{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:43:56Z","timestamp":1792158236701,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR203334"],"award-info":[{"award-number":["NIHR203334"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It is imperative that health systems monitor transfusion practice quality and implement improvements when evidence\u2010based practice gaps are identified. Despite the importance of data\u2010driven quality activities, little is known about approaches employed by hospitals. This study aimed to describe strategies used by hospitals to acquire, analyze, and apply transfusion\u2010related quality data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Methods<\/jats:title>\n                    <jats:p>A pre\u2010piloted survey was developed by the core team, and Biomedical Excellence for Safer Transfusion (BEST) Collaborative attendees of meetings were invited to participate. Topics spanned five domains: hospital characteristics, data acquisition, quality metric prioritization, data analysis\/visualization, and feedback processes. Responses were summarized to identify patterns and variation across institutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine hospitals of varying size, specialty mix, and transfusion volumes from three continents participated. Most transfusion services acquired transfusion data from both the electronic health record and the laboratory information system (6\/9, 67%). Although all sites tracked the number of transfusions, there was wide variation in other metrics prioritized. Transfusion appropriateness was prioritized by 7 of 9 centers, but few reported monitoring antifibrinolytic agent use (2\/9, 22%), anemia management (4\/9, 44%), and consent (2\/9, 22%). All hospitals performed some form of data analysis, but chart\/table types and functionalities differed. Feedback was typically provided by transfusion medicine specialists or hematology, but frequency and means differed between sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This descriptive study highlights significant variation in how selected hospitals use data to monitor transfusion practices and provide feedback. There are many opportunities to enhance optimal uses of data to deliver effective quality improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.70316","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:58:40Z","timestamp":1782194320000},"page":"1939-1951","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monitoring and feedback using data in transfusion medicine: A study of practices from the\n                    <scp>BEST<\/scp>\n                    Collaborative"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6074-7147","authenticated-orcid":false,"given":"Ryan A.","family":"Metcalf","sequence":"first","affiliation":[{"name":"Department of Pathology University of Utah  Salt Lake City Utah USA"},{"name":"ARUP Laboratories  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1923-3133","authenticated-orcid":false,"given":"Allison","family":"Mo","sequence":"additional","affiliation":[{"name":"Transfusion Research Unit, School of Public Health and Preventive Medicine Monash University  Melbourne Australia"},{"name":"Monash Haematology Monash Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra K.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4552-7303","authenticated-orcid":false,"given":"Gustavo C.","family":"Duarte","sequence":"additional","affiliation":[{"name":"New Zealand Blood Service  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8601-5438","authenticated-orcid":false,"given":"Nancy M.","family":"Dunbar","sequence":"additional","affiliation":[{"name":"Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Hands","sequence":"additional","affiliation":[{"name":"Scottish National Blood Transfusion Service, Ninewells Hospital  Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil K.","family":"Panigrahi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Stanford University School of Medicine  Stanford California USA"},{"name":"Department of Pathology Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6047-6436","authenticated-orcid":false,"given":"Jessica L.","family":"Poisson","sequence":"additional","affiliation":[{"name":"Duke University Hospital  Durhan North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1646-9201","authenticated-orcid":false,"given":"Nabiha H.","family":"Saifee","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine and Pathology Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Shan","sequence":"additional","affiliation":[{"name":"Department of Pathology Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7527-2340","authenticated-orcid":false,"given":"Erica M.","family":"Wood","sequence":"additional","affiliation":[{"name":"Transfusion Research Unit, School of Public Health and Preventive Medicine Monash University  Melbourne Australia"},{"name":"Monash Haematology Monash Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-7503","authenticated-orcid":false,"given":"Michael F.","family":"Murphy","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant Oxford University Hospitals NHS Trust  Oxford UK"},{"name":"Blood &amp; Transplant Research Unit (Data\u2010Enabled), Radcliffe Department of Medicine, University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7414-4950","authenticated-orcid":false,"given":"Simon J.","family":"Stanworth","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant Oxford University Hospitals NHS Trust  Oxford UK"},{"name":"Blood &amp; Transplant Research Unit (Data\u2010Enabled), Radcliffe Department of Medicine, University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.12914"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.7529"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/ANNALS-25-00706"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/voxs.12447"},{"key":"e_1_2_9_6_1","unstructured":"Standards for a Patient Blood Management Program. 4th Edition \u2013 Print. aabb.org. 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Available from:https:\/\/www.nzblood.co.nz\/healthcare\u2010professionals\/haemovigilance\u2010programme. Accessed 9 Dec 2025."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12281"},{"key":"e_1_2_9_17_1","unstructured":"ISBT.Quality indicators for blood establishments and hospital blood banks ENGLISH. Available from:https:\/\/www.isbtweb.org\/resource\/quality-indicators-for-blood-establishments-and-hospital-blood-banks.html. Accessed 1 Oct 2025."},{"key":"e_1_2_9_18_1","unstructured":"Overview | Blood transfusion | Guidance | NICE.2015. Available from:https:\/\/www.nice.org.uk\/guidance\/ng24. 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