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Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists

BACKGROUND AND AIMS: Germany uses more blood transfusions than the majority of other countries. The objective of this study was to detect the degree of Patient Blood Management (PBM) implementation within Germany and to identify obstacles to establishing PBM programs. METHODS: An electronical questi...

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Autores principales: Frietsch, Thomas, Wittenberg, Gerhard, Horn, Audrey, Steinbicker, Andrea U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674170/
https://www.ncbi.nlm.nih.gov/pubmed/36415561
http://dx.doi.org/10.1002/hsr2.924
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author Frietsch, Thomas
Wittenberg, Gerhard
Horn, Audrey
Steinbicker, Andrea U.
author_facet Frietsch, Thomas
Wittenberg, Gerhard
Horn, Audrey
Steinbicker, Andrea U.
author_sort Frietsch, Thomas
collection PubMed
description BACKGROUND AND AIMS: Germany uses more blood transfusions than the majority of other countries. The objective of this study was to detect the degree of Patient Blood Management (PBM) implementation within Germany and to identify obstacles to establishing PBM programs. METHODS: An electronical questionnaire containing 21 questions and 4 topics was sent in 2018 to the members of the German interdisciplinary hemotherapy (IAKH) society in Germany. The degree of PBM (described as pre‐, intra‐, postoperative period) was established via questions within the topics “management of preoperative anemia” (PA) (n = 5), “preoperative management and transfusion preparation” (n = 3), PBM organization and structure (n = 5), coagulation management (n = 3), perioperative transfusion performance and habits (n = 3), best practices and problems (n = 2). RESULTS: 533 German hospitals with transfusion activity received the questionnaire with a 32.5% response rate to the survey. A dedicated PBM program had not been established in a quarter of all small and medium sized institutions. Red blood cell transfusion was the only therapeutic option in a third of institutions. Approximately half of the hospitals did not use knowledge of PA rates or transfusion needs of surgical procedures. Institutions failed to implement PBM because of a lack of profit, workload, personnel shortage, and administrative support. CONCLUSION: PBM was not present in at least a quarter of the hospitals interrogated. Factors for improvement were the relationship between health care disciplines and sectors, economic incentives, inclusion of relevant disciplines, and the structure of the blood industry. To improve BPM implementation, hospitals need support to implement top‐down PBM projects.
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spelling pubmed-96741702022-11-21 Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists Frietsch, Thomas Wittenberg, Gerhard Horn, Audrey Steinbicker, Andrea U. Health Sci Rep Original Research BACKGROUND AND AIMS: Germany uses more blood transfusions than the majority of other countries. The objective of this study was to detect the degree of Patient Blood Management (PBM) implementation within Germany and to identify obstacles to establishing PBM programs. METHODS: An electronical questionnaire containing 21 questions and 4 topics was sent in 2018 to the members of the German interdisciplinary hemotherapy (IAKH) society in Germany. The degree of PBM (described as pre‐, intra‐, postoperative period) was established via questions within the topics “management of preoperative anemia” (PA) (n = 5), “preoperative management and transfusion preparation” (n = 3), PBM organization and structure (n = 5), coagulation management (n = 3), perioperative transfusion performance and habits (n = 3), best practices and problems (n = 2). RESULTS: 533 German hospitals with transfusion activity received the questionnaire with a 32.5% response rate to the survey. A dedicated PBM program had not been established in a quarter of all small and medium sized institutions. Red blood cell transfusion was the only therapeutic option in a third of institutions. Approximately half of the hospitals did not use knowledge of PA rates or transfusion needs of surgical procedures. Institutions failed to implement PBM because of a lack of profit, workload, personnel shortage, and administrative support. CONCLUSION: PBM was not present in at least a quarter of the hospitals interrogated. Factors for improvement were the relationship between health care disciplines and sectors, economic incentives, inclusion of relevant disciplines, and the structure of the blood industry. To improve BPM implementation, hospitals need support to implement top‐down PBM projects. John Wiley and Sons Inc. 2022-11-18 /pmc/articles/PMC9674170/ /pubmed/36415561 http://dx.doi.org/10.1002/hsr2.924 Text en © 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Frietsch, Thomas
Wittenberg, Gerhard
Horn, Audrey
Steinbicker, Andrea U.
Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title_full Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title_fullStr Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title_full_unstemmed Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title_short Implementation of a “Patient Blood Management” program in medium sized hospitals: Results of a survey among German hemotherapists
title_sort implementation of a “patient blood management” program in medium sized hospitals: results of a survey among german hemotherapists
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674170/
https://www.ncbi.nlm.nih.gov/pubmed/36415561
http://dx.doi.org/10.1002/hsr2.924
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