Reducing AB plasma utilisation through the AB plasma appropriateness index.

摘要: OBJECTIVES We hypothesised that there was inappropriate group AB plasma used in our hospital, identifiable by a novel key quality indicator (KQI) and mitigable through massive transfusion protocol (MTP) modification. BACKGROUND Group is scarce resource strained increasing usage worldwide when as universal donor non-group patients. To reduce use to promote benchmarking the best practice, we developed appropriateness index (ABAI). ABAI ratio of transfused or unknown blood patients all utilised, where values closer 1 are better. METHODS Data collected included disposition group, indications for transfusion, total utilisation, patient clinical characteristics outcomes. during 12-month period retrospectively assessed, which led implementation pre-thawed A instead trauma starting July 2017. RESULTS The showed majority avoid expiry after thaw. When comparing 1-year pre- post-implementation periods, improved from 0·464 0·900 (P < 0·0001). After exclusion therapeutic exchange, still (0·486-0·720, P < 0·0001). No differences length stay mortality associated 32 receiving emergency release were observed. CONCLUSION KQI indicate improvement. This thawed MTPs, reducing usage.