title: Multifaceted approach to reducing unnecessary red blood cell utilization.
abstract: Strong organizational leadership,experienced project leaders,and the engagement of front-line stakeholders are critical elements for performance improvement efforts. A holistic approach,including incentives, feedback, a collaborative interdisciplinary process, decision support, and education may be necessary to change clinician behavior. A multifaceted performance improvement effort can lead to dramatic improvement in value for patients and society.
authors.affiliation: Saint Francis Hospital and Medical Center, Department of Obstetrics & Gynecology, 114 Woodland Street, Hartford, CT 06105, United States. Electronic address: sabbett@stfranciscare.org.
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Abbett
authors.affiliation: Brigham and Women׳s Hospital, 75 Francis Street, Amory Lab Building, AL-2, Boston, MA 02115, United States.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Kaufman
authors.affiliation: Brigham and Women׳s Faulkner Hospital, 1153 Centre Street, Jamaica Plain, MA 02130, United States.
authors.forename: Michael
authors.initials: M
authors.lastname: Gustafson
authors.affiliation: Brigham and Women׳s Hospital, 75 Francis Street, Peter Bent Brigham Building, 6th floor, Room 615, Boston, MA 02115, United States.
authors.forename: Jeffrey O
authors.initials: JO
authors.lastname: Greenberg
mesh_terms: D001769:Blood; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004912:Erythrocytes; D006801:Humans; D007857:Leadership; D015279:Organizational Culture; D009936:Organizational Innovation; D058996:Quality Improvement; D017749:Total Quality Management; D014481:United States
keywords: Appropriateness; Decision support; Performance improvement; Transfusions; Value