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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Alghamdi, Sarah Gonzalez, Betzabel Howard, Lydia Zeichner, Simon LaPietra, Angelo Rosen, Gerald Garcia, Guillermo Lamelas, Joseph Goldszer, Robert |
Description | Author Affiliation: Alghamdi S ( From the Departments of Pathology, sarah.alghamdi@msmc.com.); Gonzalez B ( From the Departments of Pathology.); Howard L ( From the Departments of Pathology.); Zeichner S ( Internal Medicine.); LaPietra A ( Cardiac Surgery, and.); Rosen G ( Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL.); Garcia G ( Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL.); Lamelas J ( Cardiac Surgery, and.); Goldszer R ( Internal Medicine.) |
Abstract | Objectives: The Blood Utilization Committee implemented a standardized protocol for the preoperative blood order for cardiac patients. The aim of our study was to assess the improvement in blood utilization using the crossmatch to transfusion ratio (C:T). Methods: Four months of retrospective data were collected, which included all RBC crossmatch requests and all RBC units transfused. Similar data were gathered for the period of the intervention. The difference in C:T was calculated. Results: The retrospective group had 166 patients for whom blood products were ordered. There were 560 crossmatch requests and 237 transfused RBC units with a C:T of 2.36. The prospective group had 127 patients with 297 crossmatch requests, 190 transfused units, and a C:T of 1.56. There was a statistically significant difference in the C:T. The cost difference was $12,244.00. Conclusions: Implementing exact guidelines, with the introduction of a type-and-screen concept, allowed more efficient blood usage. |
File Format | HTM / HTML |
ISSN | 00029173 |
e-ISSN | 19437722 |
Journal | American Journal of Clinical Pathology |
Issue Number | 6 |
Volume Number | 141 |
Language | English |
Publisher | Oxford University Press |
Publisher Date | 2014-06-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Open |
Subject Keyword | Discipline Pathology Blood Grouping And Crossmatching Statistics & Numerical Data Blood Transfusion Utilization Blood Banks Cost-benefit Analysis Physician's Practice Patterns Retrospective Studies Thoracic Surgery Legislation & Jurisprudence |
Content Type | Text |
Resource Type | Article |
Subject | Pathology and Forensic Medicine |
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