Reducing preoperative blood orders and costs for radical prostatectomy
| Autor: | Eric A. Gehrie, Misop Han, Trinity J. Bivalacqua, Mereze Visagie, Bruce J. Trock, Tymoteusz J. Kajstura, Natasha Gupta, Steven M. Frank |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Prostatectomy medicine.medical_specialty Retrospective review business.industry Health Policy medicine.medical_treatment 030232 urology & nephrology Prostatic Neoplasms Middle Aged Surgery Cost savings 03 medical and health sciences Health services 0302 clinical medicine Blood Grouping and Crossmatching 030220 oncology & carcinogenesis medicine Humans Blood Transfusion Laparoscopy business Retrospective Studies |
| Zdroj: | Journal of Comparative Effectiveness Research. 9:219-226 |
| ISSN: | 2042-6313 2042-6305 |
| Popis: | Aim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders. |
| Databáze: | OpenAIRE |
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