A cross-sectional pilot study of blood utilization in 27 hospitals in Northern California

Evan Bloch, Claudia Cohn, Roberta Bruhn, Nora Hirschler, Kim Anh Nguyen

Research output: Contribution to journalArticle

Abstract

Objectives: To gather benchmarking data on blood utilization so as to inform blood management strategies at regional hospitals. Methods: We conducted a cross-sectional pilot study of 40 regional hospitals in Northern California using a paper-based survey designed to capture blood component utilization and transfusion management practices. The data were analyzed based on size and complexity of the respondent hospitals. Results: Twenty-seven (68%) of 40 hospitals responded, ranging in size from 23- to 600-bed facilities. Results showed a wide range of transfusions for each component. All hospitals reported some level of blood utilization oversight in place. Overall, 88.5% had a computerized laboratory information system, of which 17% performed an electronic cross-match. Transfusion triggers for RBCs, platelets, plasma, and cryoprecipitate were in use in 61.5%, 65.4%, 57.7%, and 46.2% of hospitals, respectively. Conclusions: There is awareness of the need for transfusion oversight. However, the findings show a wide spectrum of transfusion practice, and high-yield measures, such as electronic cross-match and transfusion triggers, have not been uniformly implemented. The results indicate that there is a role for blood centers to assist client hospitals to maximize their efficiency and reduce blood utilization.

Original languageEnglish (US)
Pages (from-to)498-505
Number of pages8
JournalAmerican Journal of Clinical Pathology
Volume142
Issue number4
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

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Cross-Sectional Studies
Blood Component Transfusion
Clinical Laboratory Information Systems
Benchmarking
Practice Management
Blood Platelets
Surveys and Questionnaires

Keywords

  • Blood transfusions
  • Quality management
  • Utilization

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

A cross-sectional pilot study of blood utilization in 27 hospitals in Northern California. / Bloch, Evan; Cohn, Claudia; Bruhn, Roberta; Hirschler, Nora; Nguyen, Kim Anh.

In: American Journal of Clinical Pathology, Vol. 142, No. 4, 01.10.2014, p. 498-505.

Research output: Contribution to journalArticle

Bloch, Evan ; Cohn, Claudia ; Bruhn, Roberta ; Hirschler, Nora ; Nguyen, Kim Anh. / A cross-sectional pilot study of blood utilization in 27 hospitals in Northern California. In: American Journal of Clinical Pathology. 2014 ; Vol. 142, No. 4. pp. 498-505.
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