title: Implementation of a novel real-time platelet inventory management system at a multi-site transfusion service.
abstract: BACKGROUND
  Blood platelets (PLTs) are a valuable commodity. Management of their inventory has implications both for patient care and for the cost of health care delivery. There are a variety of different methods of managing PLT inventory currently in practice and multiple theoretical models aimed at improving PLT inventory metrics. In this study we evaluate the ability of a novel electronic dashboard system that monitors and displays both PLT inventory and patient data to improve transfusion metrics at a quaternary health care center.
  
  
  METHODS
  The Capital District Health Authority is a quaternary health care center that transfuses approximately 2500 PLT units annually. To improve PLT discard rates a novel, low-overhead system that interfaces with the laboratory information system and displays real-time data between transfusion sites on PLT inventory and orders was implemented in November 2011. This study examines the transfusion quality metrics data from the 24 months before and after implementation.
  
  
  RESULTS
  A significant reduction in mean monthly PLT outdate rate was observed after the implementation of the PLT dashboard suite from 24.5% (n = 24, SD ± 6.4%) to 15.1% (n = 24, SD ± 6.4%; p < 0.001). PLT age at time of transfusion was also reduced from 3.60 days (n = 4796, SD ± 0.97 days) to 3.46 days (n = 4881, SD ± 1.00 days; p < 0.001).
  
  
  CONCLUSIONS
  This study describes the implementation of a novel PLT dashboard suite. This suite significantly reduced PLT outdate rates at our institution over the 48-month study period.
authors.affiliation: Faculty of Medicine and.
authors.forename: Alwyn Titus
authors.initials: AT
authors.lastname: Gomez
authors.affiliation: Department of Pathology and Laboratory Medicine, Dalhousie University.
authors.forename: Jason George
authors.initials: JG
authors.lastname: Quinn
authors.affiliation: Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
authors.forename: Donald Joseph
authors.initials: DJ
authors.lastname: Doiron
authors.affiliation: Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Watson
authors.affiliation: Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
authors.forename: Bryan David
authors.initials: BD
authors.lastname: Crocker
authors.affiliation: Department of Pathology and Laboratory Medicine, Dalhousie University.
authors.forename: Calvino Ka-Wing
authors.initials: CK
authors.lastname: Cheng
mesh_terms: D001792:Blood Platelets; D001793:Blood Preservation; D005260:Female; D006751:Hospital Information Systems; D006801:Humans; D007445:Inventories, Hospital / Q000379:methods*; D008297:Male; D017713:Platelet Transfusion