Addressing the Transfusion Needs of Pediatric Patients

Children and neonates are physiologically distinct from adults, and there is frequently an “evidence gap” we cross when we apply practices that are known to be effective in the adult world to our younger patients. Children have unique medical needs…

Written by: Mediware Consulting and Analytics on Tuesday, August 30, 2016

TEG and ROTEM: What is the potential for improving patient blood management?

If you’re a frequent reader of this blog, it’s likely that you’ve already made the commitment to embrace the principles of patient blood management (PBM), a laudable decision to be a responsible steward of a precious resource, a champion for improving patient care…

Written by: Mediware Consulting and Analytics on Tuesday, August 2, 2016 Blood Management

Transfusion-Transmitted Diseases Should Still Be On Our Radar Screen

Current evidence highlights restrictive transfusion practice and its association with decreased morbidity and mortality.  Serious adverse events can occur with transfusion, thus there must be careful consideration of the risk/benefit ratio when making the medical decision to transfuse. While TRALI,…

Written by: Mediware Consulting and Analytics on Tuesday, June 28, 2016 Blood Management

Usefulness of Standard Plasma Coagulation Tests in the Management of Perioperative Coagulopathic Bleeding: Is There Any Evidence?

Reprinted with permission from David Slater, M.D., Community Regional Medical Center Lab Medical Director. Dr. Slater wrote this Laboratory Update article for the Community Medical Centers Physicians’ Edition newsletter, January 2016.   This study in the British Journal of Anaesthesia (vol…

Written by: Mediware Consulting and Analytics on Thursday, June 23, 2016 Blood Management

Zika Virus

Does the Zika virus, a single-stranded RNA-enveloped arthropod borne flavivirus, represent a challenge for blood transfusion? Flavivirus transmission occurs through blood transfusion (viz. phylogenetically related West Nile Virus and dengue virus) and there are two suspected Zika transfusion-transmitted cases in…

Written by: Mediware Consulting and Analytics on Tuesday, May 31, 2016 Blood Management

The Clinical Nurse Specialist: An integral resource for a successful patient blood management program

In the United States alone, blood transfusions represent billions of dollars of healthcare costs with approximately twenty one million units of blood components transfused each year.1, 2 Obtaining compensation for components and transfusions continues to be a struggle as reimbursement…

Written by: Mediware Consulting and Analytics on Tuesday, May 3, 2016 Blood Management

Plasma Transfusion

Plasma Transfusion and Neuroaxis Procedures The primary question surrounding the need or indication for plasma transfusion in patients undergoing neuro-axis anesthesia must be considered differently based on two clinical populations, specifically those patients taking anticoagulants and those who are not.…

Written by: Mediware Consulting and Analytics on Wednesday, April 6, 2016 Blood Management

Transfusion Associated Cardiac Overload (TACO)

Transfusion Associated Cardiac Overload Transfusion-associated cardiac overload, known by the acronym TACO, accounted for 22% of the transfusion-related fatalities reported to the U.S. Food and Drug Administration between 2010 and 2014.1 The recently released National Healthcare Safety Network Surveillance (NHSN)…

Written by: Mediware Consulting and Analytics on Monday, February 29, 2016 Blood Management

Campaign Encourages Better Utilization of Laboratory Tests

American College of Physicians (ACP), the US Preventative Services Task Force (USPSTF) and the American Board of Internal Medicine Foundations’ “Choosing Wisely” Campaign Encourage Better Utilization of Laboratory Tests The American Board of Internal Medicine Foundation (ABIMF) is working with…


Anemia POCT Testing

New At-Home Point of Care Test (POCT) for Anemia Will Likely Impact Clinical Laboratories Anemia affects nearly 2 billion people worldwide each year. Currently, anemia is screened using a hematology analyzer found only in clinics and hospitals. The machines require…

Written by: Mediware Consulting and Analytics on Monday, January 4, 2016 Blood Management