Steering Committee Consensus
Rationale to establish a Central Eastern Europe Patient Blood Management (CEE PBM) consensus
Patient Blood Management is a clinical principle to increase patient safety by optimizing the patient’s own blood resources. Anaemia and blood loss still represent major risk factors in the hospital perioperative setting, leading to complications, increased transfusion rates, and potentially worse outcomes, increasing the odds of in-hospital mortality. With an aging population, increasing demand for blood supply is jeopardized by decreased availability of allogenic blood products.
Goals of Patient Blood Management (PBM)
Optimal perioperative preparation and reduction of blood loss during hospitalization.
History & References of PBM
2005 – Transfusion specialist James Ibister (Sydney) coined the term Patient Blood Management as a need for a paradigm shift in transfusion practice, a new patient-centred approach.
2008 – Western Australia PBM (2008-2012)
- Towler publishes results in 2014: “Cost reduction in product expenditures would justify a country-wide PBM program”.
2014 – German PBM Network
2017 – Worldwide PBM Network
2018 – European PBM Network
Further information: https://www.patientbloodmanagement.de/en
Benefits of a CEE PBM program
- Improved perioperative patient outcomes in the region
- Reduction in allogenic blood transfusions
- Goal-directed bleeding management and massive transfusion-avoiding strategies
- Optimization of available blood products distribution for patients in need
- Cost savings
Questions discussed during the Steering Committee meeting
- What are the common features to be shared in the region?
- What are the differences?
- What common projects could be generated?
- Is there any local/regional research needed?
- Which elements of the program shall be launched first? ‘All in one’ or ‘step-by-step’ approach?
- Is the German model for education and accreditation feasible in the Region?
- Local guideline needs – or sharing and adaptation of existing ones?
- How could/should local government be involved?
Adoption and implementation of the PBM program on institutional/hospital and national levels in Central Eastern Europe in 2019-2020.
- Institutional/hospital level
- Application to join European PBM Network and seek accreditation
- Education of hospital management
- Need for appointment of hospital PBM experts and managers/training
- Anaemia management/goal-directed therapies/protocols
- Stepwise implementation of the three measurement bundles, the three sustaining pillars of PBM
- Apply Patient Blood Management as a major quality indicator
- National Level
- With the involvement of Healthcare Authorities/Government, develop a National Program
- Central Eastern European level
- Organize regular joint meetings in different CEE countries, the second CEE PBM meeting in 2020
Members of the CEE PBM Steering Committee
Kai Zaharowski (Germany), Daniella Filipescu (Romania), János Gál (Hungary), Béla Fülesdi (Hungary), Barna Babik (Hungary), Janusz Andres (Poland), Vladimir Cerny (Czech Republic), Roman Zahorec (Slovakia), Ioana Grintescu (Romania), Ioana Grigoras (Romania), Claudiu Barsac (Romania), Radmillo Jankovic (Serbia), Višnja Ivančan (Croatia), Natasa Kovac (Croatia), Maja Šoštarič (Slovenia), Boris Ban (Slovenia), Andrea Matusovits (Hungary), János Fazakas (Hungary), Ilona Bobek (Hungary)