Publication

Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative

Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI), Steffen, K. M., Bateman, S. T., Valentine, S. L., Small, S., Spinella, P. C. & Doctor, A., Sep-2018, In : Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 19, 9S Suppl 1, p. S170-S176

Research output: Contribution to journalArticleAcademicpeer-review

APA

Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI), Steffen, K. M., Bateman, S. T., Valentine, S. L., Small, S., Spinella, P. C., & Doctor, A. (2018). Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 19(9S Suppl 1), S170-S176. https://doi.org/10.1097/PCC.0000000000001592

Author

Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI) ; Steffen, Katherine M ; Bateman, Scot T ; Valentine, Stacey L ; Small, Sara ; Spinella, Philip C ; Doctor, Allan. / Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2018 ; Vol. 19, No. 9S Suppl 1. pp. S170-S176.

Harvard

Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI), Steffen, KM, Bateman, ST, Valentine, SL, Small, S, Spinella, PC & Doctor, A 2018, 'Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative', Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, vol. 19, no. 9S Suppl 1, pp. S170-S176. https://doi.org/10.1097/PCC.0000000000001592

Standard

Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. / Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI); Steffen, Katherine M; Bateman, Scot T; Valentine, Stacey L; Small, Sara; Spinella, Philip C; Doctor, Allan.

In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, Vol. 19, No. 9S Suppl 1, 09.2018, p. S170-S176.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI), Steffen KM, Bateman ST, Valentine SL, Small S, Spinella PC et al. Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2018 Sep;19(9S Suppl 1):S170-S176. https://doi.org/10.1097/PCC.0000000000001592


BibTeX

@article{e40bdbc3a07b4c5890b854dbf19fa2ea,
title = "Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative",
abstract = "OBJECTIVES: To provide context for the implementation of the Pediatric Critical Care Transfusion and Anemia Expertise Initiative recommendations for RBC transfusions including a review of prior research related to implementation of transfusion guidelines, efforts to facilitate implementation through Transfusion and Anemia Expertise Initiative, and to provide a framework for recommendation implementation.DESIGN: Review of existing clinical literature and description of a comprehensive approach to implementation based on Implementation Science principles.RESULTS: The Transfusion and Anemia Expertise Initiative recommendations on RBC transfusions are based on clinical evidence and aim to limit unnecessary and potentially harmful transfusions. Prior efforts to use transfusion guidelines include use of provider education, local guidelines, visual aids, prospective and retrospective audit and feedback as well as computerized decision support tools; however, no single approach has been identified as optimal for implementation in pediatric critical care settings. Evidence around provider beliefs and transfusion decision-making point to the need for additional provider education, emphasizing the importance of limiting transfusions, and the development of recommendations, such as the Transfusion and Anemia Expertise Initiative guidelines, that can be applied to specific clinical conditions.CONCLUSIONS: The Transfusion and Anemia Expertise Initiative guidelines will be broadly disseminated; however, coordinated implementation efforts will be required to impact practice. An approach that encourages involvement of a wide range of multiprofessional stakeholders, formal agreement on the implemented guidelines, selection of strategies that are practical and feasible, and active monitoring of clinical practice and outcomes throughout implementation is recommended. A formal second stage Transfusion and Anemia Expertise Initiative - Continuous Assessment of Blood-use is proposed to enhance implementation of the recommendations, follow uptake and impact on practice and patient outcomes, and ensure integration of new clinical evidence into the existing guideline as it is developed.",
author = "{Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI)} and Steffen, {Katherine M} and Bateman, {Scot T} and Valentine, {Stacey L} and Sara Small and Spinella, {Philip C} and Allan Doctor and Kneyber, {Martin C.}",
year = "2018",
month = sep,
doi = "10.1097/PCC.0000000000001592",
language = "English",
volume = "19",
pages = "S170--S176",
journal = "Pediatric critical care medicine",
issn = "1529-7535",
publisher = "LIPPINCOTT WILLIAMS & WILKINS",
number = "9S Suppl 1",

}

RIS

TY - JOUR

T1 - Implementation of the Recommendations for RBC Transfusions for Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative

AU - Pediatric Critical Care Transfusion and Anemia Expertise Initiative (TAXI)

AU - Steffen, Katherine M

AU - Bateman, Scot T

AU - Valentine, Stacey L

AU - Small, Sara

AU - Spinella, Philip C

AU - Doctor, Allan

AU - Kneyber, Martin C.

