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The page below is a sample from the LabCE course What is a Patient Blood Management Program? (by ASCLS). Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Map to Success

Strategic planning is necessary. Not every part of patient blood management can be implemented at once. Pick only one or no more than two initiatives to start. They should be those that have the best likelihood of being implemented.

One way to make a decision on what to begin working is to use a grid. List the initiatives on the left column. Going across, enter the column headings: personnel resources, equipment, training, degree of change and score. Using a 5 point scale where 1 is very difficult/costly, etc and 5 is very easy/less costly, etc. rate each initiative and resource using the scale. Multiply the numbers in each row to obtain a score. The ones with the highest scores are the most likely to succeed.

Initiatives

Personnel Resources

Equipment Costs

Training

Degree of Change

Score

Stop using plasma for warfarin reversal

4

1

3

2

24

Decrease iatrogenic blood loss

2

3

2

2

24

Reduce blood use in XXX surgeries

1

1

2

1

2

etc.

Ongoing tracking of performance measures provides information on whether interventions are working and where additional attention should be directed.