Patient blood management: how is implementation going?: A report comparing the 2015 survey with the 2013 survey of

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L Sherliker1, K Pendry2, B Hockley3

  • 1NHS Blood & Transplant, Oxford Blood Centre, Oxford, UK.

Transfusion Medicine (Oxford, England)
|May 15, 2018
PubMed

Insights

Patient blood management (PBM) initiatives show significant progress in England since 2014, with improvements in training, consent, anemia management, and transfusion alternatives. Further development is needed in electronic requesting systems and transfusion threshold policies.

Area of Science:

  • Healthcare Management
  • Transfusion Medicine
  • Patient Safety

Background:

  • Patient blood management (PBM) is a critical evidence-based strategy to optimize transfusion care.
  • National PBM recommendations were established in England in 2014 following a 2013 survey on trust readiness.
  • The study assesses the evolution of PBM implementation across NHS Trusts.

Purpose of the Study:

  • To evaluate the progress of patient blood management (PBM) initiatives in NHS Trusts in England.
  • To identify areas of improvement and areas requiring further development in PBM practices.
  • To inform future local and national PBM strategies.

Main Methods:

  • A national online survey was distributed to 149 NHS Trusts in England in November 2015.
  • The survey questionnaire was developed collaboratively by hospital staff and NHS Blood and Transplant (NHSBT).
  • Data collected focused on PBM practices implemented between 2013 and 2015.

Main Results:

  • Significant improvements were observed in transfusion education (80-100%), consent information (98%), anemia management in surgery (66%), and tranexamic acid use (92%).
  • Empowerment of laboratory staff to challenge requests increased to 95%.
  • Areas needing further work include electronic requesting systems (e.g., mandatory diagnosis recording at 47%) and policies for lower red cell transfusion thresholds (42% in non-bleeding patients).

Conclusions:

  • PBM initiatives have advanced considerably, demonstrating positive impacts on transfusion practices.
  • Continued collaboration between NHSBT, NBTC, and NHS Trusts is vital for driving the PBM agenda.
  • The findings provide essential data to support the development of targeted local and national PBM work plans to enhance best practices.
Abstract

Keywords:
NHS Blood and Transplant (NHSBT)National Blood Transfusion Committee (NBTC)patient blood management (PBM)survey

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