Advisories, Guides, Standards

SABM Administrative and Clinical Standards for Patient Blood Management Programs, 5th Edition

AUTHOR: SABM

The SABM Standards are intended to:

• Span all hospital activities related to PBM,
• Optimize clinical outcomes and improve patient safety,
• Accelerate adoption of evidenced-based practices and clinical guidelines in any institution, and
• Bring proven treatment and management strategies that improve patient outcomes to the bedside.

Foreword
Standard 1: Leadership and Program Structure
Standard 2: Consent Process and Patient Directives
Standard 3: Physiologic Tolerance of Anemia
Standard 4: Review and Evaluation of the Patient Blood Management Program
Standard 5: Transfusion Guidelines and Peer Review of Transfusions
Standard 6: Preoperative Anemia Evaluation and Readiness for Surgery
Standard 7: Perioperative Autologous Blood Collection for Administration
Standard 8: Phlebotomy Blood Loss
Standard 9: Minimizing Blood Loss Associated with Surgery, Procedures, Coagulopathy or Antiplatelet/Antithrombotic Medications
Standard 10: Massive Hemorrhage Protocol
Standard 11: Management of Anemia in Hospitalized Patients
Standard 12: Management of Anemia in Non-surgical Outpatient
Standard 13: Patient Blood Management for Pediatric Patients
References

AUTHOR: SABM

Os Padrões SABM se destinam a:

• Abranger todas as atividades do hospital relacionadas ao PBM,
• Otimizar os resultados clínicos e melhore a segurança do paciente,
• Acelerar a adoção de práticas baseadas em evidências e diretrizes clínicas em qualquer instituição, e
• Trazer estratégias comprovadas de tratamento e gerenciamento que melhoram os resultados do paciente para a beira do leito.

Prefácio
Padrão 1: Liderança e Estrutura do Programa
Padrão 2: Processo de Consentimento e Diretivas do Paciente
Padrão 3: Tolerância fisiológica à anemia
Padrão 4: Revisão e Avaliação do Programa de Gerenciamento de Sangue do Paciente
Padrão 5: Diretrizes de Transfusão e Revisão por Pares de Transfusões
Padrão 6: Avaliação de anemia pré-operatória e prontidão para cirurgia
Padrão 7: Coleta de sangue autólogo perioperatório para administração
Padrão 8: Perda de sangue na flebotomia
Padrão 9: Minimização da Perda de sangue Associada a Cirurgia, Procedimentos, Coagulopatia ou Medicamentos Antiplaquetária/Antitrombóticos
Padrão 10: Protocolo para hemorragia maciça
Padrão 11: Gestão de anemia em pacientes hospitalizados
Padrão 12: Gerenciamento da anemia em pacientes não cirúrgicos/ambulatoriais
Padrão 13: Gerenciamento de sangue do paciente para recém-nascidos e outros pacientes pediátricos
Referências

AUTHOR: SABM

SABM 표준의 목적은 다음과 같습니다:

• PBM 과 관련된 모든 병원 활동에 걸쳐,
• 임상 결과 최적화 및 환자 안전 개선,
• 모든 기관에서 근거 기반 관행 및 임상 지침의 채택을 가속화합니다
• 환자 결과를 개선하는 입증 된 치료 및 관리 전략을 병상으로 가져옵니다.

서문
표준1: 지도부와 프로그램 구조
표준2: 동의 절차와 환자 지침
표준3: 빈혈의 생리학적 내성
표준4: 환자 혈액 관리 프로그램의 검토와 평가
표준5: 수혈 가이드라인과 동료 평가
표준 6: 수술 전 빈혈 평가 및 수술 준비
표준7: 주술기 자가 채혈과 투여
표준 8: 채혈로 인한 혈액 손실
표준 9: 수술, 시술, 응고병증 또는 항혈소판/항혈전 약물과 관련된 실혈의 최소화
표준 10: 대량출혈 대응 프
표준 11: 입원 환자의 빈혈 관리
표준 12: 비외과 외래 환자의 빈혈 관리
표준 13: 소아 환자를 위한 환자 혈액 관리
참고 문헌

AUTHOR: SABM

SABM 标准旨在:

• 涵盖与 PBM 相关的所有医院活动,
• 优化临床结果并提高患者安全,
• 在任何机构中加速采用循证实践和临床指南, 和
• 将可改善患者预后的行之有效的治疗和管理策略带到床边.

