Evaluation of Fixed and Personal Assets for Patient Blood Management Implementation in Central Eastern European Countries in Practice

What this Trial Is About

This research aims to gather detailed information on the implementation of Patient Blood Management (PBM) programs in hospitals across Central Eastern European countries. It focuses on assessing the current status of PBM elements, including anemia management, bleeding management, and blood product usage, before and after PBM training. The study addresses identified gaps such as lack of protocols and inconsistent availability of point-of-care devices, aiming to improve patient care and optimize blood management. The study involves collecting hospital data through self-audits at two points: before PBM training and six months after training. These audits will evaluate hospital assets and practices related to the three pillars of PBM, including anemia diagnosis and management, blood-saving techniques, and transfusion triggers. Additionally, two one-week detailed "snapshot" periods will analyze perioperative patient care at the beginning and after six months. No experimental treatments are given; only routine medical data is recorded. Participants will be patients aged 18 and older undergoing elective surgeries with moderate to high bleeding risk. Data collected includes patient demographics, anemia and bleeding management details, anticoagulant therapy, transfusion needs, and postoperative outcomes. Researchers will compare blood product use and other indicators between the two audit periods to assess the impact of PBM training. The study's total duration includes baseline data collection, training, and follow-up audits six months later.

Patient Blood Management Implementation in CEE Study