Stewardship of Blood

Stewardship: Waste Not, Want Not A publication in the upcoming Transfusion journal reports on a successful and practical initiative to reduce blood component wastage via a targeted team approach surrounding blood transport and storage. 1 The national wastage rate for…

Written by: Mediware Consulting and Analytics on Wednesday, July 24, 2013 Blood Management

Transfusion in Sepsis

Transfusion in Sepsis – The Controversy Continues Red blood cell (RBC) transfusion in septic patients remains a controversial topic. The well-known and often quoted article by Rivers et al. in New England Journal of Medicine, 2001, was one of the…

Written by: Mediware Consulting and Analytics on Wednesday, May 29, 2013 Blood Management

Ringing the TACO Bell

TACO Hats off and ring the bell for Dr. Alam et al. for their upcoming article “The prevention of transfusion-associated circulatory overload” in Transfusion Medicine Reviews, anticipated in print April, 2013!  This review is outstanding as it guides us through…

Written by: Mediware Consulting and Analytics on Tuesday, April 23, 2013 Blood Management

The Importance of Physician Opinion Leaders in Blood Management Programs

The Importance of Physician Opinion Leaders March is a great time to talk about physician opinion leaders because March 30th is National Doctors Day. Physicians are clearly a key stakeholder group for appropriate blood use, so their engagement and ownership…

Written by: Mediware Consulting and Analytics on Monday, March 25, 2013 Blood Management

Is it Time for Goal-Directed Management of Gastrointestinal Bleeding?

Goal-Directed Management of Gastrointestinal Bleeding Gastrointestinal bleeding accounts for more than 450,000 hospitalizations annually in the United States and is a major consumer of blood products.1 Blood transfusions are given to 21- 43% of these patients, and acute upper gastrointestinal…

Written by: Mediware Consulting and Analytics on Tuesday, January 29, 2013 Blood Management

The Storage Lesion: The Saga Continues

The Storage Lesion Early this year I discussed the potential implications of the “storage lesion” for RBC transfusions in a previous blog post, The Storage Lesion, Soldier On and Stay Tuned. Several studies were cited and questions put forth that…

Written by: Mediware Consulting and Analytics on Tuesday, November 13, 2012 Blood Management

The Heartbreak of Blood Transfusions – Part II

The Heartbreak of Blood Transfusions I have always emphasized the need for multidisciplinary, representative blood utilization committees as part of a comprehensive patient blood management program.  To that end, it is important to have representation from the “bloody specialties”, including…

Written by: Mediware Consulting and Analytics on Monday, November 12, 2012 Blood Management

The 8 Rights of Transfusion Administration

The 8 Rights of Transfusion Administration Nurses have known and upheld the five rights of medication administration for decades. The Transfusion Medicine community quickly and readily adapted these rights to another high volume, high risk hospital procedure: transfusion administration. Recently,…

Written by: Mediware Consulting and Analytics on Monday, October 8, 2012 Blood Management

Some Principles of Pediatric Blood Management

We have all heard the phrase “it’s the principle of the thing.” This phrase reminds us that in everything we do, including the clinical management of patients, there are both precedents and principles to guide our decision making processes. The…

Written by: Mediware Consulting and Analytics on Tuesday, September 18, 2012 Blood Management

Risky Business? The Relative Infectious Risks of Blood Transfusion

Every medical intervention has an inherent risk.  Blood transfusion is no exception. Physicians must know the risks versus benefits of therapeutic modalities for each specific patient treated. Unfortunately, disproportionate emphasis is sometimes placed on the risks and potential infectious complications…

Written by: Mediware Consulting and Analytics on Monday, August 13, 2012 Blood Management