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CPOE Reducing I nappropriate Transfusions (CRIT) Collaborative.
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CPOE Reducing Inappropriate Transfusions (CRIT) Collaborative “The most cost effective opportunity to improve patient outcomes in the next quarter century will likely come, not from discovering new therapies but from discovering how to effectively deliver therapies that are known to be effective” Sean Berenholtz 2003
Collaborative Goals • Provide a venue for for multiple institutions to share experiences and projects surrounding blood utilization. • Test the hypothesis that CPOE tethered to CDS can improve and hasten the adoption of evidence based guidelines across multiple institutions. • Set the framework for future collaborations using effective decision support tools.
Meeting Agenda • Update Study protocol from Minnesota Experience with baseline data collection from CHOC • Update from Blood Net Meeting • PCORI Funding
Blood Net- Chicago • Greatful for the ongoing support to BLOOD NET! • J. Lacroix interested in adopting this tool in Canada, French version. • Recommended to apply for PCORI Funding • Blood conservation project. • Survey • Conservation decision support
Patient Centered Outcomes Research Institute • “Authorized by congress to conduct research to provide information about the best available evidence to help patients and their health care providers make more informed decisions” • “Intended to give patients a better understanding of the prevention, treatment and care options available, and the science that supports those options”
Baseline Data Data Inclusion criteria Age 1m- 18 yrs Admitted to the hospital greater than 24 hrs Total number of admissions Average pre-transfusion Hgb Transfusions Per patient day Defined as the most recent Hgb level drawn prior to transfusion Exclusion Criteria Less than 1 month More than 18 yrs Congenital heart disease Hgb SS, Thal. patients Transfusions in the OR ECMO All data should be broken down month to month starting January 2011
Next meeting Monday MondayNovember 26th9:00 AM Spread the word!