<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Frelitz, Andrew J</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Impacts of Updated Transfusion Guidelines on a Small Hospital Blood Bank in a Chicago Suburb</style></title><secondary-title><style face="normal" font="default" size="100%">American Society for Clinical Laboratory Science</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2016-01-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">16-20</style></pages><doi><style  face="normal" font="default" size="100%">10.29074/ascls.29.1.16</style></doi><volume><style face="normal" font="default" size="100%">29</style></volume><issue><style face="normal" font="default" size="100%">1</style></issue><abstract><style  face="normal" font="default" size="100%">The purpose of this research was to identify effective means to utilize blood product resources within a hospital laboratory. A retrospective review of six years of blood utilization data (2010-2015) was analyzed from Rush Oak Park Hospital, Oak Park, IL, a small hospital blood bank in a suburb of Chicago. Time-frames included: before electronic medical record (EMR) use: after EMR implementation and computerized provider order entry (CPOE) use: and following targeted physician education. Updated transfusion indications were implemented in time-frame three in an effort to reduce unnecessary crossmatch and transfusion orders, and improve patient safety. The mean number of crossmatched and transfused units decreased significantly from time-frame two to three: from 236±44 units crossmatched to 166±29 units (p &lt;0.001) and 154±31 units to 99±18 units transfused (p&lt;0.001). The blood type and antibody screen (T/S) samples increased significantly over the same period (p&lt;0.03). Surgical and emergency room (ER) crossmatch to transfusion ratios (C:T) showed no significant change, while the other category (inpatient, outpatient, and Hematology/Oncology clinic) revealed a significant increase over time-frames two to three (p&lt;0.001). The number of red blood cell (RBC) units transfused from 2013 to 2014 declined by 646 units, with an estimated cost savings of $129,200. Providing evidence-based guidelines with CPOE to reduce ordering and preparation of blood products is an area of opportunity to improve care and reduce costs.ABBREVIATIONS: EMR - electronic medical record; CPOE = computerized provider order entry; MSBOS - maximum surgical blood order schedule; T/S - blood type and antibody screen; ER - emergency room; C:T - crossmatch to transfusion ratio; RBC - red blood cell; ANOVA - analysis of variance</style></abstract></record></records></xml>