Performance Improvement Rock Star: Dr. Dan Noland, Assistant Professor of Pathology
Dr. Dan Noland is medical director of the Transfusion and Tissue Service at Children’s Medical Center (CMC). Last week, he presented at the CMC Dallas Quality Committee on work he is doing to reduce potentially inappropriate blood transfusions. Using guidelines aligned with literature (i.e., evidence based) he developed an Epic best practice alert (BPA), which is triggered when a provider orders a blood transfusion that may not be appropriate based upon best practice.
This clinical decision support tool has been active for about one month and already it has prevented potentially inappropriate transfusions (i.e., The provider ordered blood. The BPA fired and educated the provider about appropriate indications for transfusion. The provider canceled their initial transfusion order).
Whether you call this performance improvement, clinical effectiveness, clinical standard work, quality improvement, or a patient safety initiative is not important. What is important is because of this initiative, fewer patients are receiving blood that may be unnecessary. This is safer, better, and more cost-effective care!