Abstract
Introduction
Due to a national policy change in the management of unused platelet units from September
2018, there was a drastic increase in the number of platelet units wasted in our institution.
Methods
Using Quality Improvement (QI) tools, platelet wastages from pediatric heart surgeries
was identified as a priority area to work on. An intervention based on the creation
of ‘Order Sets’ for pediatric open-heart surgeries was implemented, standardizing
standby platelet orders based on type of surgery and patient weight.
Results
This intervention led to a dramatic improvement in the number of platelets ordered
on standby, and consequently a decrease in platelet wastage from 47.6% to 16.9% for
pediatric open-heart surgeries, without any reported adverse events.
Conclusion
With the creation of Order Sets and continuous education, it was possible to eradicate
the practice of requesting unnecessary standby platelets for surgeries. This is an
effective patient blood management (PBM) strategy resulting in a significant decrease
in platelet wastage rate and substantial cost savings.
Keywords
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References
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IHI Science of Improvement: Testing Changes - Model for Improvement: Plan-Do-Study-Act (PDSA) Cycles, 〈https://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx〉.
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Article info
Publication history
Published online: March 14, 2023
Accepted:
March 13,
2023
Received in revised form:
February 13,
2023
Received:
November 7,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
