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Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
Duarte, Gustavo de Carvalho; Fujita Neto, Francisco Guilherme; Marques Júnior, José Francisco Comenalli; Langhi, Dante Mario.
  • Duarte, Gustavo de Carvalho; H. Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Fujita Neto, Francisco Guilherme; H. Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Marques Júnior, José Francisco Comenalli; H. Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Langhi, Dante Mario; H. Hemo Hemoterapia Brasil SA. São Paulo. BR
Hematol., Transfus. Cell Ther. (Impr.) ; 44(3): 374-378, July-Sept. 2022. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1405005
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.
Sujets)


Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Banques de sang / Transfusion sanguine / Prise de décision clinique / Audit médical Type d'étude: Guide de pratique / Étude observationnelle / Étude pronostique / Facteurs de risque / Revue systématique des études observationnelles langue: Anglais Texte intégral: Hematol., Transfus. Cell Ther. (Impr.) Thème du journal: Hematologia / TransfusÆo de Sangue Année: 2022 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: H. Hemo Hemoterapia Brasil SA/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Banques de sang / Transfusion sanguine / Prise de décision clinique / Audit médical Type d'étude: Guide de pratique / Étude observationnelle / Étude pronostique / Facteurs de risque / Revue systématique des études observationnelles langue: Anglais Texte intégral: Hematol., Transfus. Cell Ther. (Impr.) Thème du journal: Hematologia / TransfusÆo de Sangue Année: 2022 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: H. Hemo Hemoterapia Brasil SA/BR