| • Nominating a patient blood manager to educate representatives of surgical disciplines and making them adopt patient blood management over time |
| • Creating a commission for the responsible use of blood products (NOT traditional hemovigilance) as mandated by the Board of Directors via Medical Director and executed by both chairmen of Anesthesiology and Hematology |
| • Developing hospital-wide transfusion and coagulation management guidelines (for some “special” patients modifications are possible but should be strictly evidence-based) |
| • Establishing an intelligent blood ordering system |
| • Developing a monitoring and feedback system to collect data and assure the success of the program |
| • Developing an information technology program for early testing of focus patients (red blood cell transfusion rate ≥10% or expected blood loss ≥500 mL) for anemia and iron deficiency |
| • Giving early treatment aiming at a hemoglobin ≥130 g/L and no iron deficiency (ferritin ≥100 ng/mL and transferrin saturation [TSAT] ≥20%) |
