MAY 2020
ISSUE
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SABM 2020 Newsletter Publication
Editor: Kevin T. Wright
Associate Editor: Majed Refaai, MD
Contributors for This Issue
Christine Cahill, RN, MS
Ann Marie Gordon, PA-C, MLS (ASCP)
Beverly Khaek-On, BSN, RN
Mary Ann O'Brien, RN, MSN, CCRN, CNE
Sherri Ozawa, RN
Seth Perelman, MD, FASA
Majed Refaai, MD
Cassandra Upchurch, RN
Sarah Walbolt, BSN, RN
Kevin T. Wright
Marketing
Tim Bower, CAE
SABM Officers and
Directors
© 2020 Society for the Advancement of Blood Management
350 Engle Street Englewood, NJ 07631 USA Phone: (928) 551-6400 Fax: (877) 944-2272 EMAIL: [email protected] |
Featured Affiliates
Center for Transfusion-Free Medicine at Pennsylvania Hospital, Penn Medicine, Philadelphia, Pennsylvania
The Center for Transfusion-Free Medicine at Pennsylvania Hospital was established over 22 years ago by Dr. Patricia Ford, and is one of the first Transfusion-Free Medicine programs. It has developed into a robust and comprehensive program with administrative and clinical engagement throughout the hospital. The program has partnered with the existing Blood Utilization committee to form the Patient Blood Management/Blood Utilization Committee, established with the purpose of:
- Managing utilization of blood products including distribution, handling, and safety.
- Developing a multidisciplinary patient centered approach to anemia, coagulation and blood conservation using evidenced based medical and surgical strategies; aimed at achieving better patient outcomes and more appropriate blood product utilization.
- Improving blood utilization and outcomes by decreasing use and complications; implementation of education, research and evidence based practice.
Dr. Ford is also the Medical Director of the Autologous Stem Cell Transplant Program, and has treated over 330 patients, with over 200 being bloodless autologous stem cell transplants. Pennsylvania Hospital is the first Center to successfully complete this procedure without the use of a blood transfusion, and currently maintains a mortality rate of less than 2%.
Our Anemia Clinic has improved patient outcomes by identifying and correcting anemia, and optimizing hemoglobin prior to surgery. Recent studies on our Anemia Clinic have provided evidence that mortality of cardiovascular surgery patients decreases when exposure to blood transfusion is eliminated (Barlow, Upchurch, Ford, & Furukawa, 2018). Also, OB/GYN patients had significantly reduced incidence of post-partum hemorrhage and use of blood transfusion if anemia is corrected prior to delivery (Upchurch, Lynch, Brock, & Ford, 2019). The Anemia Clinic optimized hemoglobin in both groups, showing the tolerance and benefits of anemia management.
Our Transfusion-Free Medicine program provides resources, educational services, and coordination of care throughout the health system, and currently manages 250-400 patient encounters per month. In addition to meeting with providers. Recently physicians from China, Malaysia, and Nigeria have visited for temporary residency to learn medical and surgical strategies for Transfusion-Free Medicine and Patient Blood Management.
We have benefited in learning from our patients and other providers. We plan to continue in contributing to the ongoing education of Transfusion-Free Medicine and Patient Blood Management.
Contributor: Cassandra Upchurch, RN, Manager & Nurse Navigator
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