Quality Improvement Project of a Massive Transfusion Protocol (MTP) to Reduce Wastage of Blood Components.

Authors

Matteo Paganini
Hesham Abowali
Gerardo Bosco
Maha Balouch
Garrett Enten
Jin Deng
Aryeh Shander
David Ciesla
Jason Wilson
Enrico Camporesi

Publication/Presentation Date

1-1-2021

Abstract

Massive transfusion protocols (MTPs) facilitate the organized delivery of blood components for traumatically injured patients. MTPs vary across institutions, and ratios of blood components can change during clinical management. As a result, significant amounts of components can be wasted. We completed a review of all MTP activations from 2015 to 2018, providing an in-depth analysis of waste in our single Level 1 trauma center. An interdepartmental group analyzed patterns of blood component wastage to guide three quality improvement initiatives. Specifically, we (1) completed a digital timeline for each MTP activation and termination, (2) improved communications between departments, and (3) provided yearly training for all personnel about MTP deployment. The analysis identified an association between delayed MTP deactivations and waste (RR = 1.48, CI 1.19-1.85,

Volume

18

Issue

1

ISSN

1660-4601

Published In/Presented At

Paganini, M., Abowali, H., Bosco, G., Balouch, M., Enten, G., Deng, J., Shander, A., Ciesla, D., Wilson, J., & Camporesi, E. (2021). Quality Improvement Project of a Massive Transfusion Protocol (MTP) to Reduce Wastage of Blood Components. International journal of environmental research and public health, 18(1), 274. https://doi.org/10.3390/ijerph18010274

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

33401395

Department(s)

USF-LVHN SELECT Program

Document Type

Article