Effectiveness of clinical decision support in controlling inappropriate red blood cell and platelet transfusions, speciality specific responses and behavioural change.

ABSTRACT:

Background

Electronic clinical decision support (CDS) within Electronic Health Records has been used to improve patient safety, including reducing unnecessary blood product transfusions. We assessed the effectiveness of CDS in controlling inappropriate red blood cell (RBC) and platelet transfusion in a large acute hospital and how speciality specific behaviours changed in response.

Methods

We used segmented linear regression of interrupted time series models to analyse the instantaneous and long term effect of introducing blood product electronic warnings to prescribers. We studied the impact on transfusions for patients in critical care (CC), haematology/oncology (HO) and elsewhere.

Results

In non-CC or HO, there was significant and sustained decrease in the numbers

SUBMITTER: Atia J 

PROVIDER: S-EPMC9798655 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature