Patient blood management (PBM) is the management and preservation of patients’ own blood to reduce or avoid the need for a blood transfusion.
The aim of patient blood management is to improve outcomes for each patient by minimising or avoiding unnecessary exposure to blood components. A multidisciplinary team determines, with the patient, the specific management plan, which makes every reasonable endeavour to:
- optimise the patient’s own blood volume, especially red cell mass
- minimise the patient’s blood loss, and
- optimise the patient’s physiological tolerance of anaemia.
The rationale for patient blood management addresses evidence-based transfusion medicine practice and stewardship of donated blood, to:
- view a patient’s own blood as a valuable and unique natural resource that should be conserved and managed appropriately
- acknowledge that altruistically donated blood is a valuable, unique and costly resource that is held in trust, and that it will only be used as therapy when there is evidence for potential benefit and potential harm will be minimised
- consider transfusion alternatives
- ensure quality products are available in a timely and safe manner
- ensure potential hazards are considered and balanced against the benefits, and
- explain the benefits and risks to the patient/relatives.
Patient Blood Management Guidelines
Visit Patient Blood Management Guidelines to access the latest modules in the Guidelines or click on the images below to go directly to the relevant module.
The PBM Guidelines Implementation Strategy provides a plan of activities for three years to support state and territory health departments and health providers to implement the PBM Guidelines. The core element of the strategy is to collaboratively facilitate activities and development of materials at a national level that support implementation at a health provider level. The approach draws on existing best practice to develop a range of reference tools and mechanisms to enable health providers to examine their own practice and choose from a suite of tools for local customisation, branding and adoption.
- PBM Guidelines Implementation Strategy (pdf) (714.92 KB)
- PBM Guidelines Implementation Strategy (docx) (553.07 KB)
Single Unit Transfusion Guide
The National Blood Authority (NBA) has developed a guide to single unit transfusion based on the national Patient Blood Management Guidelines. The guide describes reasons why single unit transfusion is beneficial to patients and includes resources to assist with its implementation.
To access the guide and resources visit the Single Unit Transfusion Guide page.
Patient Blood Management Steering Committee (PBMSC)
The National Blood Authority (NBA) has established an ongoing committee to provide advice and guidance on strategies to increase the uptake of patient blood management practices in Australia.
The PBMSC has representatives from both clinical and government sectors with expertise and knowledge of blood management, the health sector, and quality and safety issues.
The work of the PBMSC supports the uptake of the Patient Blood Management Guidelines.