Reducing Rate of Blood Transfusion for Patients Undergoing Orthopaedic Surgery at SGH
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
SingHealth
31 December 2022
To improve the Nil Blood Transfusion rate for elective orthopaedic surgeries, specifically TKR, THR, and Spinal Fusion. Improved transfusion rates reduced complications and enhanced recovery outcomes.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Job Effectiveness, Clinical Practice Improvement
About this Content
Aims
To improve the Nil Blood Transfusion rate for elective orthopaedic surgeries, specifically TKR, THR, and Spinal Fusion.
Background
Identified blood transfusion as a significant area for improvement under SGH’s Value Driven Care initiative.
Methods
Implemented pre-operative anemia optimization, restrictive transfusion guidelines, and enhanced workflows for blood management.
Results
Reduced transfusion rates, achieved 98.4% compliance for TKR, 89.4% for THR, and 100% for Spinal Fusion; savings amounted to significant healthcare costs.
Conclusion
Improved transfusion rates reduced complications and enhanced recovery outcomes.
Lessons Learnt
Early stakeholder engagement and standardized protocols are essential for sustainable improvement.
Keywords
Orthopaedic Surgery, Patient Blood Management, VDC
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Orthopaedics, Surgery, Haematology, Anaesthesiology, Phlebotomy |
Project Lead(s) | Ou Yang Youheng |
Project Member(s) | Ang Ai Leen |
Connect with this contributor!
Dr. Ou Yang Youheng - ou.yang.youheng@singhealth.com.sg