A provincial program of blood conservation: The Ontario Transfusion Coordinators (ONTraC)

Freedman, John; Luke, Katherine; Monga, Neerav; Lincoln, S D; Koen, R.; Escobar, Michael; Chiavetta, Jo Anne

doi:10.1016/j.transci.2005.07.011

Cited by 45 publications

(31 citation statements)

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“…When used and tailored to the specific needs of the individual patient, they have been shown to preempt and/or reduce the use of allogeneic blood products while improving patient outcomes [11][12][13][14]. A recent study compared a cohort of 586 patients undergoing isolated coronary artery bypass graft surgery (CABG) at an institution with a developed PBM program with a propensity score-matched cohort of 586 patients from institutions without such a program.…”

Section: How Pbm Work and Why It Is Different From The Concept Of Apmentioning

confidence: 99%

Five Drivers Shifting the Paradigm from Product-Focused Transfusion Practice to Patient Blood Management

2011

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The objective of this paper is to introduce clinicians and health care professionals to the concept of patient blood management (PBM) and to explain the difference between PBM and the concept of "appropriate use" of blood products. The five reasons why modern health systems need to shift from product-focused transfusion practice to PBM are also presented. These are: the aging population with a leveraged demand for blood products opposed to a shrinking donor base; the growing awareness that transfusion is a complex service involving many different cost centers within a hospital and representing a multiple of the blood product cost; the continuous effort to protect blood pools from known, new, or re-emerging pathogens while facing uncertainty over their potentially long silent carrier states; the emerging evidence that transfusion is an independent risk factor for adverse outcomes; and finally, a lack of evidence for benefit of transfusion for the vast majority of recipients. The Oncologist 2011;16(suppl 3):3-11

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Section: How Pbm Work and Why It Is Different From The Concept Of Apmentioning

confidence: 99%

Five Drivers Shifting the Paradigm from Product-Focused Transfusion Practice to Patient Blood Management

2011

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“…13,000,000), the ONTraC (Ontario Transfusion Coordinators) network program funded by the Ontario Ministry of Health and Long-term Care has placed PBM coordinators in 25 community and teaching hospital throughout the province [7,70,71]. These hospitals account for about 75% of the blood used in the province and the intent is to educate physicians, nurses and patients about best transfusion practices and alternatives to transfusion.…”

Section: The Ontario Experiencementioning

confidence: 99%

Transfusion Medicine: Time for a Change: Patient Blood Management and the Ontario ONTraC Program

Freedman¹

2016

J Perioper Crit Intensive Care Nurs

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Despite increasing recognition of the potential adverse effects of blood transfusion there is evidence that the procedure is over-utilized and often inappropriately and unnecessarily administered. Patient Blood Management (PBM) is a recent world-wide initiative to optimize transfusion therapy by employing preoperative and perioperative maneuvers and alternatives to avoid unnecessary blood transfusion. These approaches are, however, not restricted to the surgical setting, but may be applied whenever transfusion is contemplated. A key component of PBM is the appropriate management of anemia, a prime determinant of transfusion. Another is tolerance of anemia through the use of restrictive transfusion thresholds for transfusion and of a single unit at a time policy. Among a number of options at surgery, antifibrinolytics have proven effective at reducing blood loss and transfusion. Burgeoning literature demonstrates that PBM (also known as Blood Conservation or as 'Bloodless Medicine/Surgery') is costeffective while improving patient outcomes and conserving the blood supply. Data from the ONTraC program in Ontario are described herein to illustrate the effectiveness of PBM approaches.

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“…In 2002, the Province of Ontario, Canada, introduced the pioneering Ontario Nurse Transfusion Coordinators Provincial Blood Conservation Program (ONTraC). A decrease of RBC transfusion of 14-24 % was noticed 1 year after implementation (Freedman et al 2005 ). To date, based on decreased mortality and morbidity, patient blood management programs have shown themselves to be effi cient in all medical fi elds, in various countries (Moskowitz et al 2010 ;Spahn 2010 ;Goodnough et al 2011 ;Kotze et al 2012 ).…”

Section: Implementation Of Patient Blood Managementmentioning

confidence: 99%

Patient Blood Management

Theusinger

Kind

Spahn

2014

Perioperative Hemostasis

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A provincial program of blood conservation: The Ontario Transfusion Coordinators (ONTraC)

Cited by 45 publications

References 0 publications

Five Drivers Shifting the Paradigm from Product-Focused Transfusion Practice to Patient Blood Management

Five Drivers Shifting the Paradigm from Product-Focused Transfusion Practice to Patient Blood Management

Transfusion Medicine: Time for a Change: Patient Blood Management and the Ontario ONTraC Program

Patient Blood Management

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