Effectiveness of a patient blood management data system in monitoring blood use in Western Australia

The aim of this paper is to describe a linked patient blood management (PBM) data system and to demonstrate its usefulness by presenting the blood usage data obtained. Our existing datasets already collected much of the required information in relation to PBM. However, these datasets were not linked...

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Main Authors: Mukhtar, Syed Aqif, Leahy, M., Trentino, K., Koay, A., Semmens, James, Tovey, J., Jewlachow, V., Farmer, Shannon, Hofmann, A., Roberts, H., Towler, S.
Format: Journal Article
Published: Australian Society of Anaesthetists 2013
Subjects:
Online Access:http://www.aaic.net.au/document/?D=20120382
http://hdl.handle.net/20.500.11937/30333
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author Mukhtar, Syed Aqif
Leahy, M.
Trentino, K.
Koay, A.
Semmens, James
Tovey, J.
Jewlachow, V.
Farmer, Shannon
Hofmann, A.
Roberts, H.
Towler, S.
author_facet Mukhtar, Syed Aqif
Leahy, M.
Trentino, K.
Koay, A.
Semmens, James
Tovey, J.
Jewlachow, V.
Farmer, Shannon
Hofmann, A.
Roberts, H.
Towler, S.
author_sort Mukhtar, Syed Aqif
building Curtin Institutional Repository
collection Online Access
description The aim of this paper is to describe a linked patient blood management (PBM) data system and to demonstrate its usefulness by presenting the blood usage data obtained. Our existing datasets already collected much of the required information in relation to PBM. However, these datasets were not linked. A patient identifier was used to link the Patient Administration System with the Laboratory Information System. Data linkage was achieved by linking the Laboratory Information System with the Patient Administration System records where blood transfusion or laboratory result date/time fell between admission and discharge date/time. The two datasets were then consolidated into the PBM data system. Blood usage data obtained from the system showed that between August 2008 and July 2009 there were 59,627 patient completed separations in the pilot hospital. Of the total transfused units, 62% were red blood cells (RBC), followed by fresh frozen plasma (22%), cryoprecipitate (9%) and platelets (8%). Around 50% of RBC transfusions were administered to patients >70 years of age. General medicine represented 21% of RBC usage, followed by haematology (19%), orthopaedics (17%) and general surgery (16%). Patients with 100 g/l pre-transfusion haemoglobin received 9% of RBC transfusions and patients with 71–100 g/l pre-transfusion haemoglobin received 73% of RBC transfusions. The post-transfusion haemoglobin in RBC transfusions exceeded 100 g/l in 33% of patients. Databases were successfully linked to produce a powerful tool to monitor blood utilisation and transfusion practices within a pilot PBM program. This will facilitate effective targeting of PBM strategies and ongoing monitoring of their impact.
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institution Curtin University Malaysia
institution_category Local University
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publishDate 2013
publisher Australian Society of Anaesthetists
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spelling curtin-20.500.11937-303332017-04-24T07:07:34Z Effectiveness of a patient blood management data system in monitoring blood use in Western Australia Mukhtar, Syed Aqif Leahy, M. Trentino, K. Koay, A. Semmens, James Tovey, J. Jewlachow, V. Farmer, Shannon Hofmann, A. Roberts, H. Towler, S. health information system transfusion patient blood management The aim of this paper is to describe a linked patient blood management (PBM) data system and to demonstrate its usefulness by presenting the blood usage data obtained. Our existing datasets already collected much of the required information in relation to PBM. However, these datasets were not linked. A patient identifier was used to link the Patient Administration System with the Laboratory Information System. Data linkage was achieved by linking the Laboratory Information System with the Patient Administration System records where blood transfusion or laboratory result date/time fell between admission and discharge date/time. The two datasets were then consolidated into the PBM data system. Blood usage data obtained from the system showed that between August 2008 and July 2009 there were 59,627 patient completed separations in the pilot hospital. Of the total transfused units, 62% were red blood cells (RBC), followed by fresh frozen plasma (22%), cryoprecipitate (9%) and platelets (8%). Around 50% of RBC transfusions were administered to patients >70 years of age. General medicine represented 21% of RBC usage, followed by haematology (19%), orthopaedics (17%) and general surgery (16%). Patients with 100 g/l pre-transfusion haemoglobin received 9% of RBC transfusions and patients with 71–100 g/l pre-transfusion haemoglobin received 73% of RBC transfusions. The post-transfusion haemoglobin in RBC transfusions exceeded 100 g/l in 33% of patients. Databases were successfully linked to produce a powerful tool to monitor blood utilisation and transfusion practices within a pilot PBM program. This will facilitate effective targeting of PBM strategies and ongoing monitoring of their impact. 2013 Journal Article http://hdl.handle.net/20.500.11937/30333 http://www.aaic.net.au/document/?D=20120382 Australian Society of Anaesthetists restricted
spellingShingle health information system
transfusion
patient blood management
Mukhtar, Syed Aqif
Leahy, M.
Trentino, K.
Koay, A.
Semmens, James
Tovey, J.
Jewlachow, V.
Farmer, Shannon
Hofmann, A.
Roberts, H.
Towler, S.
Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title_full Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title_fullStr Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title_full_unstemmed Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title_short Effectiveness of a patient blood management data system in monitoring blood use in Western Australia
title_sort effectiveness of a patient blood management data system in monitoring blood use in western australia
topic health information system
transfusion
patient blood management
url http://www.aaic.net.au/document/?D=20120382
http://hdl.handle.net/20.500.11937/30333