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Manitoba Hospitals Achieve Province-Wide Using Blood Wisely Hospital Designation Status

Hospitals in Manitoba have reached a major milestone in their blood stewardship efforts. Every hospital that performs transfusions in the province has achieved the Using Blood Wisely Hospital designation status.

“We undertook this work to ensure Manitoba’s blood products were being used as efficiently and effectively as possible,” explains Dr. Charles Musuka, Haematopathologist and Medical Director for Transfusion Medicine at Diagnostic Services, Shared Health.

Manitoba was one of the highest users of blood products nationally with a rapidly growing rate of use each year. Blood products such as red cells and plasma are a critical resource used in treating and recovering many Manitobans.

Largely starting in 2021, new provincial practices and guidelines were implemented to help bring Manitoba into alignment with national rates of use. These guidelines ensure blood product use is prioritized using best practices to impact patient care the most. With appropriate clinical oversight, the needs of patients continue to be met while the supply is more efficiently managed to allow for a stabilized and standardized use of blood products across the province.

“Achieving these designations is a testament to the incredible work and dedication of health-care providers and administrators across the province,” says Dr. Musuka. “Despite incredible pressures, they have exemplified an unwavering commitment to delivering high-quality care.”

This provincial accomplishment has now been officially acknowledged as the Interlake-Eastern Regional Health Authority recently joined other Manitoba regions and hospitals in receiving the Using Blood Wisely designation.

“We are excited to be part of this important work happening across the province and proud of our region for achieving its Using Blood Wisely designation,” says to Katie Hibbs, Director Health Services – Acute, Selkirk Regional Health Centre.

Using Blood Wisely, launched by Choosing Wisely Canada and Canadian Blood Services, recognizes hospitals that have made significant achievements in meeting national appropriateness benchmarks for reducing inappropriate red blood cell transfusions. The inappropriate use of blood transfusions can significantly strain Canada’s blood supply and increase the risk of potential harm to patients.

In Manitoba, the work included a collaborative transfusion stewardship project called Appropriate Inpatient Red Blood Cell Utilization in Manitoba. This provincial clinical practice change implemented a new set of guidelines that optimizes laboratory and clinical processes to assess the appropriateness of each unit transfused in the inpatient setting. Results have included sustained reductions in inappropriate red blood cell transfusions, leading to improved patient outcomes and reduced risks associated with blood transfusions.

This initiative demonstrates a true provincial effort in implementing practices that benefit the system, health-care providers and patients. This milestone not only highlights leadership in promoting best practices but also serves as a reminder of the critical importance of blood products and the need to carefully manage this life-saving health-care resource.

La désignation Transfuser avec soin pour tous les hôpitaux du Manitoba

Les hôpitaux du Manitoba ont franchi une étape importante dans leurs efforts de gestion du sang. Tous les hôpitaux qui pratiquent des transfusions dans la province ont obtenu la désignation Transfuser avec soin.

« Nous avons lancé cette initiative pour nous assurer que les produits sanguins du Manitoba sont utilisés le plus efficacement possible », explique le Dr Charles Musuka, hématopathologiste et directeur médical de la médecine transfusionnelle, Services de diagnostic, Soins communs.

À l’échelle nationale, le Manitoba était l’un des plus importants utilisateurs de produits sanguins, avec un taux d’utilisation en augmentation rapide chaque année. Les produits sanguins, comme les globules rouges et le plasma, sont une ressource essentielle pour traiter la population manitobaine.

Depuis 2021, de nouvelles pratiques et lignes directrices provinciales ont été mises en œuvre pour que le Manitoba harmonise son taux d’utilisation avec celui du pays. Ces lignes directrices visent une utilisation optimale des produits sanguins en s’appuyant sur des pratiques exemplaires qui permettent d’améliorer les soins aux patients. Une surveillance clinique appropriée permet de répondre aux besoins des patients tout en assurant une gestion efficace des produits sanguins ainsi qu’une utilisation connexe uniforme et normalisée dans l’ensemble de la province.

« L’obtention de cette désignation témoigne du travail et du dévouement incroyables des administrateurs et des fournisseurs de soins de santé de la province », déclare le Dr Musuka. « Malgré les conditions difficiles, ils ont fait preuve d’un engagement inébranlable à fournir des soins de qualité. »

Cette initiative provinciale est maintenant officiellement reconnue, et l’Office régional de la santé d’Entre-les-Lacs et de l’Est s’est récemment joint à d’autres régions et hôpitaux du Manitoba pour obtenir la désignation Transfuser avec soin.

« Nous sommes heureux de participer à cette initiative provinciale importante, et nous sommes fiers que notre région ait obtenu la désignation Transfuser avec soin », affirme Katie Hibbs, directrice des services de santé – Soins de courte durée, Centre de santé régional de Selkirk.

