Electronic enhancements to blood ordering reduce component waste
BACKGROUND The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network. METHODS A novel field was added to the CPOE of eight hospitals within a health care sys...
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| Veröffentlicht in: | Transfusion (Philadelphia, Pa.) Pa.), 2016-03, Vol.56 (3), p.564-570 |
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| creator | Yazer, Mark H. Deandrade, Diana S. Triulzi, Darrell J. Wisniewski, Mary Kay Waters, Jonathan H. |
| description | BACKGROUND
The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network.
METHODS
A novel field was added to the CPOE of eight hospitals within a health care system allowing the physician to reserve a red blood cell (RBC) unit for transfusion at a later time. Simultaneously, an electronic means of communication with the blood bank was implemented requiring the nurse to ensure that the patient was prepared for the transfusion before a product could be issued. The wastage rates in the 12 months after these electronic enhancements (Phase 2) was compared to the preceding 19 months of a non–CPOE‐based waste reduction campaign (Phase 1) and to the 24 months before the campaign (baseline period).
RESULTS
There were significant reductions in platelet (PLT) waste between the baseline period and Phase 1 (p |
| doi_str_mv | 10.1111/trf.13399 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1772144949</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1772144949</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4899-2c769196f3f9a358dbf47454c8cd0fbdc3aed2ae0c5cfcc15d2ff82a0b9b012a3</originalsourceid><addsrcrecordid>eNp90MtO3TAQBmALFcHhsugLVJG6gUXAY8dxvGvFXUIgEBeJjeXYYwhN4lM7EeXtGzjAAqmdzWy--TX6CfkKdAem2R2i3wHOlVoiMxBc5kwp8YXMKC0gB-Bslayl9EgpZYrCClllpRBKMDojPw5atEMMfWMz7B9Mb7HDfkjZELK6DcFlITqMTX-fRXSjxcyGbh76yWRPJg24QZa9aRNuvu11cn14cLV3nJ-eH53s_TzNbVEplTMrSwWq9Nwrw0Xlal_IQhS2so762llu0DGD1ArrrQXhmPcVM7RWNQVm-DrZWuTOY_g9Yhp01ySLbWt6DGPSICWDolCFmuj3T_QxjLGfvtOgqCiZEFX5XyUlUCahfFHbC2VjSCmi1_PYdCY-a6D6pXw9la9fy5_st7fEse7Qfcj3tiewuwBPTYvP_07SV5eH75H54qKZqv7zcWHiL11KLoW-PTvSd5Tf7rMLrm_4X_I-nG4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1771027166</pqid></control><display><type>article</type><title>Electronic enhancements to blood ordering reduce component waste</title><source>Access via Wiley Online Library</source><source>MEDLINE</source><creator>Yazer, Mark H. ; Deandrade, Diana S. ; Triulzi, Darrell J. ; Wisniewski, Mary Kay ; Waters, Jonathan H.</creator><creatorcontrib>Yazer, Mark H. ; Deandrade, Diana S. ; Triulzi, Darrell J. ; Wisniewski, Mary Kay ; Waters, Jonathan H.</creatorcontrib><description>BACKGROUND
The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network.
METHODS
A novel field was added to the CPOE of eight hospitals within a health care system allowing the physician to reserve a red blood cell (RBC) unit for transfusion at a later time. Simultaneously, an electronic means of communication with the blood bank was implemented requiring the nurse to ensure that the patient was prepared for the transfusion before a product could be issued. The wastage rates in the 12 months after these electronic enhancements (Phase 2) was compared to the preceding 19 months of a non–CPOE‐based waste reduction campaign (Phase 1) and to the 24 months before the campaign (baseline period).
RESULTS
There were significant reductions in platelet (PLT) waste between the baseline period and Phase 1 (p < 0.05) and between Phase 2 and both Phase 1 and the baseline period (p < 0.05). The annual systemwide cost savings in wasted PLTs between the baseline period and Phase 2 was approximately $123,300. RBC waste was significantly reduced between Phase 2 and both Phase 1 and the baseline period (p < 0.05). Cryoprecipitate waste was reduced between Phase 2 and the baseline period (p < 0.05), while plasma waste did not change between the three periods.
