Quality Improvement Project of a Massive Transfusion Protocol (MTP) to Reduce Wastage of Blood Components.
MTP
blood component transfusion
massive transfusion protocol
quality improvement
waste
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
01 01 2021
01 01 2021
Historique:
received:
27
11
2020
revised:
11
12
2020
accepted:
29
12
2020
entrez:
6
1
2021
pubmed:
7
1
2021
medline:
18
2
2021
Statut:
epublish
Résumé
Massive transfusion protocols (MTPs) facilitate the organized delivery of blood components for traumatically injured patients. MTPs vary across institutions, and ratios of blood components can change during clinical management. As a result, significant amounts of components can be wasted. We completed a review of all MTP activations from 2015 to 2018, providing an in-depth analysis of waste in our single Level 1 trauma center. An interdepartmental group analyzed patterns of blood component wastage to guide three quality improvement initiatives. Specifically, we (1) completed a digital timeline for each MTP activation and termination, (2) improved communications between departments, and (3) provided yearly training for all personnel about MTP deployment. The analysis identified an association between delayed MTP deactivations and waste (RR = 1.48, CI 1.19-1.85,
Identifiants
pubmed: 33401395
pii: ijerph18010274
doi: 10.3390/ijerph18010274
pmc: PMC7795105
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
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