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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish (US)
Pages (from-to)219-226
Number of pages8
JournalJournal of Comparative Effectiveness Research
Issue number3
StatePublished - Feb 11 2020


  • health services
  • healthcare costs
  • prostatic neoplasms
  • radical prostatectomy

ASJC Scopus subject areas

  • Health Policy


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