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VIDEO: EMR reminder reduces unnecessary transfusions

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A step in the right direction

Dr. Hossein Almassi, FCCP, comments: By their nature, cardiac operations are associated with higher transfusion rates than other surgical procedures. The negative impact of blood transfusion on short term hospital outcomes and mortality is well known. Any effort in reducing the adverse outcomes is a step in the right direction, especially in this era of 'pay per performance". A "reminder in the EMR" is but one such step.

Dr. Almassi specializes in cardiothoracic surgery at the Medical College of Wisconsin in Milwaukee, Wisconsin.


 

AT THE ACS CLINICAL CONGRESS

References

SAN FRANCISCO – To reduce unnecessary transfusions, all it takes is a reminder in the electronic medical record system that they aren’t generally necessary if surgery patients have hemoglobins greater than 10 g/dL, according to investigators from Emory University in Atlanta.

A reminder in Emory’s EMR dropped transfusion rates in cardiothoracic patients without increasing negative outcomes. It also saved money and reduced the number of surgical site infections. Emory is now rolling it out systemwide (J. Am. Coll. Surg. 2014 June 25 [doi: 10.1016/j.jamcollsurg.2014.06.012]). Lead investigator Dr. Seyed Razavi explained the initiative in a video interview at the annual clinical congress of the American College of Surgeons.

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