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.

Create Account

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 individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

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 enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Choosing Wisely: Implementing Quality Improvement Projects addressing Choosing Wisely Topics

Multiple Credits

FREE

Reducing Unnecessary Telemetry Monitoring: 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 Foundation (ABIMF) 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: continuous telemetry monitoring.This activity will review the guideline recommendations and the literature supporting the harms, benefits, and proper utilization of telemetry monitoring.

Multiple Credits

FREE

SHM Consults: Perioperative and Consultative Medicine

As hospitalist roles surge, mastering consultative and perioperative care has become a career essential. Gain the proven frameworks and clinical confidence to navigate complex surgical co-management and specialist consultations, leading to safer patients and smoother workflows.

Multiple Credits

$0.00 - $599.00

Unstable Tachyarrhythmias for the Hospitalist

Many hospitalists provide critical care services without adequate support or training, putting patients at risk and exposing hospitalists to medical liability. This educational series covers common or high-risk clinical scenarios that hospitalists encounter in and out of the intensive care unit.

Multiple Credits

$0.00 - $95.00

How to be a Hospitalist Opioid Use Disorder Champion: Improving the Quality of Care for Patients

The hospitalist role in providing effective care for patients with opioid use disorder (OUD) has never been more important. In this webinar, part one of two on the topic, members of the SHM SUD Special Interest Group will discuss the current state of addiction medicine and the roles that hospitalists can take within their practice to overcome barriers and improve the quality of care for their patients with opioid use disorder. Topics will include how to screen patients, building protocols and pathways for treatment, QI projects, orders for discharge, and linkage to care. Additionally, speakers will discuss how to acquire data on the issue and how to start building capacity within the hospitalist team.

Multiple Credits

$0.00 - $95.00

Critical Care for the Hospitalist Series

Multiple Credits

$0.00 - $299.00

Managing Diabetes and Hyperglycemia in the Hospital: Focus on the Noncritically Ill Patient

Hospitalized patients with diabetes require specific medical management in order to minimize the risk of hyperglycemia. This requires hospitalists to have an understanding of methods for glycemic control in both the critically ill and noncritically ill patient. This activity, which focuses on the noncritically ill patient, is part of a 2-part series that will evaluate the current scientific evidence regarding glycemic control and discuss which medications are best for controlling blood glucose levels in the hospital. A thorough discussion of how to determine the appropriate insulin dose and develop an insulin regimen for hospitalized patients is provided, as well as strategies for developing a discharge plan for patients on insulin.

Multiple Credits

$0.00 - $95.00

SHM Converge On Demand 2025

Your front-row pass to every session. With the SHM Converge 2025 on-demand library, you can access all the premier education—whether you were there or not—and learn at your own pace.

Multiple Credits

$499.00 - $649.00