TY - JOUR
T1 - Patient Blood Management as an Emerging Concept in Quality
T2 - The Role of Nurses
AU - Ozawa, Sherri
AU - Ozawa-Morriello, Joshua
AU - Rock, Rebecca
AU - Sromoski, Maryann
AU - Walbolt, Sarah
AU - Hall, Tiffany
AU - Pearse, Bronwyn Louise
N1 - Publisher Copyright:
© 2024 Lippincott Williams and Wilkins. All rights reserved.
PY - 2024/4/1
Y1 - 2024/4/1
N2 - Background: Transfusion of blood components has long been considered lifesaving therapy. While blood transfusion may be clinically indicated as a treatment option for some patients, the benefits of transfusion in asymptomatic, hemodynamically stable patients are questionable. Problem: Blood component transfusion is routinely used as a default therapy when not clinically indicated, increasing the risk of poor patient outcomes, adverse events, pressures on blood supply and availability, and increased health care costs. Approach: Nurses have the responsibility to advocate for patients and reduce/avoid unnecessary blood transfusion through the implementation of patient blood management (PBM). The PBM paradigm includes treatment of anemia, minimizing blood loss and bleeding, optimization of coagulation, and employing true patient-centered decision making. Conclusions: PBM should become the standard of care with the goal of improving health care quality and patient outcomes while using the multidisciplinary team for its implementation. As advocates for their patients, nurses can play a major role in the development, implementation, and promotion of PBM.
AB - Background: Transfusion of blood components has long been considered lifesaving therapy. While blood transfusion may be clinically indicated as a treatment option for some patients, the benefits of transfusion in asymptomatic, hemodynamically stable patients are questionable. Problem: Blood component transfusion is routinely used as a default therapy when not clinically indicated, increasing the risk of poor patient outcomes, adverse events, pressures on blood supply and availability, and increased health care costs. Approach: Nurses have the responsibility to advocate for patients and reduce/avoid unnecessary blood transfusion through the implementation of patient blood management (PBM). The PBM paradigm includes treatment of anemia, minimizing blood loss and bleeding, optimization of coagulation, and employing true patient-centered decision making. Conclusions: PBM should become the standard of care with the goal of improving health care quality and patient outcomes while using the multidisciplinary team for its implementation. As advocates for their patients, nurses can play a major role in the development, implementation, and promotion of PBM.
KW - anemia
KW - blood loss
KW - coagulation
KW - patient blood management
KW - transfusion
UR - http://www.scopus.com/inward/record.url?scp=85185837014&partnerID=8YFLogxK
U2 - 10.1097/NCQ.0000000000000734
DO - 10.1097/NCQ.0000000000000734
M3 - Article
C2 - 37350618
AN - SCOPUS:85185837014
SN - 1057-3631
VL - 39
SP - 129
EP - 135
JO - Journal of Nursing Care Quality
JF - Journal of Nursing Care Quality
IS - 2
ER -