Quality Control Approach to Anticoagulants and Transfusion.
Quality can be defined by processes of care and by the characteristics of the care and its outcomes. In terms of blood loss and transfusion, otolaryngologists should be aware of available guidelines, standards for use of blood products, devices and hemostatic agents, outcomes metrics relevant to patients, and tools for implementing quality improvements. This article reviews the definition of health care quality, and discusses the data regarding anticoagulant medications (particularly new oral anticoagulants) and guidelines for blood product transfusion. A brief outline of quality tools is provided to help otolaryngologists create quality plans for themselves and their institutions/systems.
University of Michigan, Department of Otolaryngology - Head and Neck Surgery, 1904 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA; University of Michigan, Department of Neurosurgery, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: elmk@med.umich.edu.
Erin
E
McKean
D000925:Anticoagulants / Q000494:pharmacology*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion / Q000379:methods / Q000592:standards; D006488:Hemostasis, Surgical / Q000379:methods / Q000592:standards; D006801:Humans; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards; D011786:Quality Control; D058996:Quality Improvement
D000925:Anticoagulants
Anticoagulation; Blood transfusion; Hemostasis; New oral anticoagulants; Quality