CONCLUSIONS
Implementing a multifaceted approach to waste reduction led to a significant reduction in wastage for RBCs, PLTs, and cryoprecipitate.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1111/trf.13399</identifier><identifier>PMID: 26559520</identifier><identifier>CODEN: TRANAT</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Blood ; Blood Banks - statistics & numerical data ; Blood products ; Blood Transfusion - statistics & numerical data ; Computerized physician order entry ; Cost engineering ; Cost reduction ; Erythrocyte Transfusion - statistics & numerical data ; Erythrocytes ; Health care ; Hospitals ; Humans ; Medical Order Entry Systems ; Order entry ; Physicians ; Platelet Transfusion - statistics & numerical data ; Transfusion</subject><ispartof>Transfusion (Philadelphia, Pa.), 2016-03, Vol.56 (3), p.564-570</ispartof><rights>2015 AABB</rights><rights>2015 AABB.</rights><rights>2016 AABB</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4899-2c769196f3f9a358dbf47454c8cd0fbdc3aed2ae0c5cfcc15d2ff82a0b9b012a3</citedby><cites>FETCH-LOGICAL-c4899-2c769196f3f9a358dbf47454c8cd0fbdc3aed2ae0c5cfcc15d2ff82a0b9b012a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftrf.13399$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftrf.13399$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26559520$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yazer, Mark H.</creatorcontrib><creatorcontrib>Deandrade, Diana S.</creatorcontrib><creatorcontrib>Triulzi, Darrell J.</creatorcontrib><creatorcontrib>Wisniewski, Mary Kay</creatorcontrib><creatorcontrib>Waters, Jonathan H.</creatorcontrib><title>Electronic enhancements to blood ordering reduce component waste</title><title>Transfusion (Philadelphia, Pa.)</title><addtitle>Transfusion</addtitle><description>BACKGROUND
The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network.
METHODS
A novel field was added to the CPOE of eight hospitals within a health care system allowing the physician to reserve a red blood cell (RBC) unit for transfusion at a later time. Simultaneously, an electronic means of communication with the blood bank was implemented requiring the nurse to ensure that the patient was prepared for the transfusion before a product could be issued. The wastage rates in the 12 months after these electronic enhancements (Phase 2) was compared to the preceding 19 months of a non–CPOE‐based waste reduction campaign (Phase 1) and to the 24 months before the campaign (baseline period).
RESULTS
There were significant reductions in platelet (PLT) waste between the baseline period and Phase 1 (p < 0.05) and between Phase 2 and both Phase 1 and the baseline period (p < 0.05). The annual systemwide cost savings in wasted PLTs between the baseline period and Phase 2 was approximately $123,300. RBC waste was significantly reduced between Phase 2 and both Phase 1 and the baseline period (p < 0.05). Cryoprecipitate waste was reduced between Phase 2 and the baseline period (p < 0.05), while plasma waste did not change between the three periods.
CONCLUSIONS
Implementing a multifaceted approach to waste reduction led to a significant reduction in wastage for RBCs, PLTs, and cryoprecipitate.</description><subject>Blood</subject><subject>Blood Banks - statistics & numerical data</subject><subject>Blood products</subject><subject>Blood Transfusion - statistics & numerical data</subject><subject>Computerized physician order entry</subject><subject>Cost engineering</subject><subject>Cost reduction</subject><subject>Erythrocyte Transfusion - statistics & numerical data</subject><subject>Erythrocytes</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medical Order Entry Systems</subject><subject>Order entry</subject><subject>Physicians</subject><subject>Platelet Transfusion - statistics & numerical data</subject><subject>Transfusion</subject><issn>0041-1132</issn><issn>1537-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtO3TAQBmALFcHhsugLVJG6gUXAY8dxvGvFXUIgEBeJjeXYYwhN4lM7EeXtGzjAAqmdzWy--TX6CfkKdAem2R2i3wHOlVoiMxBc5kwp8YXMKC0gB-Bslayl9EgpZYrCClllpRBKMDojPw5atEMMfWMz7B9Mb7HDfkjZELK6DcFlITqMTX-fRXSjxcyGbh76yWRPJg24QZa9aRNuvu11cn14cLV3nJ-eH53s_TzNbVEplTMrSwWq9Nwrw0Xlal_IQhS2so762llu0DGD1ArrrQXhmPcVM7RWNQVm-DrZWuTOY_g9Yhp01ySLbWt6DGPSICWDolCFmuj3T_QxjLGfvtOgqCiZEFX5XyUlUCahfFHbC2VjSCmi1_PYdCY-a6D6pXw9la9fy5_st7fEse7Qfcj3tiewuwBPTYvP_07SV5eH75H54qKZqv7zcWHiL11KLoW-PTvSd5Tf7rMLrm_4X_I-nG4</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Yazer, Mark H.