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Patient blood management is an increasingly used term to describe an evidence-based, multidisciplinary approach to optimising the care of patients who might need transfusion. It encompasses measures to avoid transfusion such as anaemia management without transfusion, cell salvage and the use of anti-fibrinolytic drugs to reduce bleeding as well as restrictive transfusion. It ensures that patients receive the optimal treatment, and that avoidable, inappropriate use of blood and blood components is reduced. This paper provides an overview of the scientific basis for patient blood management with a focus on the increasing evidence for restrictive rather than liberal transfusion practice and the use of electronic blood ordering and decision support to facilitate its implementation.

Original publication

DOI

10.1016/j.tracli.2015.04.001

Type

Journal article

Journal

Transfus Clin Biol

Publication Date

08/2015

Volume

22

Pages

90 - 96

Keywords

Aide à la décision clinique, Blood transfusion, Blood utilisation, Clinical decision support, Dossier médicaux électroniques, Electronic medical records, La saisie des commandes médecin, L’utilisation du sang, Physician order entry, Transfusion sanguine, Anemia, Antifibrinolytic Agents, Blood Preservation, Blood Transfusion, Disease Management, Electronic Prescribing, Evidence-Based Medicine, Hemorrhage, Humans, Practice Guidelines as Topic, Prescriptions, Transfusion Medicine, Treatment Outcome, Unnecessary Procedures