A 5-year Patient Blood Management (PBM) programme in Western Australia resulted in a 28% reduction in hospital mortality, a 15% reduction in average hospital length of stay, a 21% reduction in hospital-acquired infections and a 31% decrease in heart attack or stroke. There was also a 41% reduction in the use of blood products, leading to a substantial cost saving as well.
PBM is a patient-focused, evidence-based and systemic approach to improve patient outcomes through the safe and rational use of blood and blood products and avoiding unnecessary transfusions. Essential elements of PBM include:
- preventing conditions that might result in the need for transfusion
- appropriate diagnosis
- good surgical and anaesthetic techniques
- the use of alternatives to blood transfusion and blood conservation.
The PBM approach has been endorsed and promoted by the WHO and is widely accepted as current best practice.
The EU has recently published two guides on Patient Blood Management (PBM), one for authorities and the other for hospitals.
To download the two guides on Patient Blood Management from the ec.europa.eu website