前言
标准1: 领导体系和计划架构
标准2：知情同意和患者意愿
标准3：贫血的生理耐受性
标准4：对患者血液管理计划进行审查与评估
标准5：输血指南和同行审查
标准6：术前贫血评估和手术准备
标准7：围手术期患者自体血液收集与使用
标准8： 静脉采血失血
标准9：最大程度减少外科手术、治疗操作、凝血障碍﹐以及抗血小板或 抗血栓药物引起的失血
标准10： 大量出血应对方案
标准11：住院患者贫血管理
标准12：非手术门诊患者贫血管理
标准13: 儿童患者血液管理
参考

AUTHOR: SABM

SABM मानकहरू अभिप्रेरित छ:

• PBM सम्बन्धित सबै अस्पताल गतिविधिहरू स्प्यान गर्नुहोस्,
• क्लिनिकल परिणामहरू अनुकूलन गर्नुहोस् र बिरामी सुरक्षा सुधार गर्नुहोस्,
• कुनै पनि संस्थामा प्रमाण-आधारित अभ्यासहरू र क्लिनिकल दिशानिर्देशहरूको ग्रहणको कार्यलाई द्रुत गर्नुहोस्, र
• बेडसाइडमा बिरामीको नतिजा सुधार गर्ने सिद्ध उपचार र व्यवस्थापन रणनीतिहरू ल्याउनुहोस्.

प्राक्कथन
मापदण्ड १: नेतृत्व तथा कार्यक्रम संरचना
मापदण्ड २: मन्जुरी प्रक्रिया र बिरामी सम्बन्धी निर्देशिका
मापदण्ड ३: रक्तअल्पताको शरीर-वैज्ञानिक सहनशीलता
मापदण्ड ४: बिरामीको रगत व्यवस्थापन कार्यक्रमको समीक्षा र मूल्याङ्कन
मापदण्ड ५: रक्तसञ्चार निर्देशिका तथा रक्तसञ्चारको विद्वत् समीक्षा
मापदण्ड ६: शल्यक्रिया पूर्वको रक्तअल्पता मूल्याङ्कन तथा शल्यक्रियाको तयारी
मापदण्ड ७: रक्तसञ्चारका लागि शल्यक्रियाका बेला सजातीय रक्त सङ्कलन
मापदण्ड ८: सुइद्वारा रगत तान्दा हुने रगतको क्षति
मापदण्ड ९: शल्यक्रिया, कार्यविधि, कोगुलोप्याथी वा एन्टिप्लेटलेट वा एन्टिथ्रोम्बोटिक औषधीसँग सम्बन्धित रगतको क्षति कम गर्ने
मापदण्ड १०: रक्तस्राव सम्बन्धी बृहत् क्रमाचार
मापदण्ड ११: अस्पताल भर्ना भएका बिरामीमा रक्तअल्पताको व्यवस्थापन
मापदण्ड १२: शल्यक्रिया गर्नु नपर्ने बहिरङ्ग बिरामीमा रक्तअल्पताको व्यवस्थापन
मापदण्ड १३: बालरोगका बिरामीका लागि रक्त व्यवस्थापन कार्यक्रम
सन्दर्भ

AUTHOR: SABM

Los Estándares SABM están destinados a:

• Abarcar todas las actividades del hospital relacionadas con PBM,
• Optimice los resultados clínicos y mejore la seguridad del paciente,
• Acelerar la adopción de prácticas basadas en evidencia y guías clínicas en cualquier institución, y
• Lleve al lado de la cama estrategias comprobadas de tratamiento y manejo que mejoren los resultados de los pacientes.

PRÓLOGO
NORMA 1: ESTRUCTURA DEL LIDERAZGO Y PROGRAMA
NORMA 2: PROCESO DE CONSENTIMIENTO Y DIRECTIVAS DEL PACIENTE
NORMA 3: TOLERANCIA FISIOLÓGICA DE LA ANEMIA
NORMA 4: REVISIÓN Y EVALUACIÓN DEL PROGRAMA DE MANEJO DE SANGRE DEL PACIENTE
NORMA 5: PAUTAS DE TRANSFUSIÓN Y REVISIÓN DE LAS TRANSFUSIONES POR PARES
NORMA 6: EVALUACIÓN PREOPERATORIA DE ANEMIA Y PREPARACIÓN PARA LA CIRUGÍA
NORMA 7: COLECCIÓN DE SANGRE AUTÓLOGA PERIOPERATORIA PARA ADMINISTRACIÓN
NORMA 8: PÉRDIDA DE SANGRE POR FLEBOTOMÍA
NORMA 9: MINIMIZACIÓN DE LA PÉRDIDA DE SANGRE RELACIONADA CON CIRUGÍA, PROCEDIMIENTOS,COAGULOPATÍA O MEDICAMENTOS ANTIPLAQUETAS/ANTITROMBÓTICOS
NORMA 10: PROTOCOLO PARA HEMORRAGIA MASIVA
NORMA 11: TRATAMIENTO DE LA ANEMIA EN PACIENTES HOSPITALIZADOS
NORMA 12: TRATAMIENTO DE LA ANEMIA EN PACIENTES NO QUIRÚRGICOS/PACIENTES AMBULATORIOS
NORMA 13: TRATAMIENTO DE LA SANGRE DEL PACIENTE PARA RECIÉN NACIDOS Y OTROS PACIENTES PEDIÁTRICOS
REFERENCIAS PARA NORMAS 1-12
REFERENCIAS PARA NORMA 13
AGRADECIMIENTOS
APÉNDICE

