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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.
Effective performance improvement requires strong leadership and stakeholder engagement. A comprehensive strategy involving incentives, feedback, collaboration, and education can significantly enhance clinician behavior and patient value.
Area of Science:
- Healthcare Management
- Clinical Quality Improvement
- Health Services Research
Background:
- Performance improvement initiatives are crucial for enhancing healthcare value.
- Successful implementation depends on leadership and stakeholder involvement.
- Changing clinician behavior requires multifaceted strategies.
Purpose of the Study:
- To identify critical elements for successful performance improvement efforts in healthcare.
- To explore the components of a holistic approach for changing clinician behavior.
- To highlight the potential impact of multifaceted performance improvement on patient and societal value.
Main Methods:
- Review of key factors contributing to performance improvement.
- Analysis of a holistic approach incorporating incentives, feedback, collaboration, and education.
- Examination of the role of organizational leadership and project management.
Main Results:
- Strong organizational leadership, experienced project leaders, and front-line stakeholder engagement are vital.
- A holistic approach combining incentives, feedback, interdisciplinary collaboration, decision support, and education is effective.
- Multifaceted efforts can yield substantial improvements in value for patients and society.
Conclusions:
- Leadership and stakeholder engagement are foundational for performance improvement.
- A comprehensive, integrated strategy is necessary to modify clinician behavior effectively.
- Well-executed, multifaceted performance improvement initiatives deliver significant value to patients and the broader society.
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