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Patient blood management and the importance of the Transfusion Practitioner role to embed this into practice
1Department of Health and Human Services, Victoria and the Australian Red Cross Blood Service, Melbourne, Australia.
Insights
Patient blood management (PBM) initiatives, driven by Transfusion Practitioners (TPs), enhance patient safety by reducing unnecessary transfusions. TPs are crucial links in multidisciplinary teams, improving care through a patient-centered approach.
Area of Science:
- Healthcare Management
- Patient Safety
- Transfusion Medicine
Background:
- Patient blood management (PBM) is an international multidisciplinary initiative aimed at reducing transfusions.
- The Transfusion Practitioner (TP) role is established in the UK and Australia.
- The TP role originated from a focus on safety and haemovigilance, addressing risks like human error in transfusions.
Purpose of the Study:
- To discuss the value of the Transfusion Practitioner (TP) in implementing patient blood management (PBM).
- To highlight the TP's role in changing healthcare culture and practice towards an all-inclusive PBM approach.
- To emphasize the TP's evolution into a specialized role focused on patient outcomes and the impact of transfusions.
Main Methods:
- Discussion of the evolution and impact of the Transfusion Practitioner (TP) role.
- Analysis of the TP's function within multidisciplinary teams.
- Exploration of the TP's role in bridging laboratory and clinical settings.
Main Results:
- The TP role has evolved from a safety focus to a multifaceted position integral to PBM.
- TPs act as a critical link in multidisciplinary teams, driving change in transfusion practices.
- The TP's involvement is key to establishing and embedding PBM, leading to improved patient and safety outcomes.
Conclusions:
- Transfusion Practitioners (TPs) are essential for successful patient blood management (PBM) implementation.
- The TP role facilitates a shift towards a patient-centered transfusion paradigm.
- TPs are vital for improving patient safety and outcomes through effective PBM strategies.
Abstract:
Patient blood management (PBM) is a widely established international initiative, with a multidisciplinary approach to reduce transfusion. The Transfusion Practitioner1 (TP) role is well embedded in the United Kingdom (UK) and Australia. The value of the TP in changing both culture and practice to implement an all-inclusive PBM approach to care will be discussed. The TP role was born from both a safety and haemovigilance culture, where the greatest identified risk to the patient undergoing a transfusion was human error. From this initial trigger for improved safety, the TP role has evolved to a multifaceted, highly specialised role, involved in both PBM and transfusion processes. As the transfusion paradigm shifted from product to patient, the TP role evolved to include PBM, with an emphasis on the patients and the impact transfusion has on them. A multidisciplinary team is required to drive both PBM and transfusion; the TP is recognised as a critical link in the multidisciplinary team. They are seen as a driving force for change, bridging the gap between the laboratory and clinical arenas. The TP plays a vital role in helping establish and embed PBM that improves patient and safety outcomes.
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