The addition of decision support into computerized physician order entry reduces red blood cell transfusion resource utilization in the intensive care unit

Evans R. Fernández Pérez, Jeffrey L. Winters, Ognjen Gajic

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Computerized physician order entry (CPOE) has the potential for cost containment in critically ill patients through practice standardization and elimination of unnecessary interventions. Previous study demonstrated the beneficial short-term effect of adding a decision support for red blood cell (RBC) transfusion into the hospital CPOE. We evaluated the effect of such intervention on RBC resource utilization during the two-year study period. From the institutional APACHE III database we identified 2,200 patients with anemia, but no active bleeding on admission: 1,100 during a year before and 1,100 during a year after the intervention. The mean number of RBC transfusions per patient decreased from 1.5 ± 1.9 units to 1.3 ± 1.8 units after the intervention (P = 0.045). RBC transfusion cost decreased from $616,442 to $556,226 after the intervention. Hospital length of stay and adjusted hospital mortality did not differ before and after protocol implementation. In conclusion, the implementation of an evidenced-based decision support system through a CPOE can decrease RBC transfusion resource utilization in critically ill patients.

Original languageEnglish (US)
Pages (from-to)631-633
Number of pages3
JournalAmerican journal of hematology
Volume82
Issue number7
DOIs
StatePublished - Jul 2007

Keywords

  • Cost savings
  • Erythrocyte transfusion
  • Medical order entry systems

ASJC Scopus subject areas

  • Hematology

Fingerprint Dive into the research topics of 'The addition of decision support into computerized physician order entry reduces red blood cell transfusion resource utilization in the intensive care unit'. Together they form a unique fingerprint.

Cite this