The SABM Quality Guide is intended to:

• Effectively measure program quality,
• Monitor adherence to the SABM Standards,
• Monitor the impact of PBM modalities, and
• Evaluate PBMP for performance improvement opportunities.

• Hospital Affiliates: No Cost, Access through the Member Portal
• SABM members: $50
• Non-members: $75

AUTHOR: SABM

Attention Hospital Administrators!

• Improve Clinical Outcomes
• Achieve Regulatory Compliance
• Optimize Reimbursement
• Increase Patient Satisfaction
• Reduce Waste and Cost

The SABM Executive Guide shows you how and why you should implement a PBM Program at your hospital.

SABM Foundational Principles of Patient Blood Management

Today, SABM is recognized as a key educational resource for Patient Blood Management. SABM is grounded in scientific validation, evidence-based practices and focused on promoting the patient’s best interest through effective and optimal blood management.

“As an administrator, you don’t often have something presented to you that improves patient safety, improves clinical outcomes, quality of care — and also saves money. And that’s exactly what a PBM program does.” – Larry Burns, FACHE, SABM Advisory Director

Perioperative hemoglobin provides the best insight into a patient’s current condition. Continuous hemoglobin monitoring provides information clinicians need to determine if there is a directional change in a patient’s condition.

Despite widespread use, blood transfusion remains one of the most complex medical decisions and should not be taken lightly due to risks, costs, and supply.

AUTHOR: SABM

AUTHOR: SABM and The Society for Hospital Medicine

The Anemia Prevention and Management Implementation Guide is the result of a joint collaboration between SABM and The Society for Hospital Medicine. It is estimated that one third of the world’s population suffers from anemia. In hospitalized patients, the presence of anemia is an independent risk factor for a host of unfavorable outcomes, yet it is often ignored or overlooked. Early detection and treatment can reduce risk and improve the health status of patients. This guide provides a framework for hospital based anemia management quality improvement projects, resulting in better quality care at reduced cost.

AUTHOR: SABM

A patient and healthcare consumer guide to understanding anemia with an overview of treatment options.

Can be licensed for user to add their logo and contact information. Email info@sabm.org for more information.

SABM is proud to partner with Choosing Wisely®, an initiative of the ABIM Foundation that seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments, and procedures.

Download Five Things Physicians and Patients Should Question and place in waiting or exam rooms, or give to patients as handouts to educate them about overuse. Also available in Español.

SABM is proud to partner with Choosing Wisely®, an initiative of the ABIM Foundation that seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments, and procedures.

AUTHOR: SABM

SABM has created an educational campaign to increase awareness about current issues regarding the treatment restrictions for anemia. SABM encourages you to use this free downloadable material to get informed and educate others to improve the care of so many patients affected by anemia.

Perioperative hemoglobin provides the best insight into a patient’s current condition. Continuous hemoglobin monitoring provides information clinicians need to determine if there is a directional change in a patient’s condition.

AUTHOR: SABM

A pre-operative conversation and planning guide for patients and their clinical providers about Patient Blood Management strategies appropriate for their care.

Can be licensed for user to add their logo and contact information. Email info@sabm.org for more information.

AUTHOR: SABM

AUTHOR: SABM

General and membership information brochure for United States individuals and hospitals. SABM is a multi disciplinary, multispecialty clinical organization comprised of the global leaders in Patient Blood Management (PBM). SABM encourages healthcare professionals from the US and around the world to join us as members. SABM also has a robust hospital affiliate program which offers healthcare institutions and systems valuable benefit packages which includes direct access to US and International PBM clinical and administrative leaders.