JUN 07, 2016 12:30 PM PDT

Point-of-care hemoglobin testing: Supporting the goal of patient blood management

  • Regional Director, Patient Blood Management, Accumen
      Joseph Thomas is a registered nurse and currently serves as Regional Director of Patient Blood Management (PBM) for Accumen. He has clinical experience in both critical care nursing and patient blood management program development. In 2002 he developed a nationally recognized program built around safer, more evidence-based blood utilization and served as Director of Blood Management for the Cleveland Clinic Health System until joining Strategic Healthcare Group (SHG) in 2007. From 2007 to 2013 he served as Vice President, Program Services for SHG. Over the past 14 years he has worked with over 125 hospitals to improve blood management and patient outcomes. Over this time he has educated and mentored thousands of physicians and nurses on transfusion and blood management related topics. Mr. Thomas is also a nationally recognized speaker and a published author in the field of blood management and transfusion safety.


    Patient Blood Management (PBM) is an emerging clinical concept designed to reduce unnecessary, excessive and avoidable blood transfusions.  Interest in PBM has grown rapidly throughout the world as new evidence demonstrates a strong association between transfusion and a variety of healthcare care complications (infections, pulmonary injury, and mortality).  Reducing transfusion exposure in hospitals has the dual benefit of significantly reducing costs while improving safety and outcomes.  PBM Programs often utilize a variety of resources and technologies to optimize blood management, including point-of-care testing. Point-of-care Hemoglobin testing has been widely used in hospitals and published in the literature as an evidence based strategy to support transfusion management.  This presentation will focus on practical applications of POCT Hgb to improve the recognition and management of anemia, support the paradigm shift of RBC transfusion as single units with reassessment, and optimize transfusion decision making in the anemic or bleeding patient.
    Learning objectives

    1. Describe how optimal transfusion practice and patient blood management can result in reduced health care costs and improved patient outcomes
    2. Define how point-of-care Hemoglobin testing can improve recognition/management of anemia and transfusion decision making in the bleeding patient

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