PY - 2018/9

Y1 - 2018/9

N2 - OBJECTIVES: To provide context for the implementation of the Pediatric Critical Care Transfusion and Anemia Expertise Initiative recommendations for RBC transfusions including a review of prior research related to implementation of transfusion guidelines, efforts to facilitate implementation through Transfusion and Anemia Expertise Initiative, and to provide a framework for recommendation implementation.DESIGN: Review of existing clinical literature and description of a comprehensive approach to implementation based on Implementation Science principles.RESULTS: The Transfusion and Anemia Expertise Initiative recommendations on RBC transfusions are based on clinical evidence and aim to limit unnecessary and potentially harmful transfusions. Prior efforts to use transfusion guidelines include use of provider education, local guidelines, visual aids, prospective and retrospective audit and feedback as well as computerized decision support tools; however, no single approach has been identified as optimal for implementation in pediatric critical care settings. Evidence around provider beliefs and transfusion decision-making point to the need for additional provider education, emphasizing the importance of limiting transfusions, and the development of recommendations, such as the Transfusion and Anemia Expertise Initiative guidelines, that can be applied to specific clinical conditions.CONCLUSIONS: The Transfusion and Anemia Expertise Initiative guidelines will be broadly disseminated; however, coordinated implementation efforts will be required to impact practice. An approach that encourages involvement of a wide range of multiprofessional stakeholders, formal agreement on the implemented guidelines, selection of strategies that are practical and feasible, and active monitoring of clinical practice and outcomes throughout implementation is recommended. A formal second stage Transfusion and Anemia Expertise Initiative - Continuous Assessment of Blood-use is proposed to enhance implementation of the recommendations, follow uptake and impact on practice and patient outcomes, and ensure integration of new clinical evidence into the existing guideline as it is developed.

AB - OBJECTIVES: To provide context for the implementation of the Pediatric Critical Care Transfusion and Anemia Expertise Initiative recommendations for RBC transfusions including a review of prior research related to implementation of transfusion guidelines, efforts to facilitate implementation through Transfusion and Anemia Expertise Initiative, and to provide a framework for recommendation implementation.DESIGN: Review of existing clinical literature and description of a comprehensive approach to implementation based on Implementation Science principles.RESULTS: The Transfusion and Anemia Expertise Initiative recommendations on RBC transfusions are based on clinical evidence and aim to limit unnecessary and potentially harmful transfusions. Prior efforts to use transfusion guidelines include use of provider education, local guidelines, visual aids, prospective and retrospective audit and feedback as well as computerized decision support tools; however, no single approach has been identified as optimal for implementation in pediatric critical care settings. Evidence around provider beliefs and transfusion decision-making point to the need for additional provider education, emphasizing the importance of limiting transfusions, and the development of recommendations, such as the Transfusion and Anemia Expertise Initiative guidelines, that can be applied to specific clinical conditions.CONCLUSIONS: The Transfusion and Anemia Expertise Initiative guidelines will be broadly disseminated; however, coordinated implementation efforts will be required to impact practice. An approach that encourages involvement of a wide range of multiprofessional stakeholders, formal agreement on the implemented guidelines, selection of strategies that are practical and feasible, and active monitoring of clinical practice and outcomes throughout implementation is recommended. A formal second stage Transfusion and Anemia Expertise Initiative - Continuous Assessment of Blood-use is proposed to enhance implementation of the recommendations, follow uptake and impact on practice and patient outcomes, and ensure integration of new clinical evidence into the existing guideline as it is developed.

U2 - 10.1097/PCC.0000000000001592

DO - 10.1097/PCC.0000000000001592

M3 - Article

C2 - 30161073

VL - 19

SP - S170-S176

JO - Pediatric critical care medicine

JF - Pediatric critical care medicine

SN - 1529-7535

IS - 9S Suppl 1

ER -

ID: 77156950