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A Precarious Position

In July, we will be highlighting information on antiplatelet and anticoagulant medications, both old and new.  The webinar and the Ask-the-Expert segment, will focus not only on the pharmacological mechanisms of these drugs, but the controversies surrounding their benefits, risks and…

Written by: Mediware Consulting and Analytics on Tuesday, July 17, 2012 Blood Management

Wrong Patient, Wrong Unit: Preventing Transfusion Errors

Previous newsletter articles have discussed the importance of appropriate transfusion decisions as a critical element of transfusion safety, as well as the role of bedside nursing as vigilant advocates during the transfusion administration process. This month’s article focuses on the…

Written by: Mediware Consulting and Analytics on Friday, July 6, 2012 Blood Management

Cheap and Effective: The Tranexamic Acid Story

On March 20th the New York Times1 (NYT) reported on a study in BMC Emergency Medicine (http://www.biomedcentral.com/1471-227X/12/3/abstract) that use of tranexamic acid (TXA) in trauma patients could save up to 128,000 lives annually worldwide, 4,000 of them in the United…

Written by: Mediware Consulting and Analytics on Wednesday, June 6, 2012 Blood Management

Plasma: It’s Not So “Mellow Yellow”

Plasma transfusion, whether FFP, plasma 24, thawed plasma, or any variation on this theme, continues to increase in the U.S. The 2009 National Blood Collection & Utilization Survey Report documented 5.7 million units of plasma produced and close to 4.5…

Written by: Mediware Consulting and Analytics on Thursday, May 31, 2012 Blood Management

Anemia Management in ESRD: On the Horns of a Dilemma

Recently, I have had several queries and personal communications regarding a perceived increase in RBC transfusions for patients with end-stage renal disease (ESRD) on dialysis. The literature is replete with articles surrounding the management of anemia in this patient population,…

Written by: Mediware Consulting and Analytics on Tuesday, May 15, 2012 Blood Management

Who is Truly Ordering Transfusions at Your Hospital?

As Blood Utilization Committees work to implement standardized transfusion order forms that encourage clinically appropriate transfusions, I am seeing that it is often nurses who are filling out the forms (whether on paper or electronically) after the physician writes the…

Written by: Mediware Consulting and Analytics on Tuesday, April 17, 2012 Blood Management

The Storage Lesion: Soldier on and Stay Tuned

Transfusion has been a mainstay of patient care for years.  It is identified as the #1 procedure performed in hospitals.1  The development and ultimate use of specific blood components has provided ways to tailor transfusion therapy to the patient’s clinical…

Written by: Mediware Consulting and Analytics on Friday, March 16, 2012 Blood Management

Obstetric Hemorrhage

Transfusion support for the obstetric patient is complex and demands a significant understanding of the peri-partum physiology, bleeding risk assessment and knowledge of other useful mechanical, pharmacological, and surgical interventions.  Variability in  obstetric transfusion practice mirrors that seen in general…

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

The Joint Commission Reported Transfusion-Related Sentinel Events

Last fall The Joint Commission (TJC) published sentinel event data from 2004 through the first 3 quarters of 2011.1  While TJC cautions that this data is not epidemiologically meaningful because the events are for the most part voluntarily self-reported and…

Written by: Mediware Consulting and Analytics on Monday, January 16, 2012 Blood Management

To Predonate or Not to Predonate – That is the Question

Last’s week’s Journal of the American Medical Association included a clinical crossroads case study on autologous predonation (1). The scenario was a relatively healthy, non-anemic woman (“Mrs. C”) who was scheduled for elective knee replacement surgery and was asking for…

Written by: Mediware Consulting and Analytics on Tuesday, November 15, 2011 Blood Management