{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T16:00:51Z","timestamp":1778256051989,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"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":[[2025,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Blood transfusions are routinely performed in operation rooms. The process chain of performing ABO type, antibody screen, crossmatch, blood transport, and patient verification is complex. A multidisciplinary task force convened to improve the process of blood ordering and utilization identified 3 issues: (1) blood orders performed on paper included transcription errors; (2) guidelines for blood ordering practices were lacking, with inappropriate and arbitrary requests; and (3) there were long intervals between ordering and receiving blood in the operating room because of its distance from the blood bank.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The task force implemented (1) an electronic positive patient identification (ePPID) system, (2) a standardized computer provider order entry (CPOE) for ordering blood for surgical patients, and (3) an electronic remote blood issuing (ERBI) system using refrigerators located within the operating suite.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Following ePPID implementation, transfusion documentation compliance rates improved from 71% to 98% and detected 2 patient safety issues. Implementation of CPOE with a maximum surgical blood order schedule and ERBI led to a substantial decline in blood product dispensed from coolers and reduced returns of unused red blood cells (from 30% to 15%) and plasma units (from 45% to 30%) to the blood bank over 2 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Electronic PPID, CPOE, and ERBI improved patient safety, workflow, and efficiency during blood transfusions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/labmed\/lmae122","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T01:47:42Z","timestamp":1757382462000},"page":"484-489","source":"Crossref","is-referenced-by-count":1,"title":["Electronic positive patient identification, computer provider order entry, and electronic remote blood issue implemented in operating rooms improve the safety and efficiency of blood transfusions"],"prefix":"10.1093","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7947-5150","authenticated-orcid":false,"given":"Nathan A","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Pathology, University of Maryland School of Medicine , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magali J","family":"Fontaine","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Maryland School of Medicine , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Reese","sequence":"additional","affiliation":[{"name":"Division of Transfusion Medicine, University of Maryland Medical Center , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Anders","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Maryland School of Medicine , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Rock","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Maryland School of Medicine , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parvez M","family":"Lokhandwala","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Maryland School of Medicine , Baltimore, MD ,","place":["US"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashanpreet S","family":"Grewal","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Maryland School of Medicine , Baltimore, MD 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