Transfusing Wisely - Implementing a Transfusion Quality Improvement Project: An SHM Choosing Wisely Quality Improvement Implementation Module

Mounting evidence shows that the American healthcare system costs too much for the results it achieves in terms of patient outcomes and access. Many different parts of this system need attention, and it can be difficult to know where to begin. However, the inpatient / hospital environment is a “high intensity” healthcare delivery setting, and the “Choosing Wisely” initiative of the American Board of Internal Medicine (ABIM) offers a list of low value healthcare practices which make great targets for improvement efforts. In this activity, we will tackle one of the top five practices chosen for Choosing Wisely by the Society of Hospital Medicine (SHM): excessive transfusion.

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Availability

On-Demand

Expires on Sep 30, 2027

Cost

$0.00

Credit Offered

1 CME Credit

1 Participation Credit

Overview
Faculty
Accreditation
Recommended

Learning Objectives
After completing this activity, learners should be able to:

Prepare hospitalists to participate in Quality Improvement (QI) projects related to inpatient transfusion for adults.
Understand transfusion science well enough to advocate for restrictive transfusion practices.
Apply the steps of the “QI Roadmap” to transfusion QI projects.
Describe successful QI transfusion projects and identify key interventions that could improve transfusion practices at their hospital.
Understand that transfusion thresholds should be individualized based on condition and symptoms.
Understand that in most clinical settings, the literature supports 7 g/dL of hemoglobin as a transfusion threshold for most patients (8 for those with active ischemia of brain or heart).
Understand that transfusion QI projects can yield large financial savings and reduce patient harm.
Understand that most successful projects have used order set revisions enhanced with decision support, education, and other methods.

Faculty

Ian Jenkins, MD, SFHM

Faculty Disclosures
The faculty and planners of these activities have no relevant relationships to disclose. All relevant relationships were mitigated prior to the start of this activity.

Conflict of Interest Disclosure Policy
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this online activity for a maximum of 1.00 AMA PRA Category 1 Credit^TM. Physicians should claim only credit commensurate with the extent of their participation in the activity.

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