{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T13:24:49Z","timestamp":1771421089061,"version":"3.50.1"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Electronic remote blood issue using remote blood refrigerators has been shown to deter against excessive ordering of blood products by clinicians. Here we report on our experience implementing remote blood refrigerators in surgical and trauma settings, with a focus on shifts in massive transfusion protocol overactivation tendencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We installed remote blood refrigerators in the operating room, intensive care unit, and emergency department. Clinical staff were trained in the appropriate use and integration of these refrigerators into patient care workflows. Remote blood refrigerator use in the operating room was analyzed from software-generated logs. Massive transfusion protocol activations over a 55-month period were collated from massive transfusion protocol requisition forms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the first 6\u2009months after their introduction, remote blood refrigerators performed 1714 electronic crossmatches and dispensed 173 red blood cell units to 93 surgical patients. The remaining 1541 (90%) crossmatches were not transfused, representing substantial savings in technologist work-hours. In the emergency department, the median rate of massive transfusion protocol overactivations dropped from 4 per month to 1 per month in the 15\u2009months preceding and 40\u2009months following remote blood refrigerator implementation (P\u2009=\u20099.92 \u00d710\u22125).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Increased accessibility of blood products to clinicians through remote blood refrigerators led to improved efficiency in our blood product allocation process and substantially reduced the rate of massive transfusion protocol overactivation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajcp\/aqag003","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T12:30:47Z","timestamp":1768307447000},"source":"Crossref","is-referenced-by-count":0,"title":["You get what you need: Implementation of electronic remote blood refrigerators to reduce inefficiencies in blood product allocation and massive transfusion protocol overactivation"],"prefix":"10.1093","volume":"165","author":[{"given":"Stevephen","family":"Hung","sequence":"first","affiliation":[{"name":"Department of Pathology, The George Washington University Hospital , Washington, DC,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navitha","family":"Woddor","sequence":"additional","affiliation":[{"name":"Department of Pathology, The George Washington University Hospital , Washington, DC,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Husami","sequence":"additional","affiliation":[{"name":"Department of Pathology, The George Washington University Hospital , Washington, DC,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiomara","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Pathology, The George Washington University Hospital , Washington, DC,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"2026021807520279100_aqag003-B1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/TA.0000000000001531","article-title":"Every minute counts: time to delivery of initial massive transfusion cooler and its impact on mortality","volume":"83","author":"Meyer","year":"2017","journal-title":"J Trauma Acute Care Surg"},{"key":"2026021807520279100_aqag003-B2","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1001\/jamasurg.2023.7178","article-title":"Timing to first whole blood transfusion and survival following severe hemorrhage in trauma 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