Reducing Rate of Blood Transfusion for Patients Undergoing Orthopaedic Surgery at SGH
Care Process & Redesign
Singapore Healthcare Management Congress
SingHealth
31 December 2022
Improve blood transfusion practices and reduce transfusion rates for TKR, THR, and Spinal Fusion surgeries to align with set. The new patient blood management program is sustainable and applicable across surgical disciplines.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Value Based Care, Safe Care, Patient Satisfaction, Risk Management, Preventive Approach
About this Content
Aims
Improve blood transfusion practices and reduce transfusion rates for TKR, THR, and Spinal Fusion surgeries to align with set benchmarks.
Background
Blood transfusions during major orthopaedic surgeries presented an opportunity for quality improvement to enhance patient outcomes and reduce risks.
Methods
Addressed preoperative anemia with Hb optimization, implemented intraoperative blood loss management, and enforced evidence-based transfusion protocols.
Results
Transfusion rates significantly improved: TKR (98.4%), THR (89.4%), and Spinal Fusion (100%), exceeding pre-set benchmarks and enhancing patient safety.
Conclusion
The new patient blood management program is sustainable and applicable across surgical disciplines.
Lessons Learnt
Proactive management of anemia and effective blood loss monitoring are critical to minimizing transfusion dependence during surgeries.
Keywords
Patient Blood Management, Orthopaedic Surgery, Quality Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Orthopaedics, Surgery, Haematology |
Project Lead(s) | Ou Yang Youheng |
Project Member(s) | Ang Ai Leen |
Connect with this contributor!
Dr Ou Yang Youheng - singaporehealthcaremanagement@singhealth.com.sg