouth AT, Capocelli KE, Cipolle MD, Cohn CS, Fung MK, Grossman BJ, Mintz PD, O'Malley BA, Sesok-Pizzini DA, Shander A, Stack GE, Webert KE, Weinstein R, Welch BG, Whitman GJ, Wong EC, Tobian AA; American Association of Blood Banks: Platelet transfusion: A clinical practice guideline from the AABB. Ann Intern Med 2015; 162:205-13
34. Podlasek SJ, Thakkar RN, Rotello LC, Fleury TA, Demski RJ, Ness PM, Frank SM: Implementing a "Why give 2 when 1 will do?" Choosing Wisely campaign. Transfusion 2016; 56:2164
35. Thakkar RN, Kim D, Knight AM, Riedel S, Vaidya D, Wright SM: Impact of an educational intervention on the frequency of daily blood test orders for hospitalized patients. Am J Clin Pathol 2015; 143:393-7
36. Frank SM, Wasey JO, Dwyer IM, Gokaslan ZL, Ness PM, Kebaish KM: Radiofrequency bipolar hemostatic sealer reduces blood loss, transfusion requirements, and cost for patients undergoing multilevel spinal fusion surgery: A case control study. J Orthop Surg Res 2014; 9:50
37. Grant MC, Resar LM, Frank SM: The efficacy and utility of acute normovolemic hemodilution. Anesth Analg 2015; 121:1412-4
38. Abbett SK, Kaufman RM, Gustafson M, Greenberg JO: Multifaceted approach to reducing unnecessary red blood cell utilization. Healthc (Amst) 2015; 3:67-73
39. Goodnough LT, Maggio P, Hadhazy E, Shieh L, Hernandez-Boussard T, Khari P, Shah N: Restrictive blood transfusion practices are associated with improved patient outcomes. Transfusion 2014; 54(10 Pt 2):2753-9
40. Goodnough LT, Shander A: Patient blood management. ANESTHESIOLOGY 2012; 116:1367-76
41. Goodnough LT, Shander A: Blood management. Arch Pathol Lab Med 2007; 131:695-701
42. Shander A: Preoperative anemia and its management. Transfus Apher Sci 2014; 50:13-5
43. Goodnough LT: Blood management: Transfusion medicine comes of age. Lancet 2013; 381:1791-2
44. Goodnough LT, Shander A, Brecher ME: Transfusion medicine: Looking to the future. Lancet 2003; 361:161-9
45. Dodd RY: Emerging pathogens and their implications for the blood supply and transfusion transmitted infections. Br J Haematol 2012; 159:135-42
46. Allain JP, Bianco C, Blajchman MA, Brecher ME, Busch M, Leiby D, Lin L, Stramer S: Protecting the blood supply from emerging pathogens: The role of pathogen inactivation. Transfus Med Rev 2005; 19:110-26
47. Carson JL, Grossman BJ, Kleinman S, Tinmouth AT, Marques MB, Fung MK, Holcomb JB, Illoh O, Kaplan LJ, Katz LM, Rao SV, Roback JD, Shander A, Tobian AA, Weinstein R, Swinton McLaughlin LG, Djulbegovic B; Clinical Transfusion Medicine Committee of the AABB: Red blood cell transfusion: A clinical practice guideline from the AABB. Ann Intern Med 2012; 157:49-58
48. Clifford L, Jia Q, Subramanian A, Yadav H, Wilson GA, Murphy SP, Pathak J, Schroeder DR, Kor DJ: Characterizing the epidemiology of postoperative transfusion-related acute lung injury. ANESTHESIOLOGY 2015; 122:12-20
49. Clifford L, Jia Q, Yadav H, Subramanian A, Wilson GA, Murphy SP, Pathak J, Schroeder DR, Ereth MH, Kor DJ: Characterizing the epidemiology of perioperative transfusion-associated circulatory overload. ANESTHESIOLOGY 2015; 122:21-8
50. Zuckerberg GS, Scott AV, Wasey JO, Wick EC, Pawlik TM, Ness PM, Patel ND, Resar LM, Frank SM: Efficacy of education followed by computerized provider order entry with clinician decision support to reduce red blood cell utilization. Transfusion 2015; 55:1628-36
51. Johnson DJ, Scott AV, Barodka VM, Park S, Wasey JO, Ness PM, Gniadek T, Frank SM: Morbidity and mortality after highdose transfusion. ANESTHESIOLOGY 2016; 124:387-95
52. Goodnough LT, Baker AS, Shah N. How I use clinical decision support to improve red blood cell utilization. Transfusion 2016; 56:2406-11
53. Slichter SJ, Kaufman RM, Assmann SF, McCullough J, Triulzi DJ, Strauss RG, Gernsheimer TB, Ness PM, Brecher ME, Josephson CD, Konkle BA, Woodson RD, Ortel TL, Hillyer CD, Skerrett DL, McCrae KR, Sloan SR, Uhl L, George JN, Aquino VM, Manno CS, McFarland JG, Hess JR, Leissinger C, Granger S: Dose of prophylactic platelet transfusions and prevention of hemorrhage. N Engl J Med 2010; 362:600-13