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
Artículo
en Inglés
| LILACS
| ID: biblio-1405005
Biblioteca responsable:
BR408.1
Ubicación: 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.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
LILACS
Asunto principal:
Bancos de Sangre
/
Transfusión Sanguínea
/
Toma de Decisiones Clínicas
/
Auditoría Médica
Tipo de estudio:
Guía de práctica clínica
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
/
Revisión sistemática de estudios observacionales
Aspecto:
Determinantes sociales de la salud
/
Investigación de implementación
Idioma:
Inglés
Revista:
Hematol., Transfus. Cell Ther. (Impr.)
Asunto de la revista:
Hematologia
/
TransfusÆo de Sangue
Año:
2022
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
H. Hemo Hemoterapia Brasil SA/BR