Prospective monitoring of plasma and platelet transfusions in a large teaching hospital results in significant cost reduction

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Abstract

Background: Plasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices. Study Design and Methods: Using the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study. Results: The study revealed that implementation of triage resulted in a significant reduction of plasma (60%) and PLT (25%) transfusions, saving more than $3,000,000 over 4 years. ConclusionS: Prospective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.

Original languageEnglish (US)
Pages (from-to)487-492
Number of pages6
JournalTransfusion
Volume50
Issue number2
DOIs
StatePublished - Feb 2010

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Platelet Transfusion
Teaching Hospitals
Costs and Cost Analysis
Triage
Blood Platelets
Transfusion Medicine
Education
Evidence-Based Practice
Information Storage and Retrieval
Evidence-Based Medicine
Hemostasis
Health Care Costs
Erythrocytes
Databases
Wounds and Injuries

ASJC Scopus subject areas

  • Hematology
  • Immunology
  • Immunology and Allergy

Cite this

@article{7ada58d3a87f4c17baf9b9e4c2b93aa0,
title = "Prospective monitoring of plasma and platelet transfusions in a large teaching hospital results in significant cost reduction",
abstract = "Background: Plasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices. Study Design and Methods: Using the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study. Results: The study revealed that implementation of triage resulted in a significant reduction of plasma (60{\%}) and PLT (25{\%}) transfusions, saving more than $3,000,000 over 4 years. ConclusionS: Prospective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.",
author = "Ravindra Sarode and Refaai, {Majed A.} and Karen Matevosyan and Burner, {James D.} and Scott Hampton and Cynthia Rutherford",
year = "2010",
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doi = "10.1111/j.1537-2995.2009.02413.x",
language = "English (US)",
volume = "50",
pages = "487--492",
journal = "Transfusion",
issn = "0041-1132",
publisher = "Wiley-Blackwell",
number = "2",

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TY - JOUR

T1 - Prospective monitoring of plasma and platelet transfusions in a large teaching hospital results in significant cost reduction

AU - Sarode, Ravindra

AU - Refaai, Majed A.

AU - Matevosyan, Karen

AU - Burner, James D.

AU - Hampton, Scott

AU - Rutherford, Cynthia

PY - 2010/2

Y1 - 2010/2

N2 - Background: Plasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices. Study Design and Methods: Using the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study. Results: The study revealed that implementation of triage resulted in a significant reduction of plasma (60%) and PLT (25%) transfusions, saving more than $3,000,000 over 4 years. ConclusionS: Prospective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.

AB - Background: Plasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices. Study Design and Methods: Using the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study. Results: The study revealed that implementation of triage resulted in a significant reduction of plasma (60%) and PLT (25%) transfusions, saving more than $3,000,000 over 4 years. ConclusionS: Prospective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.

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