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Archive for : Blood Management

Guiding Transfusion Guidelines – Part I

February is my favorite month to discuss improving blood utilization because it is the anniversary of the Transfusion Requirements in Critical Care (TRICC) trial, published in the New England Journal of Medicine on February 11th, 1999.1 In this landmark study2,…

Written by: Mediware Consulting and Analytics on Monday, February 14, 2011 Blood Management

Blood Administration from the Joint Commission Perspective

The Joint Commission (TJC) has been evaluating and accrediting hospital laboratory services since 1979 and freestanding laboratories since 1995. Today, approximately 3,000 clinical laboratories have earned TJC accreditation and the Gold Seal of Approval™. In compliance with CLIA regulations, Joint…

Written by: Mediware Consulting and Analytics on Monday, January 10, 2011 Blood Management

Improving Blood Transfusion Consent

Some time ago my delightful 80+ year-old grandmother was diagnosed with a GI bleed that led to hospitalization and multiple transfusions. As I am the only nurse in the family, she made a point to tell me that she needed blood…

Written by: Mediware Consulting and Analytics on Monday, December 13, 2010 Blood Management

The Heartbreak of Blood Transfusions

Patients with ischemic heart disease have always been of special concern for transfusion therapy.  There are a number of observational studies showing that moderate to severe anemia in patients with cardiac disease is associated with adverse outcomes, including higher mortality…

Written by: Mediware Consulting and Analytics on Monday, November 22, 2010 Blood Management

The New Rules of Blood Supply and Demand: Time for a Vein to Vein Value Chain

As a capstone exercise for my MBA, I wrote a book chapter on transfusion economics.  It was a real eye-opener for me as I calculated the total cost of blood products,  which can be 4 to 8 times the purchase…

Written by: Mediware Consulting and Analytics on Wednesday, October 27, 2010 Blood Management

Code Red Labor and Delivery

As an anesthesiologist, I have always said that obstetric anesthesia is the best of times and the worst of times. It often seems that pregnant women are happier to see me than to see their obstetrician, because I am the…

Written by: Mediware Consulting and Analytics on Friday, August 20, 2010 Blood Management

A Washed Cell is a Happy Cell

I recall fondly a button that my early blood management mentor, Dr. Paul Potter, used to wear on his lab coat with that particular saying. Dr. Potter was a staff anesthesiologist at the Naval Medical Center San Diego, and he…

Written by: Mediware Consulting and Analytics on Monday, July 26, 2010 Blood Management

Nurses at the Heart of Transfusion Safety

This month as we celebrated Nurse’s Week I hope you were all able to reflect on the many contributions that the profession of nursing has made in healthcare. More nursing programs than ever before are embracing evidence-based care models, developing…

Written by: Mediware Consulting and Analytics on Saturday, May 15, 2010 Blood Management

Blood Money

In the current environment of healthcare reform, the pressure for cost savings and cost effective healthcare has never been greater. As I define it, blood management is about quality, safety and stewardship, with a goal to ensure the careful and…

Written by: Mediware Consulting and Analytics on Thursday, April 15, 2010 Blood Management

Proactive vs. Reactive Patient Care: Preoperative Anemia Management

Preoperative preparation and planning are essential for the safe and optimal management of surgical patients. This principal applies to the management of preoperative anemia in elective surgical patients with anticipated major blood loss. As the use of autologous predonation continues…

Written by: Mediware Consulting and Analytics on Monday, March 15, 2010 Blood Management