Services
Company
Legal and Governance
Publication Library / Publications
Anemia management and audit feedback practices for reducing overuse of RCB transfusion: a laboratory medicine best practice systematic review and meta-analysis
Objectives
To evaluate the effectiveness of anemia management and audit with feedback practices in reducing overuse of RBC transfusion.
Methods
This review follows the Centers for Disease Control and Prevention’s Laboratory Medicine Best Practice Systematic Review (A-6) method. We searched the literature and solicited unpublished studies on practices to reduce overuse of RBC transfusions as measured by reductions in units transfused and proportion of patients transfused.
Results
Thirteen studies on preoperative anemia management and three studies on audit feedback practices met inclusion criteria. Strength of evidence was high to moderate for reducing the number of units and proportion of patients transfused.
Conclusions
Preoperative anemia management reduces the proportion of patients transfused and units of RBCs transfused. Audit with feedback across cases, physicians, and/or service areas, as part of a continuous quality improvement practice, reduces the proportion of patients and units of RBCs transfused.
Authors
J Derzon, A Alford, N Clarke, I Gross, A Shander, R Thurer
Journal
American journal of clinical pathology
Therapeutic Area
Hematology
Center of Excellence
Health Economic Modeling & Meta-analysis
Year
2019
Read full article