Bold Voices - January 2011 - (Page 18)

AT THE BEDSIDE Fewer Blood Transfusions Can Improve Patient Safety, Reduce Costs Some patients received less blood or no blood at all without compromising care. might order one unit and then reassess later to see if a second unit is needed. “We don’t want to expose patients to blood products unless we have to,” DeChristopher says. While blood transfusions save lives, they also carry risks. Studies over the last 10 years “have found that transfusions make patients more susceptible to infections and increase the risk of poor outcomes such as longer hospital stays, cancer recurrences and multi-organ system failures,” Loyola information adds. educing the number of blood transfusions at Loyola University Hospital, Maywood, Ill., improved patient safety and cut costs, reports a study presented at the College of American Pathologists’ annual meeting in Chicago. “In 2009, the average amount of blood products transfused per patient at Loyola was 10 percent lower than it was in 2008, saving $453,355. The average amount of blood products transfused dropped from 2.03 units per patient in 2008 to 1.82 units per patient in 2009,” Loyola information states. The study documents cost savings from buying less blood but not the “larger savings” from storing, compatibility testing, transfusing blood and treating adverse effects. Senior author Phillip J. DeChristopher, medical director of Transfusion Medicine, Loyola, says, “The savings we documented are just the tip of the iceberg.” As part of its Blood Management Program, Loyola launched a new initiative for blood utilization, that implemented blood-use protocols — including evidence-based indications, educational programs for doctors and nurses and oversight of the Blood Utilization Review Committee. Loyola information says, “The initiative R resulted in some patients receiving less blood or no blood at all — without compromising patient care.” It adds that instead of successively administering two units of blood, a doctor Live Webinars Offer Adult CCRN Review in February AACN Certification Reviews Online expands in February with an Adult CCRN Review Course. National content experts Mary Kay Bader, Suzi Burns, Bobbi Leeper and Carol Rauen will present seven live webinar sessions awarding a total of 13.5 contact hours of continuing nursing education credit. Each session features practice questions, live polling and text chat with the presenters. Topics include cardiovascular, pulmonary, neurologic, renal, gastrointestinal, hematology/immunology, multisystem and the AACN Synergy Model for Patient Care. Internet access is required and you can participate alone or with a group of colleagues. Visit for more information and to register. 18 JANUARY 2011

Table of Contents for the Digital Edition of Bold Voices - January 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
New HHS-CCSC Awards Recognize HAI Reductions
Zero Tolerance for Preventable Incidents Involves Non-Surgical Specialties
Bold Voice: Chatting with MaryAnn Stump
Facebook Asthma?
EOL Care Rises for Heart Failure Patients on Medicare
More Patient, Family Contact Needed in EOL Care
Chronic Lung Disease of Prematurity Increases Respiratory Risk in Day Care
Childhood Obesity Linked to Viral Infections
Pharmaceutical Safety at Home
DTaP, Tdap: What's in a Name?
In Our Journals
STOP-BANG Helps Identify Surgical Patients at Risk
Fewer Blood Transfusions Can Improve Patient Safety, Reduce Costs
Certification Capsules
Dues, NTI and Certification Fees Will Not Increase
From the President

Bold Voices - January 2011