</creator><creator>Deandrade, Diana S.</creator><creator>Triulzi, Darrell J.</creator><creator>Wisniewski, Mary Kay</creator><creator>Waters, Jonathan H.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>Electronic enhancements to blood ordering reduce component waste</title><author>Yazer, Mark H. ; Deandrade, Diana S. ; Triulzi, Darrell J. ; Wisniewski, Mary Kay ; Waters, Jonathan H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4899-2c769196f3f9a358dbf47454c8cd0fbdc3aed2ae0c5cfcc15d2ff82a0b9b012a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Blood</topic><topic>Blood Banks - statistics & numerical data</topic><topic>Blood products</topic><topic>Blood Transfusion - statistics & numerical data</topic><topic>Computerized physician order entry</topic><topic>Cost engineering</topic><topic>Cost reduction</topic><topic>Erythrocyte Transfusion - statistics & numerical data</topic><topic>Erythrocytes</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Medical Order Entry Systems</topic><topic>Order entry</topic><topic>Physicians</topic><topic>Platelet Transfusion - statistics & numerical data</topic><topic>Transfusion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yazer, Mark H.</creatorcontrib><creatorcontrib>Deandrade, Diana S.</creatorcontrib><creatorcontrib>Triulzi, Darrell J.</creatorcontrib><creatorcontrib>Wisniewski, Mary Kay</creatorcontrib><creatorcontrib>Waters, Jonathan H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transfusion (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yazer, Mark H.</au><au>Deandrade, Diana S.</au><au>Triulzi, Darrell J.</au><au>Wisniewski, Mary Kay</au><au>Waters, Jonathan H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronic enhancements to blood ordering reduce component waste</atitle><jtitle>Transfusion (Philadelphia, Pa.)</jtitle><addtitle>Transfusion</addtitle><date>2016-03</date><risdate>2016</risdate><volume>56</volume><issue>3</issue><spage>564</spage><epage>570</epage><pages>564-570</pages><issn>0041-1132</issn><eissn>1537-2995</eissn><coden>TRANAT</coden><abstract>BACKGROUND
The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network.
METHODS
A novel field was added to the CPOE of eight hospitals within a health care system allowing the physician to reserve a red blood cell (RBC) unit for transfusion at a later time. Simultaneously, an electronic means of communication with the blood bank was implemented requiring the nurse to ensure that the patient was prepared for the transfusion before a product could be issued. The wastage rates in the 12 months after these electronic enhancements (Phase 2) was compared to the preceding 19 months of a non–CPOE‐based waste reduction campaign (Phase 1) and to the 24 months before the campaign (baseline period).
RESULTS
There were significant reductions in platelet (PLT) waste between the baseline period and Phase 1 (p < 0.05) and between Phase 2 and both Phase 1 and the baseline period (p < 0.05). The annual systemwide cost savings in wasted PLTs between the baseline period and Phase 2 was approximately $123,300. RBC waste was significantly reduced between Phase 2 and both Phase 1 and the baseline period (p < 0.05). Cryoprecipitate waste was reduced between Phase 2 and the baseline period (p < 0.05), while plasma waste did not change between the three periods.
CONCLUSIONS
Implementing a multifaceted approach to waste reduction led to a significant reduction in wastage for RBCs, PLTs, and cryoprecipitate.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26559520</pmid><doi>10.1111/trf.13399</doi><tpages>7</tpages></addata></record> |
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| subjects | Blood Blood Banks - statistics & numerical data Blood products Blood Transfusion - statistics & numerical data Computerized physician order entry Cost engineering Cost reduction Erythrocyte Transfusion - statistics & numerical data Erythrocytes Health care Hospitals Humans Medical Order Entry Systems Order entry Physicians Platelet Transfusion - statistics & numerical data Transfusion |
| title | Electronic enhancements to blood ordering reduce component waste |
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