Patient blood management – a review of accepted practice; with a focus on optimising patient outcomes during the current COVID-19 pandemic

Anemia is associated adverse outcomes in perioperative patients. Understanding the adaptive cellular and physiologic responses may help define the associated mechanisms and support utilization of effective patient blood management treatment strategies to improve patient outcomes. Supplemental Digital Content is available in the text.

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A Programmatic Approach to Patient Blood Management – Reducing Transfusions and Improving Patient Outcomes

The Open Anesthesiology Journal ◽

10.2174/1874321801509010006 ◽

2015 ◽

Vol 9 (1) ◽

pp. 6-16 ◽

Cited By ~ 9

Author(s):

Shannon L. Farmer ◽

Kevin Trentino ◽

Axel Hofmann ◽

James B. Semmens ◽

S. Aqif Mukhtar ◽

...

Keyword(s):

Patient Outcomes ◽

Indirect Costs ◽

Management Program ◽

Transfusion Practice ◽

Adverse Outcomes ◽

Patient Blood Management ◽

Blood Management ◽

Economic Implications ◽

Department Of Health ◽

Comprehensive Health

In July 2008, the Western Australia (WA) Department of Health embarked on a landmark 5-year project to implement a sustainable comprehensive health-system-wide Patient Blood Management Program. Fundamentally, it was a quality and safety initiative, which also had profound resource and economic implications. Unsustainable escalating direct and indirect costs of blood, potentially severe blood shortages due to changing population dynamics, donor deferrals, loss of altruism, wide variations in transfusion practice and growing knowledge of transfusion limitations and adverse outcomes necessitate a paradigm shift in the management of anemia and blood loss. The concept of patient-focused blood management is proving to be an effective force for change. This approach has now evolved to embrace comprehensive hospital-wide Patient Blood Management Programs. These programs show significant reductions in blood utilisation, and costs while achieving similar or improved patient outcomes. The WA Program is achieving these outcomes across a health jurisdiction in a sustained manner.

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Patient blood management as the standard of care

Hematology ◽

10.1182/hematology.2019000063 ◽

2019 ◽

Vol 2019 (1) ◽

pp. 583-589 ◽

Cited By ~ 1

Author(s):

Michael F. Murphy ◽

Antony Palmer

Keyword(s):

Blood Transfusion ◽

Patient Outcomes ◽

Hospital Costs ◽

Standard Of Care ◽

Developed Countries ◽

Consensus Conference ◽

Patient Blood Management ◽

Blood Management ◽

Inappropriate Use ◽

Similar Patient

Abstract Blood transfusion is one of the most common hospital procedures in developed countries. However, inappropriate use of blood transfusion is common, and this is of considerable concern because transfusion is known to be associated with adverse events and is costly. Reductions in blood use have resulted from recent evidence indicating that restrictive use of red blood cell transfusions is associated with similar patient outcomes to liberal strategies and from a focus on patient blood management (PBM), which recognizes the importance of conserving the patient’s own blood alongside the judicious use of transfusion. A recent Consensus Conference in Frankfurt developed practice and research recommendations for PBM but also indicated that additional studies are needed to provide better evidence for PBM interventions, including for improved patient outcomes and lower hospital costs as well as for reductions in blood utilization. In the meanwhile, it is of utmost importance to translate PBM guidelines into practical day-to-day recommendations and encourage their use to make PBM “the standard of care.”

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Patient Education on Pre-operative Anemia: Using Character Animation to Promote Patient Activation

Journal of Biocommunication ◽

10.5210/jbc.v43i2.10281 ◽

2019 ◽

Vol 43 (2) ◽

Author(s):

Tracy Xiang ◽

Katerina Pavenski ◽

Shelley Wall

Keyword(s):

Patient Education ◽

Patient Outcomes ◽

Public Awareness ◽

Patient Activation ◽

Character Animation ◽

Patient Blood Management ◽

Blood Management ◽

Preoperative Anemia ◽

Allogenic Blood ◽

Improve Patient

Preoperative anemia affects up to 76% of the surgical population. One of the strongest predictors of allogenic blood transfusions (ABT), preoperative anemia is associated with worse patient outcomes including post-operative morbidity and mortality. Patient blood management (PBM) is a multidisciplinary program developed to address preoperative anemia and prevent unnecessary transfusions. Though PBM has been shown to reduce ABT and improve patient outcomes, many barriers to PBM implementation exist. Among these is patients’ lack of awareness and insufficient patient-centered educational resources that could improve patient activation.Previous studies suggest that character-driven stories are especially effective in sign-posting access to health resources among different demographics. However, due to production limitations and adherence to current motion graphic trends (e.g., whiteboard animation and text animation), character-driven stories tend to be neglected in patient education. We propose to develop a patient education animation focused on three representative preoperative anemia patients. The narrative follows the characters’ health journeys from diagnosis to treatment, as we use a combination of 2D and 3D character animation, motion graphics, and data visualization to clarify some of the most common misconceptions and knowledge gaps around pre-operative anemia. We aim for the animation to achieve two main communication goals: 1) to educate all preoperative patients on the risk and benefits of blood transfusion; and 2) to improve public awareness of the Patient Blood Management Program (PBM), thereby increasing patient activation and enhancing preoperative care outcomes.Upon completion, this project will be the first character-driven educational animation addressing PBM. Evaluation of this project will provide further evidence of the effectiveness of character-driven storytelling in inspiring patient activation, which will enable more biomedical communicators to produce better patient-education resources.

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