• J Comp Eff Res · Feb 2020

    Reducing preoperative blood orders and costs for radical prostatectomy.

    • Natasha Gupta, Mereze Visagie, Tymoteusz J Kajstura, Misop Han, Bruce Trock, Eric A Gehrie, Steven M Frank, and Trinity J Bivalacqua.
    • The James Buchanan Brady Urological Institute & Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
    • J Comp Eff Res. 2020 Feb 1; 9 (3): 219-226.

    AbstractAim: A maximum surgical blood order schedule (MSBOS) was implemented at our institution to optimize preoperative blood ordering and reduce unnecessary blood preparation for patients undergoing radical prostatectomy (RP), a common urologic procedure. Materials & methods: We conducted a retrospective review of patients who underwent RP from 2010 to 2016 and categorized patients by date of RP (pre- or post-MSBOS) and compared preoperative blood-ordering practices. Results: After MSBOS implementation, preoperative blood orders changed from predominantly type and cross-match 2 units (53%) to no sample (56%) for robot-assisted laparoscopic RP, and from mostly type and cross-match 2 units (62%) to type and screen (75%) for open RP with resultant cost savings. Conclusion: MSBOS implementation and compliance decreases unnecessary preoperative blood orders.

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