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A Programmatic Approach to Patient Blood Management – ReducingTransfusions and Improving Patient Outcomes

机译:一种程序化的患者血液管理方法-减少输血并改善患者结果

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In July 2008, the Western Australia (WA) Department of Health embarked on a landmark 5-year project toimplement a sustainable comprehensive health-system-wide Patient Blood Management Program. Fundamentally, it was aquality and safety initiative, which also had profound resource and economic implications. Unsustainable escalating directand indirect costs of blood, potentially severe blood shortages due to changing population dynamics, donor deferrals, lossof altruism, wide variations in transfusion practice and growing knowledge of transfusion limitations and adverseoutcomes necessitate a paradigm shift in the management of anemia and blood loss. The concept of patient-focused bloodmanagement is proving to be an effective force for change. This approach has now evolved to embrace comprehensivehospital-wide Patient Blood Management Programs. These programs show significant reductions in blood utilisation, andcosts while achieving similar or improved patient outcomes. The WA Program is achieving these outcomes across a healthjurisdiction in a sustained manner.
机译:2008年7月,西澳大利亚州卫生部开始了一项具有里程碑意义的5年期项目,以实施一项可持续的,全面的,涵盖全卫生系统的患者血液管理计划。从根本上讲,这是一项质量和安全倡议,也具有深远的资源和经济意义。不断增加的直接和间接血液成本,不断变化的人口动态,潜在的严重血液短缺,不断变化的人口动态,捐助者的延期,利他主义的丧失,输血实践的广泛差异以及对输血限制和不良结果的日益了解,都需要对贫血和失血的管理方式进行转变。以患者为中心的血液管理概念已被证明是推动变革的有效力量。现在,这种方法已经发展为涵盖医院范围内全面的患者血液管理计划。这些程序显示出血液利用率和成本的显着降低,同时实现了相似或改善的患者预后。西澳大利亚州计划正在持续的整个医疗管辖区实现这些成果。

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