A Survey on the implementation of Patient Blood Management programs in Italy

Area of Science:

• Healthcare Management
• Transfusion Medicine
• Patient Safety

Background:

• The Italian National Blood Center has promoted patient blood management (PBM) since 2012, following a WHO resolution.
• A nationwide survey was conducted to assess the implementation level of PBM strategies across healthcare providers.

Purpose of the Study:

• To evaluate the extent of patient blood management (PBM) implementation in Italy.
• To identify areas of success and areas needing improvement in national PBM strategies.

Main Methods:

• A survey was distributed to Italian healthcare providers to assess PBM implementation.
• Indicators were derived from key PBM domains: anemia management, hemostasis optimization, blood conservation, and patient-centered decision-making.
• Additional data collected on general PBM management and related aspects.

Main Results:

• Anemia screening programs are widely implemented, adhering to national and international guidelines.
• The single unit policy is utilized in accordance with national recommendations.
• Limited auditing of PBM programs and reduced monitoring/reporting of clinical outcomes and indicators were observed.

Conclusions:

• The national survey indicates broad adoption of diagnostic-therapeutic pathways for perioperative anemia management in Italy.
• While diagnostic and therapeutic aspects are well-implemented, opportunities exist to enhance PBM program oversight and outcome evaluation.