CPOE Reducing Inappropriate Transfusions (CRIT) Collaborative

“The most cost effective opportunity to improve patient outcomes in the next quarter century will likely come, not from discovering new therapies but from discovering how to effectively deliver

therapies that are known to be effective”Sean Berenholtz 2003

Collaborative Goals

• Provide a venue for for multiple institutions to share experiences and projects surrounding blood utilization.

• Utilize decision support tools to advance the adoption of evidence based practice in our institutions.

• Set the framework for future collaborations using effective decision support tools.

Introduction of Collaborative Participants

CONTACT INSTITUTION

Richard Chang, Geetha PuthenveetilChildren’s Hospital Orange County

Suresh Srinivasan Children’s Hospital of Michigan

Marvin Harper, Jenifer Lightdale Children’s Hospital Boston

Eloa Adams, Chris Longhurst Lucile Packard Children’s Hospital

Munirah Curtis, Sara Boblick Smith University of Illinois at Chicago

Calvin Popovich All Children’s Hospital, Florida

Phil Spinella Washington University, St Louis

Rod Tarrago, Judy Zeir Children’s Hospital Minnesota

David Rich Nationwide Children’s Hospital

David Kaelber Metrohealth, Case Western

Marissa Tucci CHU Sainte-Justine Research Center

Introduction of Collaborative Participants

CONTACT INSTITUTION

Colin Banas , Sean McKenna Children’s Hospital of RIchmond

Lejla Music-Aplenc Mercy Children’s Hospital

Nabil Hassan Helen DeVos Children’s Hospital

Cynthia Kaelbs Rady Children’s Hospital

Amy Maneker Akron Children’s Hospital

Adam Campbell Shriners Hospitals

Irwin Gross Eastern Maine Medical Center

Robert Moser Catholic Health East

Brian Hoberman Kaiser Northern California

Melissa Frei-Jones UTHSC Santa Rosa Children’s Hospital

Meeting Agenda

Old Way

New Way

5-15 years

1-2 yearsBlood NetSABMCRIT

Institution CommitteeApproval

IT Baseline Data

IRB CDS Live RandomizedAnalysis

Children’s Hospital Orange County X X

Children’s Hospital of Michigan

Children’s Hospital Boston X X

University of Illinois at Chicago X X

All Children’s Hospital, Florida

Mercy Children’s Hospital X X

Children’s Hospital Minnesota X X X X

Nationwide Children’s Hospital

MetroHealth, Case Western X

Chldren’s Hospital of Richmond X X

Rady Children’s Hospital

Children’s National Medical Center

Akron Children’s Hospital

Eastern Maine Medical Center X X

Shriners Hospitals

UTHSC Santa Rosa Children’s Hospital X X

Seattle Childrens Hospital

Baseline Data

Inclusion criteria

Age 1m- 18 yrsAdmitted to the hospitalgreater than 24 hrs

Exclusion Criteria

Less than 1 monthMore than 18 yrsCongenital heart diseaseHgb SS, Thal. patientsTransfusions in the ORECMO

Data

Total number of admissionsAverage pre-transfusion HgbTransfusions Per patient day

Defined as the most recent Hgblevel drawn prior to transfusion

All data should be broken down month to month starting January 2011

Patient Centered Outcomes Research Institute

• “Authorized by congress to conduct research to provide information about the best available evidence to help patients and their health care providers make more informed decisions”

• “Intended to give patients a better understanding of the prevention, treatment and care options available, and the science that supports those options”

Patient Centered Outcomes Research Institute

Project Timeline

Next meeting

Monday Monday April 29th 9:00 AM

Spread the word!