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Updated: Apr 7, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
Multifaceted approach to reducing unnecessary red blood cell utilization
Sarah K Abbett1, Richard M Kaufman2, Michael Gustafson3
1Saint Francis Hospital and Medical Center, Department of Obstetrics & Gynecology, 114 Woodland Street, Hartford, CT 06105, United States.
Abstract:
Strong organizational leadership,experienced project leaders,and the engagement of front-line stakeholders are critical elements for performance improvement efforts. A holistic approach,including incentives, feedback, a collaborative interdisciplinary process, decision support, and education may be necessary to change clinician behavior. A multifaceted performance improvement effort can lead to dramatic improvement in value for patients and society.
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