Patient Blood Management Guidelines Progress Update : March 2017

Published Modules

The Patient Blood Management (PBM) Guidelines are a series of six modules that focus on evidence-based PBM. Each module has been written for clinicians treating specific patient groups including Critical Bleeding/ Massive Transfusion (2011), Perioperative (2012), Medical (2012), Critical Care (2012), Obstetrics and Maternity (2015), and Neonatal and Paediatrics (2016). Electronic versions of the modules and the accompanying Quick Reference Guides are available on the NBA website. Hard copies can also be ordered free of charge, within Australia and New Zealand, via the online order form.

Update of the Patient Blood Management Guidelines 

Now that the suite of modules has been completed, the National Blood Authority (NBA) has turned its attention to maintaining their currency. The NBA is considering a broader scope for the review and update process across the entire suite of modules rather than updating each module in isolation.

The NBA has established a Jurisdictional Blood Committee (JBC) working group consisting of government and clinical representatives who will oversee the process for the project. The first meeting of the JBC Working Group was held in February 2017. At that meeting, members discussed potential strategies and processes to underpin a clinical practice guideline that retains its currency. These strategies are currently being investigated.

In the meantime, a review of the existing research questions across all modules, with the exception of the Critical Bleeding/Massive Transfusion module, is being conducted to ensure they are still relevant and appropriate for the update. The NBA will approach all relevant clinical colleges and societies for their advice during this process.

MODULE 1: CRITICAL BLEEDING/MASSIVE TRANSFUSION

Prior to the NBA considering the entire suite of modules in the update process, work had already commenced on a review process of the Patient Blood Management Guidelines: Module 1 – Critical Bleeding/Massive Transfusion (Module 1). 

The research protocol for the review of  Module 1 is being finalised and will be provided to a systematic reviewer shortly. 

Promotion

The Patient Blood Management (PBM) Guidelines and their accompanying tools and resources were promoted at the HAA conference in Melbourne on 13-16 November and the Royal College of Pathologists of Australasia conference in Sydney on 24-26 February 2017.

Education 

BloodSafe eLearning Australia (BEA) provides online courses relating to PBM and clinical transfusion practice for health professionals. The courses are available free of charge on www.bloodsafelearning.org.au and include courses on, Patient Blood Management, Critical Bleeding, Perioperative, Critical Care, Medical and Specialties, Iron Deficiency Anaemia and Postpartum Haemorrhage. A course based on the PBM Guidelines: Module 5 Obstetrics and Maternity is currently under development and planned for release at the end of June 2017.  Also available in the resource centre are short videos on:

  • IV iron administration in primary care
  • The perioperative patient – communication and consent
  • Minimising blood loss in cardiothoracic surgery
  • An overview of patient blood management
  • Gastrointestinal bleeding – patient assessment and transfusion.

Implementation activities 

To support the implementation of the PBM Guidelines, the NBA facilitates the development of tools and materials to support implementation at a health provider level. A range of tools and materials are available, free of charge here. Tools currently under development will support the implementation of recommendations and practice points in PBM Guidelines Modules 5 and 6.

Register with BLOODportal to receive this update via email.

If you would like to automatically receive updates on the PBM Guidelines, please register via BLOODportal.
For further information please contact the NBA at guidelines [at] blood.gov.au.