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Related Experiment Videos

Iatrogenic anemia.

M L Henry, W L Garner, P J Fabri

    American Journal of Surgery
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Reducing blood draws in intensive care units (ICUs) significantly lowers patient morbidity and healthcare costs. Implementing protocols and using smaller collection tubes can nearly halve the volume of blood drawn from critically ill patients.

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    Area of Science:

    • Clinical Medicine
    • Patient Safety
    • Healthcare Management

    Background:

    • Critically ill patients in intensive care units (ICUs) often undergo frequent and substantial blood withdrawals.
    • These blood draws contribute to patient morbidity and increase healthcare costs.

    Purpose of the Study:

    • To quantify blood volumes drawn from patients in two ICUs.
    • To evaluate the impact of a protocol-driven approach versus physician-ordered draws.
    • To assess the effectiveness of interventions in reducing blood draw volumes.

    Main Methods:

    • A comparative study was conducted in two ICUs, one with physician-ordered blood draws and another with a protocol-based approach.
    • Volumes of blood drawn for laboratory testing were meticulously recorded.

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  • Volumes of blood discarded to clear indwelling lines were also measured.
  • A repeat study was performed after staff education and implementation of smaller collection tubes.

    • Main Results:

    • The study identified significant volumes of blood withdrawn from critically ill patients.
    • Following staff education and the introduction of smaller collection tubes, the mean blood volume drawn was reduced by nearly half.
    • Interventions effectively decreased the total volume of blood removed from patients.

    Conclusions:

    • Standardizing blood draws through protocols and utilizing smaller collection tubes can substantially reduce blood loss in ICUs.
    • Implementing evidence-based practices for blood collection is crucial for improving patient outcomes and managing healthcare expenses.
    • Recommendations include ordering only pertinent laboratory tests and adopting procedures to minimize discarded blood samples.