Promoting high-value practice by reducing unnecessary transfusions with a patient blood management program

Divyajot Sadana, Ariella Pratzer, Lauren J. Scher, Harry S. Saag, Nicole Adler, Frank M. Volpicelli, Moises Auron, Steven Mark Frank

Research output: Contribution to journalArticle

Abstract

Although blood transfusion is a lifesaving therapy for some patients, transfusion has been named 1 of the top 5 overused procedures in US hospitals. As unnecessary transfusions only increase risk and cost without providing benefit, improving transfusion practice is an effective way of promoting high-value care. Most high-quality clinical trials supporting a restrictive transfusion strategy have been published in the past 5 to 10 years, so the value of a successful patient blood management program has only recently been recognized. We review the most recent transfusion practice guidelines and the evidence supporting these guidelines. We also discuss several medical societies’ Choosing Wisely campaigns to reduce or eliminate overuse of transfusions. A blueprint is presented for developing a patient blood management program, which includes discussion of specific methods for optimizing transfusion practice.

Original languageEnglish (US)
Pages (from-to)116-122
Number of pages7
JournalJAMA Internal Medicine
Volume178
Issue number1
DOIs
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Internal Medicine

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