Reducing perioperative red blood cell unit issue orders, returns, and waste using failure modes and effects analysis.

ABSTRACT:

Background

Surgical transfusion has an outsized impact on hospital-based transfusion services, leading to blood product waste and unnecessary costs. The objective of this study was to design and implement a streamlined, reliable process for perioperative blood issue ordering and delivery to reduce waste.

Study design and methods

To address the high rates of surgical blood issue requests and red blood cell (RBC) unit waste at a large academic medical center, a failure modes and effects analysis was used to systematically examine perioperative blood management practices. Based on identified failure modes (e.g., miscommunication, knowledge gaps), a multi-component action plan was devised involving process changes, education, electronic clinical decision support, audit, and feed

SUBMITTER: Lou SS 

PROVIDER: S-EPMC10089960 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature