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Using Blood Wisely: 2021 Updates - Shared screen with speaker view
Jaana Ranchithan
27:40
Intervention webpage: https://usingbloodwisely.ca/intervention/
Jaana Ranchithan
30:01
Please feel free to enter your questions into the chat box.
Millie Hamlyn
31:11
Would you explain the repeat audit. We submitted the spot audit and I wasn't aware that a repeat audit was required. Also if we are submitting every second month, when does this start. Will it start in a calendar year Jan-Dec 2021?
Kylah Sorenson
32:34
If we haven't been able to co-ordinate any interventions yet to improve statistics, should we wait until we can to do subsequent audits?
Tara Winckler
32:39
How do we account for transfusions with no Hb result in 24 hours?
Darci Shaw
34:18
Our hospitals have 50+ transfusion per month. We have submitted audit data for August as our baseline. Since then we have data for Sept, October and December. If one month is below the target, do we still need to continue to audit until we have 4 months worth of data that are meeting the targets?
Tara Winckler
34:32
When my data is pulled, all of my transfusion episodes in a single day are combined (eg 1 unit in AM, 1 unit in PM show as 2 units for the day) so I can't tell when the actual transfusions occurred. For those patients with multiple Hb results in 24 hours, which one should I be using for the sudit?
Tara Winckler
34:38
sorry, audit
npilutti
35:09
We did Sept - Dec. We have 75 units and met all benchmarks. Can we submit for Accreditation?
Claire Wright
38:21
My hospital is the Level 1 trauma center and Cardiac Surgery Center for the province. I noticed through the audit that many of the 2 RBC transfusions were given in SICU, where trauma & OR patients go after surgery. These patients are not stable, but must be included in my single RBC transfusions. After 2 audits my hospital has maintained 61% for single volume transfusions due to these patient demographics.
Jaana Ranchithan
38:27
Designation application: https://usingbloodwisely.ca/designation/
Millie Hamlyn
41:39
Hi this is Millie Hamlyn. We submitted Sept 2020, does that mean we now submit Nov 2020 and Jan, and March of 2021.
Jaana Ranchithan
43:33
Please enter any questions or comments into the Chat box.
npilutti
45:01
yes
npilutti
45:25
It was 75 per month
npilutti
46:01
YAY Thank you
npilutti
46:14
We were in the START study
Claire Wright
47:41
I also noticed that the hgb were below 70 in many cases.
Claire Wright
48:40
That would be very helpful. we also are the oncology center for the provinces
Archana Bhatt
50:17
Hi This is Archana,
Ranbir Prah
51:07
Curious as to how viscoelastic testing impacts choosing blood wisely initiative?
Archana Bhatt
51:22
Bimonthly still means that I conduct the audit for each month and submit bothmonths data at once?
Ranbir Prah
53:25
thank you
Doreen Day
53:55
Please let us know how the pandemic is/may effect your efforts and any challenges you forsee
Amy Richardson
55:22
Biggest challenge - conveining our Transfusion Committee - getting quorum - to be able to start work to impliment some of the initiatives.
npilutti
56:02
Our patients have not changed or slowed down at all so we haven't had any issues with gathering data.
npilutti
56:47
Less OR's, but most of our OR's didn't use units anyway.
Angie Palen
57:56
There has been some concern with staff's capacity (time available) to do the audits. In many sites the lab staff are doing this manually and of course there has been a huge demand on their time with the pandemic. Our plan is to work toward automating the process in most locations
Jaana Ranchithan
59:35
Please feel free to unmute yourselves to share your comments!
Donna Ledingham
59:53
It was easier to have screening conversations with physicians when there was a shortage/threatened shortage.
npilutti
01:02:33
To Donna, If you get your MAC on board to change the requirements, it becomes easier to be the bad guy.
Donna Ledingham
01:03:08
Yes, we will look forward to the provincial and national benchmarks.
Donna Ledingham
01:03:45
Yes, we're trying to get local champions.
Donna Ledingham
01:03:54
We implemented in a heck of a hurry in March
Donna Ledingham
01:07:42
Knowledge is power!
Tara Winckler
01:07:48
Out of curiosity, are any sites also bring nursing into the conversation? Sometimes the nurses on the floor can influence physician ordering
npilutti
01:09:06
In the START study we relied heavily on the nurses, which sometimes put them in the middle. But they did a great job.
Donna Ledingham
01:09:35
Nurses on our PBM committee were very helpful
npilutti
01:10:55
It's really a wonderful thing
Tara Winckler
01:11:06
agreed
Crystal Brunk
01:11:08
Thanks for the great conversations and bringing us together today. It is nice to see so many familiar names working together!
Annette Anderson
01:11:41
Thank you from rural NB.
Donna Ledingham
01:11:54
Thanks great perspective!
Barb Cowell
01:11:54
Thanks everyone.
Jaana Ranchithan
01:12:08
Website: www.UsingBloodWisely.ca
Jaana Ranchithan
01:12:22
For questions, please email:blood@choosingwiselycanada.org
Paula Van Vliet
01:12:27
We have also shared the UBW QI project with our nurses using their Clinical Practice and Education meeting. It is a wonderful way to communicate with the nurses. And thank you for this opportunity to make things better for our patients.
Angie Palen
01:12:34
it's wonderful to have CWC's support! it certainly helps having a national voice for effective implementation!