• Ravindra Sarode, Majed A Refaai, Karen Matevosyan, James D Burner, Scott Hampton, and Cynthia Rutherford.
• Department of Pathology and Division of Hematology-Oncology, The University of Texas Southwestern Medical Center, Dallas, Texas 75390-9073, USA. ravi.sarode@utsouthwestern.edu
• Transfusion. 2010 Feb 1; 50 (2): 487-92.

BackgroundPlasma and platelets (PLTs) are often transfused to correct mild to moderately abnormal laboratory values. Our objective was to reduce unnecessary plasma and PLT transfusions to nonbleeding patients by prospective triage and education of end users in evidence-based hemostasis and transfusion medicine practices.Study Design And MethodsUsing the Parkland Memorial Hospital's transfusion service and admission database as the data source, this study comprises the comparison of transfusion data on plasma and PLT use between pre- (2000-2002) and posttriage (2003-2006) periods. Yearly transfusion and wastage data on red blood cells (RBCs), plasma, and PLTs and yearly hospital admissions, trauma visits, and surgical procedures were extracted retrospectively for the study.ResultsThe study revealed that implementation of triage resulted in a significant reduction of plasma (60%) and PLT (25%) transfusions, saving more than $3,000,000 over 4 years.ConclusionsProspective triage and evidence-based transfusion practice education reduced unnecessary plasma and PLT transfusions and health care costs.

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