The Standards for a Patient Blood Management Program (PBM Standards) can help facilities that are implementing or enhancing patient blood management efforts to have a solid foundation for maintaining and optimizing the care of patients who may or may not need transfusion. Like other AABB standards, the requirements in this edition include over-arching quality standards as well as specific technical standards - all firmly grounded in a quality systems framework. Unlike other AABB standards, the requirements in this edition are organized to reflect the wide range of clinical services offered by different hospitals. The PBM Standards acknowledges three distinct PBM program activity levels that reflect the functions an individual facility may perform.

Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.

Patient Blood Management (PBM) has been increasingly recognized as a fundamental element of good clinical practice in transfusion. The importance of implementing effective PBM had been highlighted in the WHA 63.12 (2010) and reconfirmed in the WHO Action Framework to advance universal access to safe, effective and quality assured blood products 2020-2023 which was launched in February 2020. This policy brief aims: (1) to raise awareness of health authorities and other governmental agencies on the benefits of PBM in improving the population health status, patient outcomes, patients’ safety and quality of care, improving clinical transfusion practice while saving costs; (2) to emphasize governments should take the leadership roles, including allocating sufficient funds to create the structural needs to enable nationwide PBM implementation; and (3) to encourage effective incorporation of PBM into daily clinical practice by creating awareness in patients at large and their health care providers, that anemia and/or moderate to severe blood loss are serious predictors of adverse outcomes. The target audience of this policy brief is government representatives/health authorities, executives of health services and hospitals, health care practitioners, other stakeholder groups including private and public funders/payers, medical schools, professional societies, patient organizations, quality and safety regulatory and accreditation organizations.

This book gives a brief overview of the "Patient Blood Management" (PBM) concept and is addressed to health professionals as well as all persons generally involved into hospital management. "Patient Blood Management" (PBM) is a multidisciplinary, evidence-based approach to improve perioperative care. The concept is based on three pillars that target modifiable risk factors for adverse outcome: i) preoperative screening, diagnosis and treatment of anaemia, ii) blood-sparing techniques, and iii) adequate blood product utilization. The superior objective is to optimize patient outcome. Anaemia is common among hospital patients and an underestimated risk factor for blood transfusions, higher morbidity and mortality. Optimizing and preserving red cell mass before, during and after surgery can be achieved by a number of measures that can be implemented in EVERY hospital. These measures have high potential to improve patient outcome and to reduce costs both for allogeneic blood transfusions and for the treatment of the associated complications. Furthermore, due to the current demographical development, the offer of available blood products is most likely to decrease in the future whilst advances in modern medicine increase blood product demands, thus causing scarcity. Therefore, it is our duty towards society, patients and donors to use blood products wisely and only when absolutely necessary. Patient Blood Management is our strategy to face this challenge. The use of a PBM concept will be of benefit for patients, society, doctors and hospitals. This book, written by the key members of the University Hospital Frankfurt PBM project, aims to give a deeper understanding of the three pillars of the concept, and provide insights for undertaking further research as well as planning and implementing concrete operative measures.

Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision-making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless surgery used at the New York Hospital-Cornell Medical Center.

This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.