Publicaciones científicas

Maturity Assessment model for Patient Blood Management to assist hospitals in improving patients' safety and outcomes. The MAPBM project

18-sep-2020 | Revista: Blood Transfusion

Elvira Bisbe  1 , Albert Garcia-Casanovas  2 , Carles Illa  3 , Jordi Varela  4 , Misericordia Basora  5 , Marta Barquero  6 , Maria J Colomina  7 , Lucia González  3 , Axel Hofmann  8   9 , MAPBM Working Group; Luís Enrique Fernández Rodríguez  10 , Ana Abad Gosálbez  11 , Ana Peral/Ino Fornet  12 , Xavier Soler  13 , Teresa Planella  14 , Paloma Ricos  15 , Rosa Goterris  16 , Luis Olmedilla  17 , Carles Jericó  18 , Ana Morales  19 , José María García Gala  20 , Virginia Dueñas  21 , Carmen Fernández  22 , Raquel Tolos  23 , Maria Angeles Villanueva  24 , Concha Cassinello  25 , Ignacio Fuente Graciani  26 , Sonsoles Aragon  27 , Maricel Subira  28 , Violeta Turcu  29 , S A Dolores Vilariño  30 , Elena Zavala  31 , Luz María González  32 , Gemma Moreno  33 , Silvia Ruiz de Gracia  34 , Almudena García  35 , Antonio Pérez Gallofre  36 , Paula Duque  37 , Luis López Sánchez  38 , José Manuel Vagace  39 , Ángeles Medina  40 , Mar Orts Rodríguez  41 , Ana Faura  42 , Lola Rosello  43 , Eric Johansson  44 , Pere Poch  45 , María A Santamaría  46 , Montserrat López Rubio  47 , Irene Jara  48 , Cristina Carmona  49 , Cristina Ramió Lluch  50 , Martínez Almirante  51 , Ángel Fernández López  52 , Mila Caldes  53 , Elvira Loureiro  54 , Miguel Quintana  55 , Gonzalo Azparren  56 , Jorge Puerta  57 , Eva María Romero  58 , Ana Arroyo Rubio  59 , Juan Santaella  60 , Gabriel Cerdan  61 , Rosalía Arbones  62 , Ángela Palacios  63 , Pilar Llamas  64


Background: Patient blood management (PBM) is an evidence-based care bundle with proven ability to improve patients' outcomes by managing and preserving the patient's own blood. Since 2010, the World Health Organisation has urged member states to implement PBM.

However, there has been limited progress in developing PBM programmes in hospitals due to the implicit challenges of implementing them. To address these challenges, we developed a Maturity Assessment Model (MAPBM) to assist healthcare organisations to measure, benchmark, assess in PBM, and communicate the results of their PBM programmes.

We describe the MAPBM model, its benchmarking programme, and the feasibility of implementing it nationwide in Spain.

Materials and methods: The MAPBM considers the three dimensions of a transformation effort (structure, process and outcomes) and grades these within a maturity scale matrix. Each dimension includes the various drivers of a PBM programme, and their corresponding measures and key performance indicators.

The structure measures are qualitative, and obtained using a survey and structured self-assessment checklist. The key performance indicators for process and outcomes are quantitative, and based on clinical data from the hospitals' electronic medical records. Key performance indicators for process address major clinical recommendations in each PBM pillar, and are applied to six common procedures characterised by significant blood loss.

Results: In its first 5 years, the MAPBM was deployed in 59 hospitals and used to analyse 181,826 hospital episodes, which proves the feasibility of implementing a sustainable model to measure and compare PBM clinical practice and outcomes across hospitals in Spain.

Conclusion: The MAPBM initiative aims to become a useful tool for healthcare organisations to implement PBM programmes and improve patients' safety and outcomes.

CITA DEL ARTÍCULO  Blood Transfus. 2020 Sep 18. doi: 10.2450/2020.0105-20

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