The Transfusion Committee: Putting Patient Safety First, 2nd Edition

  • ID: 2783069
  • Book
  • Region: Global
  • 190 Pages
  • AABB
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This new edition of a popular and practical text is a response to significant shifts in transfusion practice in recent years placing increasing emphasis on patient safety and patient blood management initiatives. For the hospital transfusion committee (TC), this means an expanded role to spearhead strategies for promoting best practices and blood avoidance.

New ideas, new contributors, and updates throughout make this an indispensable guide for both established and new TCs in the evolved paradigm. Two new chapters highlight the importance of nurses and other transfusionists in the TC, and how to increase effectiveness by centralizing reports through the TC and promoting a culture of reporting.

Several helpful forms included on the attached CD for downloading and customizing are some of the useful tools provided for achieving compliance with new requirements.

Topics:
- Justification for a dedicated TC.
- Committee organization and function.
- Roles of accrediting organizations and blood centers.
- Transfusionist participation (NEW).
- Blood utilization review and transfusion reactions oversight.
- Patient blood management and transfusion guidelines.
- Quality tools for the TC.
- Transforming reports into system improvements (NEW).
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Preface
About the Editors

1. The Transfusion Committee: Justification and Functions
Sunita Saxena, MD, MHA
Justification
Functions
Blood Utilization Regulations and Accreditation Requirements
Summary
References
Appendix 1-1. Goal and Functions of the Transfusion
Committee
Appendix 1-2. Transfusion Policies and Procedures To Be
Standardized
Appendix 1-3. Strategies for Training and Educating Staff in Transfusion Safety
Appendix 1-4. Blood Transfusion Process Assessment Tool
(Non-OR Staff)

2. The Transfusion Committee: Membership, Organization, and Implementation
Sunita Saxena, MD, MHA
Membership
Organization of the Transfusion Committee
Implementation of a Successful Meeting
Measuring the Effectiveness of the Committee
References
Appendix 2-1. Sample Agenda for Transfusion Committee
Meetings
Appendix 2-2. Sample Blood Usage Review Schedule
Appendix 2-3. Sample Transfusion Committee Blood
Usage Profile
Appendix 2-4. Component Losses Report Template
Appendix 2-5. Blood Utilization Review Report Form
Appendix 2-6. Mistransfusions and Near Misses
Report Template
Appendix 2-7. Model Intranet Website Contents for a Transfusion Committee

3. The Evolving Role of Accrediting Organizations
Kathleen Sazama, MD, JD
The Joint Commission
AABB
Summary
References

4. The Key Role of Transfusionist Participation—Nurses, Anesthesiologists, and Perfusionists
Jeffrey Wagner, BSN, RN, and Sunita Saxena, MD, MHA
Nurses
Transfusion Clinical Champion Team
Transfusion Safety Officers
Anesthesiologists
Perfusionists
References
Appendix 4-1. Template: Formal Invitation Letter for a Staff
Nurse to Join the TC
Appendix 4-2. Template: Formal Notification of a Nurse
Manager Regarding an Invitation Letter to a Staff Nurse to
Join the TC

5. Blood Center Participation with Hospital Transfusion Committees
Patricia M. Kopko, MD, and Catherine A. Mazzei, MD
Models of Participation
Benefits to Hospitals
Benefits to Blood Centers
Benefits for Both the Hospital and the Blood Center
Disadvantages of Blood Center Participation
Summary
References

6. Blood Utilization Review
Lirong Qu, MD, PhD, and Joseph E. Kiss, MD
Prospective Review
Retrospective Review
Reported Efficacies of Blood Utilization Reviews
Transfusion Committee Review
References
Appendix 6-1. An Example of Institutional Transfusion
Guidelines
Appendix 6-2. A Sample Template for an E-mail Letter to the Transfusing Physician When the Red Cell
Transfusion Does Not Meet the Transfusion
Guidelines per Laboratory Values Alone

7. Transfusion Reaction Oversight
Carolyn D. Burns, MD, and Phillip J. DeChristopher, MD, PhD
Regulatory Agencies and Accreditation Organizations
Basic Elements of Transfusion Reaction Oversight
References
Appendix 7-1. Sample Quality Indicators for Tracking
Adverse Events

8. The Role of the Transfusion Committee in Patient Blood Management
Jonathan H. Waters, MD
Preoperative Planning
Intraoperative Strategies
Point-of-Care Testing
Auditing
Leveraging Information Technology
Education
Summary
References

9. Transfusion Guidelines: Development and Impact on Patient Blood Management
Timothy Hannon, MD, MBA, and Irwin Gross, MD
Better Patient Blood Management through Transfusion Guidelines
Challenges to Changing Physician Practice
Implementing Clinical Practice Guidelines
Case Study: Transfusion Guideline Implementation at St. Vincent Indianapolis Hospital
Electronic Tools in the Implementation of Transfusion
Guidelines
Summary
References
Appendix 9-1. Transfusion Order Form in Use at St. Vincent
Indianapolis Hospital Since 2001

10. Quality Management
Lucia M. Berte, MA; MT(ASCP)SBB,DLM; CQA(ASQ)CMQ/OE
Transfusion Service Work Processes
Blood Utilization Management and Transfusion
Service Work
Quality Measurements
Quality Tools
Quality Improvement
Summary
References
Suggested Reading
Appendix 10-1. Suggested Measures of Process Performance for Inventory Management
Appendix 10-2. Suggested Measures of Process Performance for Patient Testing
Appendix 10-3. Suggested Measures of Process Performance for Selected QSEs

11. Transforming Reports into System Improvements
Sunita Saxena, MD, MHA
Barriers to Reporting
The Path to Transforming Reports into System
Improvements

Conclusion
References
Index
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