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CPOE Reducing I nappropriate Transfusions (CRIT) Collaborative.
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CPOE Reducing Inappropriate Transfusions (CRIT) Collaborative “The most cost effective opportunity to improve patient outcomes in the next quarter century will likely come, not from discovering new therapies but from discovering how to effectively deliver therapies that are known to be effective” Sean Berenholtz 2003
Collaborative Goals • Provide a venue for for multiple institutions to share experiences and projects surrounding blood utilization. • Test the hypothesis that CPOE tethered to CDS can improve and hasten the adoption of evidence based guidelines across multiple institutions. • Set the framework for future collaborations using effective decision support tools.
Meeting Agenda • Introductions • Presentation by Stacey Valentine from Boston Chilldren’s Hospital- Blood Conservation. • Discuss institutional progress on the CRIT project, and gathering baseline data • Project timeline review • Expansion of project to include adult centers
Baseline Data Data Inclusion criteria Age 1m- 18 yrs Admitted to the hospital greater than 24 hrs Total number of admissions Average pre-transfusion Hgb Transfusions Per patient day Defined as the most recent Hgb level drawn prior to transfusion Exclusion Criteria Less than 1 month More than 18 yrs Congenital heart disease Hgb SS, Thal. patients Transfusions in the OR ECMO All data should be broken down month to month starting January 2011
CRIT study design Data Collection 1 year Late Late Early Cohort Initiation Initiation Middle Middle Late Cohort
Next meeting Monday Monday September 24th 9:00 AM Spread the word!