{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:29:58Z","timestamp":1771921798350,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patient blood management (PBM) is an evidence\u2010based approach to optimising the care of patients who might need transfusion. In 2013, all NHS Trusts in England were surveyed about their readiness to implement PBM. National PBM recommendations were launched  in 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to determine progress of PBM initiatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\/Materials<\/jats:title><jats:p>A survey was constructed by staff in hospitals and NHS Blood and Transplant (NHSBT). An online questionnaire was sent to all NHS Trusts in England (<jats:italic>N<\/jats:italic>\u00a0=\u2009149) in November 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Improvements in 2015:\n<jats:list list-type=\"bullet\"><jats:list-item><jats:p>Education\/training in transfusion: 80\u2013100% from 60\u201390% in 2013<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Provision of information relating to consent for transfusion: 98% from 65% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u2009&lt;0\u00b7001)<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The management of anaemia: elective general surgery management, 66% from 41% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u2009&lt;0\u00b7001)<\/jats:p><\/jats:list-item>\n<jats:list-item>\n<jats:p>Transfusion alternatives: Tranexamic use in surgery, 92% from 71% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u2009&lt;0\u00b7001)<\/jats:p>\n<\/jats:list-item>\n<jats:list-item><jats:p>Laboratory staff empowered to challenge transfusion requests, 95% from 65% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00\u00b7001)<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><jats:p>Further work required:\n<jats:list list-type=\"bullet\"><jats:list-item><jats:p>Electronic systems to support requesting (e.g. mandatory recording of diagnosis: 47% from 48% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00\u00b785), incorporation of standardised requesting codes: 27% from 33% in 2013 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00\u00b724)<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Appropriate use of components: in 2015, only 42% had a lower red cell transfusion thresholds policy in non\u2010bleeding patients<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results provided information to support the development of local and national work plans. It is hoped that the collaborative work across NHS Blood and Transplant (NHSBT), the National Blood Transfusion Committee (NBTC) and NHS Trusts will continue to drive the PBM agenda to support best practice in this field.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tme.12527","type":"journal-article","created":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T15:58:17Z","timestamp":1523894297000},"page":"92-97","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Patient blood management: how is implementation going?: A report comparing the 2015 survey with the 2013 survey of PBM in England"],"prefix":"10.1111","volume":"28","author":[{"given":"L.","family":"Sherliker","sequence":"first","affiliation":[{"name":"NHS Blood &amp; Transplant Oxford Blood Centre  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Pendry","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant Manchester Blood Centre  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4112-4299","authenticated-orcid":false,"given":"B.","family":"Hockley","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant Sheffield Blood Centre  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Patient Blood Management","author":"Americal Association of Blood Banks (AABB)","year":"2016"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12435"},{"key":"e_1_2_8_4_1","volume-title":"European Guide on Good Practices for Patient Blood Management (PBM)","author":"European Union","year":"2016"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12723"},{"key":"e_1_2_8_6_1","first-page":"132","article-title":"Factors influencing the adoption of blood alternatives to minimize allogeneic transfusion: the perspective of eight Ontario hospitals","volume":"45","author":"Graham I.D.","year":"2002","journal-title":"Canadian Journal of Surgery"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12946"},{"key":"e_1_2_8_8_1","unstructured":"Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory CommitteePatient Blood Management. Updated2012http:\/\/www.transfusionguidelines.org.uk\/uk\u2010transfusion\u2010committees\/national\u2010blood\u2010transfusion\u2010committee\/patient\u2010blood\u2010management."},{"issue":"1347","key":"e_1_2_8_9_1","first-page":"1358","article-title":"Improved outcomes and reduced costs associated with a health\u2010system\u2010wide patient blood management program: a retrospective observational study in four major adult tertiary\u2010care hospitals","volume":"57","author":"Leahy M.F.","year":"2017","journal-title":"Transfusion"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13260"},{"key":"e_1_2_8_11_1","unstructured":"National Institute for Health and Care Excellence (NICE). Blood transfusion guideline (ng24) November2016.https:\/\/www.nice.org.uk\/guidance\/ng24."},{"key":"e_1_2_8_12_1","unstructured":"NHS Blood and Transplant: National Comparative Audits.2015Audit of PBM in Adults in Elective Scheduled Surgeryhttp:\/\/hospital.blood.co.uk\/media\/28915\/2016\u2010haematology\u2010audit\u2010report\u2010national\u2010results\u20101.pdf http:\/\/hospital.blood.co.uk\/media\/28123\/2015\u2010pbm\u2010in\u2010scheduled\u2010surgery\u2010audit\u2010report.pdf."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13529"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001496"},{"key":"e_1_2_8_15_1","volume-title":"Intra\u2010Operative Cell Salvage: A Survey of Equipment and Practice across the UK","author":"Shreeve K.","year":"2014"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60808-9"},{"key":"e_1_2_8_17_1","unstructured":"WhitakerB RajbhandaryS HarrisA. 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