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Description
Background
• Thomas Jefferson University Hospital (TJUH) is a Tertiary, Level 1Trauma Center and the Regional Spinal Cord Injury Center of the Delaware Valley with 900+ beds
• C/T Ratio is the ratio of RBC units cross matched for potential transfusion to the number of units actually transfused
• The American Association of Blood Banks (AABB) recommendation for C/T ratio is < 2
• TJUH blood bank, on periodic review by AABB and the College of American Pathologists (CAP) was cited as deficient in C/T ratio quality indicators
• Cost to cross match RBC units is on average $71 with the charge to patient $210
• Cost is built into the Diagnosis-Related Group (DRG), not reimbursed, even when transfused
• Maximum Surgical Blood Ordering System (MSBOS) dictates the RBC units prepared for each surgery. Last revised 2006
• An extra blood bank technician was hired to work 6am to noon tocover the add on CXMs, day of surgery
Publication Date
4-25-2017
Keywords
Cost Savings and Efficiency Realized Decreasing Orders for Type and Crossmatching, Department of Neurosurgery, Thomas Jefferson University
Disciplines
Nursing
Recommended Citation
Garruto, MSHA, MSN, BSN, RN, APRN, CNOR, RNFA, Susan; Loos, MSN, BSN, RN, ACAGNP, Katy; and Fierro, RN, CNOR, RNFA, Rae, "Cost Savings and Efficiency Realized Decreasing Orders for Type and Crossmatching" (2017). Department of Neurosurgery Posters. 8.
https://jdc.jefferson.edu/neurosurgeryposters/8
