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Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system

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 as...

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Autores principales: Duarte, Gustavo de Carvalho, Neto, Francisco Guilherme Fujita, Júnior, José Francisco Comenalli Marques, Langhi, Dante Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Hematologia e Hemoterapia 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477781/
https://www.ncbi.nlm.nih.gov/pubmed/33741301
http://dx.doi.org/10.1016/j.htct.2020.12.010
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author Duarte, Gustavo de Carvalho
Neto, Francisco Guilherme Fujita
Júnior, José Francisco Comenalli Marques
Langhi, Dante Mario
author_facet Duarte, Gustavo de Carvalho
Neto, Francisco Guilherme Fujita
Júnior, José Francisco Comenalli Marques
Langhi, Dante Mario
author_sort Duarte, Gustavo de Carvalho
collection PubMed
description 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.
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spelling pubmed-94777812022-09-22 Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system Duarte, Gustavo de Carvalho Neto, Francisco Guilherme Fujita Júnior, José Francisco Comenalli Marques Langhi, Dante Mario Hematol Transfus Cell Ther Original Article 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. Sociedade Brasileira de Hematologia e Hemoterapia 2022 2021-03-14 /pmc/articles/PMC9477781/ /pubmed/33741301 http://dx.doi.org/10.1016/j.htct.2020.12.010 Text en © 2021 Associação Brasileira de Hematologia, Hemoterapia e Terapia Celular. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Duarte, Gustavo de Carvalho
Neto, Francisco Guilherme Fujita
Júnior, José Francisco Comenalli Marques
Langhi, Dante Mario
Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title_full Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title_fullStr Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title_full_unstemmed Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title_short Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
title_sort implementation of a patient blood management program based on a low-income country-adapted clinical decision support system
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477781/
https://www.ncbi.nlm.nih.gov/pubmed/33741301
http://dx.doi.org/10.1016/j.htct.2020.12.010
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