“Use every drop wisely” – New push to reduce unnecessary blood transfusions

New clinical guidelines published today indicate that blood transfusions continue to be prescribed inappropriately in Australia and New Zealand.

New recommendations published by Evolve and Choose Wisely Australia urge doctors to consider evidence-based guidelines for the appropriate use of blood and blood products.

Dr Anastazia Keegan, Senior Fellow of the Royal Australasian College of Physicians and Vice-President of the Australian and New Zealand Society of Blood Transfusion, says: “Blood transfusions can save lives, but we still see a reliance on blood and blood products in circumstances where it has proved unnecessary.

“Blood transfusion is not without risks for patients. Most transfusion reactions are transient and easy to manage, such as febrile reactions, allergic reactions and circulatory overload associated with transfusion. However, some reactions are life-threatening, such as acute hemolytic reactions, transfusion-transmitted infections, transfusion-associated acute lung injury, and anaphylaxis.

“Blood is a rare and precious resource, so doctors must use it wisely.”

Evolve, an initiative led by the Royal Australasian College of Physicians, releases new recommendations each year to reduce low value care practices in Australia and Aotearoa New Zealand.

These new evidence-based recommendations align with the Blood Stewardship Standard, one of eight National Health Service Quality and Safety Standards (NSQHS) developed to protect Australians from harm and improve health. quality of health service delivery.

Part of a global movement, Evolve is a flagship initiative led by physicians, specialties and the Royal Australasian College of Physicians (RACP) to drive high-value, high-quality care in Australia and New Zealand. RACP is a founding member of Choose Wisely Australia, with all Evolve recommendations being part of the Choose Wisely Australia campaign.

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