More work needed to pro­mote ev­i­dence-based trans­fu­sion prac­tices

Modern Healthcare - - COMMENT -

I ap­plaud Mod­ern Health­care for high­light­ing the im­por­tant is­sue of pa­tient blood man­age­ment in the ar­ti­cle “Time to Trans­fuse Best Blood Prac­tices at Hos­pi­tals” (Jan. 20, p. 26). The de­ci­sion of whether to trans­fuse blood prod­ucts is gain­ing sig­nif­i­cant at­ten­tion. Clin­i­cal stud­ies have shown that ev­i­denced-based trans­fu­sion prac­tices are gen­er­ally as­so­ci­ated with bet­ter pa­tient out­comes, as well as re­duced re­source uti­liza­tion.

A grow­ing num­ber of in­sti­tu­tions are turn­ing to pa­tient blood man­age­ment—the ev­i­dence-based, mul­ti­dis­ci­plinary ap­proach to op­ti­miz­ing the care of pa­tients who might need a trans­fu­sion—as an im­por­tant com­po­nent of their care-plan­ning de­ci­sions. Yet more needs to be ac­com­plished within in­di­vid­ual hos­pi­tals, health sys­tems and med­i­cal so­ci­eties to pro­mote greater aware­ness of this ap­proach among clin­i­cians, in­clud­ing in­creased ed­u­ca­tion and ex­pert ad­vice.

Lance Trewhella Di­rec­tor of pa­tient blood man­age­ment AABB Bethesda, Md.

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