Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
Hematol., Transfus. Cell Ther. (Impr.)
; 44(3): 374-378, July-Sept. 2022. tab, graf
Article
in En
| LILACS
| ID: biblio-1405005
Responsible library:
BR408.1
Localization: BR408.1
ABSTRACT
ABSTRACT Introduction:
Patient blood management (PBM) programs are associated with better patient outcomes, a reduced number of transfusions and cost-savings The Clinical Decision Support (CDS) systems are valuable tools in this process, but their availability is limited in developing countries This study assesses the feasibility and effectiveness of an adapted CDS system for low-income countries.Methods:
This was a prospective study of the PBM program implementation, in a 200-bed tertiary hospital, between February 2019 and May 2020. Outcome measures were red blood cell (RBC), fresh frozen plasma (FFP) and platelet unit transfusions, the transfusion of a single unit of red blood cells and an RBC adequacy index (RAI).Results:
Comparing the post-PBM program era with the pre-PBM system era, there was a decrease in red blood cell transfusions (p = 0.05), with an increase in single unit red blood cell transfusions (p = 0.005) and RAI (p < 0.001).Conclusions:
The PBM programs, including electronic transfusion guidelines with pre-transfusion medical auditing, was associated with improved transfusion practices and reduced product acquisition-related costs.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Blood Banks
/
Blood Transfusion
/
Clinical Decision-Making
/
Medical Audit
Type of study:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Sysrev_observational_studies
Aspects:
Determinantes_sociais_saude
/
Implementation_research
Language:
En
Journal:
Hematol., Transfus. Cell Ther. (Impr.)
Year:
2022
Document type:
Article