Patient Blood Management (PBM)
Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of patients who might need transfusion. PBM encompasses all aspects of patient evaluation and clinical management surrounding the transfusion decision-making process, including the application of appropriate indications, as well as minimization of blood loss and optimization of patient red cell mass. PBM can reduce the need for allogeneic blood transfusions and reduce health-care costs, while ensuring that blood components are available for the patients who need them.
Videos
- St. Michael’s Hospital Patient Education Short
- Access7 – Talk of the Town with Special Guest Dr. Ryan Lett
- Anemia: A Problem to Which Transfusion is Rarely the Answer – Dr. Ryan Lett
- A Patient Interview with Dr. Christine Lett and Daraleigh O’Watch at the 2018 Saskatchewan Transfusion Medicine Symposium (Oct. 26, 2018)
- Connecting Cardiovascular Conditions – Dr. Ryan Lett
- Introducing the IV Iron Process (in the Regina Area) – Dr. Ryan Lett and Thomas Stewart
- Anemia and Iron Deficiency: Dr. Ryan Lett
- Anemia and Transfusion Part 1: Dr. Ryan Lett
- Anemia and Transfusion Part 2: Dr. Ryan Lett
- Anemia and Oral Iron: Dr. Ryan Lett
- Anemia and Intravenous Iron Part 1: Dr. Ryan Lett
- Anemia and Intravenous Iron Part 2: Dr. Ryan Lett
- NEW: Patient Blood Management for Nursing
- Fibrinogen Concentrate Voice Over
PBM Algorithms
Document Name | Date of Original Publication | Date Revised |
---|
Adult INPATIENT Order for RBCs Flowchart | March 27, 2020 | November 17, 2020 | Download |
Adult OUTPATIENT Order for RBCs Flowchart | March 27, 2020 | November 17, 2020 | Download |
Investigation of Iron Deficiency Anemia Algorithm | January 13, 2018 | March 11, 2019 | Download |
Investigation of Iron Deficiency Anemia in Toddlers and School-Aged Children | April 29, 2019 | May 8, 2019 | Download |
Management of Iron Deficiency Anemia in Toddlers and School-Aged Children | April 29, 2019 | May 8, 2019 | Download |
Pre-Operative Anemia Pathway | January 13, 2018 | March 11, 2019 | Download |
Preoperative Anemia Management & Hemoglobin Optimization Algorithm | January 13, 2018 | September 26, 2023 | Download |
CS-A-0008 SHA Obstetric Anemia Screening and Treatment Algorithm
PBM Guidance/Information
Document Name | Date of Original Publication | Date Revised |
---|
A Patient's Guide to Patient Blood Management (CEAC 1405 - Regina Area) | December 20, 2019 | February 15, 2024 | Download |
Assessment of Iron Lab/Surgical Referral Form Letter | November 29, 2018 | November 17, 2020 | Download |
NAC Position Statement on Patient Blood Management | July 20, 2022 | September 23, 2024 | Download |
Oral Iron Guidance | September 4, 2019 | March 20, 2023 | Download |
Regina Area Iron Comparison | December 16, 2019 | November 17, 2020 | Download |
World Health Organization Policy Brief - The Urgent Need to Implement Patient Blood Management | December 9, 2021 | December 9, 2021 | Download |
PBM Order Sets/PPOs
Document Name | Date of Original Publication | Date Revised |
---|
RQHR PPO #601 - Ordering of Red Blood Cells - Adults | January 13, 2018 | January 24, 2022 | Download |
RQHR PPO #627 - Ordering of Human Fibrinogen Concentrate (RiaSTAP™) | June 21, 2018 | September 6, 2024 | Download |
RQHR PPO #657 - PEDIATRIC Iron Sucrose Infusion Orders | June 10, 2019 | November 17, 2020 | Download |
IV Iron SHA Documents
CS-OS-1925 IV Iron Deficiency Anemia in Adult Inpatients
CS-OS-1926 IV Iron for Iron Deficiency Anemia in Adult Outpatients
CS-OS-1925 and SHA CS-OS-1926 Iron Deficiency in Adults Inpatient/Outpatient Order Set FAQ
Iron-Medication Toolkit – Clinical Resources
Links of Interest
- An Invitation from Aryeh Shander, MD, FCCM, FCCP, FASA
- Announcing the New Partnership Between SABM and NATA by Sherri Ozawa, RN
- ISBT – International Society of Blood Transfusion
- JPAC – Joint UK Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee – PBM
- NATA – Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis
- ONTraC – Ontario Transfusion Coordinators
- SMA Digest (Spring 2017) Article – Eyes Opened to Benefits of Iron Infusions
- Transfusion Article on Improved Blood Usage
What’s Popular
- About Us
- IVIG Dose Calculator – Based on Adjusted Body Weight
- Prenatal Testing and Prevention of Alloimmunization in Mothers of Saskatchewan (PRAMS) Program
- Saskatchewan Immune Globulin Stewardship Program
- Saskatchewan Transfusion Adverse Event Report Form (SHA 0481)
- Transfusion Best Practice Recommendations
- Transfuse Wisely Poster
- Using Blood Wisely – Intervention Toolbox
- Visual Inspection Tool – Canadian Blood Services
Useful Links
- Canadian Agency for Drugs and Technologies in Health (CADTH)
- Canadian Blood Services
- Canadian Blood Services Professional Education
- Canadian Immunodeficiencies Patient Organization
- Canadian Society for Transfusion Medicine (CSTM)
- Choosing Wisely Canada
- HAE Canada Website
- Jehovah’s Witnesses
- National Advisory Committee on Blood and Blood Products
- ONTraC – Ontario Transfusion Coordinators
- ORBCoN – Ontario Regional Blood Coordinating Network
- REDCap
- Saskatchewan Bleeding Disorder Program
- SaskBlood SharePoint
- Society for the Advancement of Blood Management (SABM)
- Treat the Bleed