Developing performance measures for patient blood management.
In 2005, The Joint Commission set about assessing the need for performance measures associated with the provision of blood products. Through a rigorous process, seven patient blood management performance measures were created. These measures incorporated a measure requiring transfusion consent; three measures requiring the combination of a laboratory value and a rationale for transfusion of plasma, platelets, or red blood cells; a measure requiring standard documentation about a transfusion; a measure evaluating preoperative anemia screening; and a measure of preoperative type screening and antibody testing before the start of major blood loss surgery. This article describes the process of this measure development and summarizes the final measures and some of the evidence supporting the measures.
Division of Healthcare Quality Evaluation, The Joint Commission, Oakbrook Terrace, Illinois, USA.
Harriet M
HM
Gammon
Jonathan H
JH
Waters
Ann
A
Watt
Jerod M
JM
Loeb
Alessandra
A
Donini-Lenhoff
D000740:Anemia / Q000175:diagnosis; D001803:Blood Transfusion; D006801:Humans; D007258:Informed Consent; D061214:Patient Safety; D011300:Preoperative Care; D011787:Quality of Health Care; D015203:Reproducibility of Results