Over 30% of the world's population are anaemic with serious economic consequences including reduced work capacity and other obstacles to national welfare and development. Red blood cell (RBC) transfusion is the mainstay to correct anaemia, but it is also one of the top five overused procedures within the Choosing Wisely Initiative. Patient Blood Management (PBM) is a proactive, patient-centred and multidisciplinary approach to manage anaemia, optimise haemostasis, minimise iatrogenic blood loss, and harness tolerance to anaemia. Although the World Health Organisation has endorsed PBM in 2010, many hospitals still seek guidance with the implementation of PBM in clinical routine. Given the use of proven change management principles, we propose simple, cost-effective measures enabling any hospital to reduce both, anaemia and RBC transfusions in surgical and medical patients. This article provides comprehensive bundles of PBM components encompassing 107 different PBM measures, divided into 6 bundle blocks acting as a working template to develop institutions' individual PBM practices for hospitals beginning a programme or trying to improve an already existing programme. A stepwise selection of the most feasible measures will facilitate the implementation of PBM.
|Translated title of the contribution||Patient Blood Management Bundles to facilitate implementation|
|Number of pages||14|
|Journal||Anasthesiologie und Intensivmedizin|
|Publication status||Published - 1 Jan 2017|