Related Experiment Video
Updated: May 11, 2026
06:11
Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
Published on: May 2, 2025
Optimizing preoperative blood ordering with data acquired from an anesthesia information management system.
Steven M Frank1, James A Rothschild, Courtney G Masear
1Department of Anesthesiology/Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA. sfrank3@jhmi.edu
Anesthesiology
|May 23, 2013
Summary
An updated maximum surgical blood order schedule (MSBOS) optimizes preoperative blood ordering. This approach reduces unnecessary blood orders, improving efficiency and patient safety while cutting costs.
Area of Science:
- Anesthesiology
- Transfusion Medicine
- Healthcare Management
Background:
- The original maximum surgical blood order schedule (MSBOS) is outdated due to advancements in surgical procedures.
- An updated, institution-specific MSBOS is needed to guide preoperative blood ordering effectively.
Purpose of the Study:
- To develop and validate a method for creating an updated, institution-specific MSBOS.
- To assess the economic impact of optimizing preoperative blood ordering using the new MSBOS.
Main Methods:
- Blood utilization data from 53,526 patients and 1,632 surgical procedures were analyzed.
- A novel algorithm was applied to anesthesia information management system data to generate specialty-specific MSBOS.
- Economic implications were calculated based on the reduction of unnecessary blood orders.
Main Results:
- Significant rates of unnecessary type and screens (32.7%) and crossmatches (9.5%) were identified in cases not requiring preoperative blood orders.
- Unnecessary type and crossmatches (32.5%) were also found in cases only needing a type and screen.
- Implementing the MSBOS could save an estimated $211,448 in hospital charges and $43,135 in actual costs annually.
Conclusions:
- An institution-specific MSBOS can be effectively created using anesthesia data and a proposed algorithm.
- Optimizing preoperative blood ordering enhances operating room efficiency, patient safety, and cost reduction.
Related Concept Videos
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
01:14SBAR II: Application of SBAR
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: