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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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A maximum surgical blood ordering schedule: Does it add value?

Deborah L Benzil1, Moises Auron2,3,4, Zaher K Otrock5

  • 1Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Vox Sanguinis
|February 25, 2025
PubMed
Summary
This summary is machine-generated.

Implementing a maximum surgical blood ordering schedule (MSBOS) reduced unnecessary blood tests by 4166 and saved over $223,000 annually. This initiative improved efficiency and maintained patient safety across a large health system.

Keywords:
MSBOS (maximum surgical blood ordering system)cost savingshigh‐value carepatient safetytype and screen

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Area of Science:

  • Healthcare Management
  • Transfusion Medicine
  • Health Economics

Background:

  • Maximum Surgical Blood Ordering Schedules (MSBOS) are crucial for managing blood product scarcity and healthcare costs.
  • Implementing MSBOS presents challenges but is essential for reducing waste and expenditure.
  • MSBOS optimizes pre-transfusion testing and preparation, enhancing operational efficiencies and patient safety.

Purpose of the Study:

  • To evaluate the impact of implementing MSBOS in a large, multi-hospital health system.
  • To assess the effectiveness of MSBOS in reducing unnecessary blood testing and associated costs.
  • To determine if MSBOS implementation affects patient safety.

Main Methods:

  • A risk-stratified protocol and electronic medical record automation were used to implement MSBOS.
  • The study encompassed a multi-hospital health system in Ohio and Florida.
  • Data from over 200,000 annual surgeries were analyzed, including 107,149 cases across 23 surgical specialties and 18 hospitals in the first year.

Main Results:

  • Compliance with MSBOS improved significantly over the study period.
  • A reduction of 4166 type and screen tests was observed.
  • The implementation resulted in cost savings of $223,839, with no identified adverse patient safety events.

Conclusions:

  • Adopting MSBOS in a large health system provides significant value.
  • MSBOS implementation effectively reduces unnecessary testing and healthcare costs.
  • Patient safety is maintained while achieving financial and operational benefits through MSBOS.