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Printable Handouts
Navigable Slide Index
- Introduction
- Goals and objectives
- Blood transfusion facts
- Knowledge about blood transfusions
- Unnecessary blood transfusion, 2022 study
- Survey response to blood transfusion
- Over-transfusion: problematic on a global level
- Patient Blood Management (PBM)
- PBM definitions
- AABB/The Joint Commission (TJC)
- SABM
- World Health Organization (WHO)
- PBM pillars: WHO
- PBM pillars: SABM
- Blood transfusion safety
- 1980s HIV epidemic
- Blood donor screening tests
- Healthcare intervention costs: QALYs
- Transfusion risks
- Indications for blood transfusions
- Restrictive vs. liberal transfusion thresholds
- Magnitude of the problem: WHO
- Reduced blood product transfusions
- Healthcare infrastructure
- What is holding up PBM?
- RBC storage lesion
- RBC storage lesion: scanning electron microscope
- Transfusion audits
- Pre-transfusion audits
- PBM certification: voluntary
- Thank you
Topics Covered
- Blood transfusions
- Over-transfusion
- Patient Blood Management (PBM)
- Organization definitions of PBM
- PBM pillars
- Blood transfusion safety
- Barriers to PBM implementation
- Transfusion risks
- Indications for blood transfusions
- Healthcare infrastructure
- Transfusion audits
- RBC storage lesion
Links
Categories:
Therapeutic Areas:
External Links
- Slide 7: WHO Policy Brief
- Slide 7: AABB and Choosing Wisely - Five Things Physicians and Patients Should Question
- Slide 10: AABB/TJC - Patient Blood Management Certification Program Review Process Guide
- Slide 11 & 14: Society for the Advancement of Blood Management (SABM)
- Slide 12 & 13: World Health Organization (WHO) Policy Brief
- Slide 21: Reference List - Restrictive vs. Liberal Transfusion Thresholds
- Slide 30: The Joint Commission - PBM Certification
Talk Citation
Friedman, M.T. (2024, November 28). Patient blood management [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 19, 2024, from https://doi.org/10.69645/RESX8869.Export Citation (RIS)
Publication History
Financial Disclosures
- There are no commercial/financial matters to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
My name is Dr. Mark Friedman.
I'm the Medical Director of
the Transfusion Service and
Associate Professor of Pathology
at NYU Langone Health at
the Grossman NYU
Long Island School
of medicine in Long Island,
New York, and I will be
speaking on patient
blood management.
0:20
So, the goals and objectives of
this talk are to
become educated in
Patient Blood Management and
why Patient Blood
Management is necessary,
which I will refer to as PBM
or Patient Blood Management.
To learn about the risks of
blood transfusion
and benefits of
transfusion avoidance
and to learn
about barriers to
PBM implementation.
0:43
Some facts about
blood transfusion.
So, blood transfusion is
the most common procedure
performed in
hospitalized patients.
It is known to be a
life-saving procedure.
However, blood
transfusion is among
the top 5 most
overused procedures in
hospitalized patients as per
the American Medical Association
and The Joint Commission,
which is a hospital accrediting
agency here in the US and
5 physician specialty societies
include the reduction of
unnecessary transfusion in
their Choosing Wisely campaign.
So, in fact, potentially
up to half of
all blood product
transfusions are avoidable.
When we look at
Jehovah's Witnesses,
these are individuals
that generally get
better care and have better
outcomes because they
do not accept blood transfusions
and measures such as
preoperative anemia
management are taken to
avoid blood transfusions that
may not be applied
to other patients.
The essence of this is that
they essentially avoid
unnecessary blood
transfusions that
other patients might receive.