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National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2 Patient Blood Management Collaborative The ACT Experience Maria Burgess, Project Co-ordinator Presentation to the NPBMC Showcase Friday 2 June 2017

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Page 1: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Patient Blood Management Collaborative The ACT Experience

Maria Burgess, Project Co-ordinator Presentation to the NPBMC Showcase Friday 2 June 2017

Page 2: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Canberra Hospital has taken a Territory wide approach to PBM with the support of :

• Calvary Bruce Public Hospital (CHC)

• Calvary John James Hospital (CJJH)

• GP Liaison/Capital Health Network (CHN)

Page 3: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Barriers

• Tight turn around times prior to theatre

• 2016 elective surgery Blitz

• Multiple anaesthetists (>40)

• Bloods ordered at time of review

• Documentation of assessment of pathology results

Page 4: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

• PBM Key stakeholder group champions at CHHS, Calvary and Calvary John James hospitals

• Standard 7 – Accreditation

• National PBM Guidelines

• Synergy with other ACT Health PBM initiatives – Single unit policy – Detection of iron deficiency in obstetrics project – Standard 7 Committee at CHHS – PBM Committee at Calvary

Page 5: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

• 2016 Canberra Iron Symposium:

• Establishment of a “ ” to provide IV Iron and both CHHS and Calvary (HITH)

• Improving Communication with GPs regarding services to support PBM – Health Pathways – GP HealthNet

• Increased awareness of anaesthetics assessment including PBM, high risk patients

Page 6: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

 

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National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Achievements No. RBC Packs

Module 2 PBM Guidelines 15000 Published 2012

14000

13000

12000

11000

10000

9000

8000

ACT RBC Issues 13965

NSQHS Standard 7 2003 - 2017 13344 12971

Published October 2012

12275 1231612168

11735

12535

‐7.1%

+4.5% National PBM

11181 11328 11421

10944

+6.5% Collaborative 2015-2017

‐11.9% 10570 Projected

(9760) ‐4.8%

‐3.4 %

-7.7%

2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17

30% Reduction in RBC issues since 2011 12

Page 7: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Conclusion

The key learning in implementing this QI process? Benefits of using PDSA Methodology in combination with other change management principles to test changes before full implementation.

Key message for other Health Services for PBM? Identify your champions to advocate and support processes -they play a critical role. Champions will translate the vision to their colleagues and drive key discussions where we may not previous influence.

How the Collaborative made a difference to your hospital and your patients Quality Improvement is driving policy, not policy limiting improvement

Page 8: Patient Blood Management Collaborative The ACT Experience · National Patient Blood Management Collaborative held on 2 June ... Patient Blood Management Collaborative The ACT Experience

National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2

Thank you and Acknowledgements Prof Peter Collignon (Executive Sponsor) Dr Philip Crispin (Haematologist ) Dr Jill Van Acker (Anaesthetist) Dr Tanya Robertson (GP Liaison) Dr Andrew Watson (Anaesthetist) Mr Andrew Mead (DON) Ms Cathy Burns (ADON) Ms Belinda Connors (RN) Ms Kathleen Robson (CNC) Ms Savi Lecamwasam (EN) Haematology Outpatients Department HITH Infusion Service Calvary Hospital Capital Health Network Preadmission Clinic Staff at CHHS CJJH,CHC

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