Sav­ing blood saves lives

Man­age­ment pro­gram also helps re­duce costs

Modern Healthcare - - Special Section -

The Uni­ver­sity of Kansas Hos­pi­tal in Kansas City has re­duced the use of red blood cells by 37% and ex­pe­ri­enced a sim­i­lar drop in its use of other blood prod­ucts—sav­ing about $1 mil­lion—since im­ple­ment­ing an ev­i­dence-based, mul­ti­dis­ci­plinary blood man­age­ment pro­gram in Septem­ber 2009. Dur­ing that pe­riod, deaths have been 38% be­low ex­pec­ta­tions, the low­est mor­tal­ity in­dex in the hos­pi­tal’s his­tory.

Mo­ti­vated by costs more than dou­bling since 2001, short­ages be­com­ing more fre­quent, and new re­search cast­ing doubt on the tra­di­tional risk-ben­e­fit anal­y­sis re­lated to trans­fu­sion, the hos­pi­tal brought to­gether hun­dreds of physi­cians and staff to pro­mote the most ef­fi­cient use of blood prod­ucts. They di­vided into four teams fo­cused on ed­u­cat­ing their col­leagues, im­ple­ment­ing an ev­i­dence-based trans­fu­sion or­der set, re­duc­ing ia­tro­genic blood loss and man­ag­ing pre­op­er­a­tive ane­mia.

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