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An Evolution in Blood Management: Past, Present, and Future

Kumar, Ajay MD, FACP, SFHM; Figueroa, Priscilla I. MD; Gowans, Kate L. MD; Parker, Brian M. MD; Proctor, Andrew W. MS; Benitez-Santana, San Miguel BSN, RN; Koch, Colleen MD, MS, MBA

doi: 10.1097/QMH.0b013e3182315ad9
Original Articles

Blood management is a concept that adopts a principle of improving patient outcome by integrating all available techniques to ensure safety, availability, and appropriate allocation of blood products. This constitutes a model of multidisciplinary care where the changes in culture are system directed on the basis of evidence-based medicine. There are about 14% US hospitals where any kind of blood management program exists, although the idea remains the same but the programs vary in their execution, implementation, and ultimately providing the value to patients. In this article, we have described our experience of creating a patient-centric, cost-effective, evidence-based, and multipronged program creation with scalable results. The use of data, education, process improvement, engagement, and accountability of caregivers have resulted in sustained results and helped in creating a comprehensive blood management program.

Division of Hospital Medicine, Hartford Hospital (Dr Kumar), Section of Transfusion Medicine and Progenitor Cell Processing Laboratory, Department of Clinical Pathology (Dr Figueroa), Pediatric Hematology and Oncology, Cleveland Clinic Children's Hospital (Dr Gowans), Hospital Operations (Dr Parker), Business Intelligence (Dr Proctor), Ashabula County Medical Center (an affiliate of Cleveland Clinic) (Mr Benitez-Santana), and Department of Cardiothoracic Anesthesia, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University (Dr Koch), Cleveland Clinic, Cleveland, Ohio.

Correspondence: Ajay Kumar, MD, MRCP, FACP, SFHM, Division of Hospital Medicine, Hartford Hospital, CB-3, 80 Seymour St, Hartford, CT 06102 (

The authors report no conflicts of interest.

©2011Lippincott Williams & Wilkins, Inc.