Reducing preoperative blood orders and costs for radical prostatectomy

Natasha Gupta; Mereze Visagie; Tymoteusz J. Kajstura; Misop Han; Bruce Trock; Eric A. Gehrie; Steven M. Frank; Trinity J. Bivalacqua

doi:10.2217/cer-2019-0126

Reducing preoperative blood orders and costs for radical prostatectomy

Natasha Gupta, Mereze Visagie, Tymoteusz J. Kajstura, Misop Han, Bruce Trock, Eric A. Gehrie, Steven M. Frank, Trinity J. Bivalacqua

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Aim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders.

Original language	English (US)
Pages (from-to)	219-226
Number of pages	8
Journal	Journal of Comparative Effectiveness Research
Volume	9
Issue number	3
DOIs	https://doi.org/10.2217/cer-2019-0126
State	Published - Feb 11 2020

Keywords

health services
healthcare costs
prostatic neoplasms
radical prostatectomy

ASJC Scopus subject areas

Health Policy

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10.2217/cer-2019-0126

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title = "Reducing preoperative blood orders and costs for radical prostatectomy",

abstract = "Aim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders.",

keywords = "health services, healthcare costs, prostatic neoplasms, radical prostatectomy",

author = "Natasha Gupta and Mereze Visagie and Kajstura, {Tymoteusz J.} and Misop Han and Bruce Trock and Gehrie, {Eric A.} and Frank, {Steven M.} and Bivalacqua, {Trinity J.}",

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T1 - Reducing preoperative blood orders and costs for radical prostatectomy

AU - Gupta, Natasha

AU - Visagie, Mereze

AU - Kajstura, Tymoteusz J.

AU - Han, Misop

AU - Trock, Bruce

AU - Gehrie, Eric A.

AU - Frank, Steven M.

AU - Bivalacqua, Trinity J.

PY - 2020/2/11

Y1 - 2020/2/11

N2 - Aim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders.

AB - Aim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders.

KW - health services

KW - healthcare costs

KW - prostatic neoplasms

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Reducing preoperative blood orders and costs for radical prostatectomy

Abstract

Keywords

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