Lancé par Choisir avec soin et la Société canadienne du sang, le programme Transfuser avec soin reconnaît les hôpitaux qui ont réalisé des progrès notables pour ce qui est du respect des critères de référence nationaux visant à réduire le nombre de transfusions inappropriées de culots globulaires. Les transfusions sanguines inappropriées diminuent considérablement les réserves de sang du Canada, et augmentent le risque de préjudice pour les patients.

Au Manitoba, l’initiative comprend un projet collaboratif de gestion des transfusions intitulé Utilisation appropriée des transfusions de culots globulaires chez les patients hospitalisés au Manitoba. De nouvelles lignes directrices visant l’optimisation des processus de laboratoire et cliniques afin d’évaluer la pertinence de chaque unité transfusée à un patient hospitalisé ont été mises en œuvre dans le cadre de la modification des pratiques cliniques à l’échelle de la province. Ainsi a-t-on pu observer une réduction durable du nombre de transfusions inappropriées de culots globulaires, une amélioration des résultats pour les patients et une réduction des risques liés aux transfusions sanguines.

Cette initiative témoigne d’un véritable engagement provincial dans la mise en œuvre de pratiques bénéfiques pour le système, les fournisseurs de soins de santé et les patients. Non seulement ce jalon souligne-t-il l’importance de promouvoir les pratiques exemplaires, mais il rappelle également le caractère essentiel des produits sanguins et la nécessité de gérer avec soin cette ressource médicale qui permet de sauver des vies.

Choosing Wisely Talks – April

Addressing Surgical backlogs in Canada

When: April 19 at 12 PM ET 
Register here

Surgical backlogs are causing significant pressures in provinces across the country, exacerbated by successive waves of the pandemic and shortages in health human resources. What is the role of reducing overuse in addressing backlogs and how can we better support Canadians in making informed decisions about their surgical care?

Join Choosing Wisely Talks on April 19 at 12 p.m. ET to discuss the current state of surgical backlogs in Canada. Experts will discuss the role of shared decision-making, system changes, and how we can work together to improve access to timely and high-quality surgical care.

Speakers

Dr. Logan Trenaman, Scientist, Centre for Health Evaluation and Outcome Sciences, University of British Columbia

Dr. Sacha Bhatia, Population Health and Value Based Care Executive, Ontario Health

Choosing Wisely Talks – March

Pharmacists’ Expanded Scope — and What it Means for Appropriate Prescribing

When: March 22 at 12 PM ET 
Register: https://choosingwiselycanada.zoom.us/meeting/register/tZYod-mvpjssH9T-yQ0AbAmPqM38BULkJDMB

In several provinces, the scope of pharmacist prescribing has expanded, enabling them to assess and prescribe treatments for common syndromes. With other provinces and territories expected to adopt similar approaches, how do we support pharmacists, physicians, and other healthcare professionals in promoting resource stewardship and appropriate prescribing practices?

On March 22 at 12 p.m. ET, Choosing Wisely Talks will discuss the widened scope of practice for pharmacists. Experts will discuss recent changes and future thinking around interprofessional collaboration in patient care.

Speakers

Danielle Paes, Chief Pharmacist Officer, Canadian Pharmacists Association (CPhA)

Shelita Dattani, Vice President, Neighbourhood Pharmacy Association of Canada

Discussant

Janet Reynolds, Family Physician, Choosing Wisely Canada Primary Care Co-Lead

National Meeting 2023 – Call for Abstracts

Choosing Wisely Canada is now accepting abstracts to be featured at Choosing Wisely Canada’s National Meeting, on May 11 and May 12, 2023.

Showcase your Choosing Wisely Canada initiatives and innovative approaches based on the following themes:

  • Quality Improvement/Implementation (e.g. interventions, health policy, interprofessional collaboration, deprescribing)
  • Measurement and Evaluation (e.g. administrative data, trends in low-value care, impact of intervention on low-value care)
  • Medical Education
  • Patient Engagement
  • Environmental Sustainability (reducing low-value care can avoid harm to patients and the planet)
  • Appropriate Prescribing

Abstracts will be accepted in English and French. Relevant abstracts will be published in a digital abstract book and considered for in-person presentations in concurrent breakout sessions.

Important Dates:

  • Abstract submissions will be accepted until January 13, 2023.
  • Abstracts considered for in-person presentations will be notified by February 6, 2023.
  • National Meeting: May 11 & May 12, 2023.

If you are submitting an abstract from Manitoba, please email [email protected].

Full details

Using Labs Wisely During Global Blood Tube and Other Resource Shortages

COVID-19 has put an extraordinary strain on laboratory medicine in Canada due to critical shortages in blood tubes, devices, and lab staffing.

To address the need to conserve tubes and critical laboratory resources, the Canadian Society of Clinical Chemists and the Canadian Association of Medical Biochemists have assembled two sets of relevant Choosing Wisely Canada recommendations—for hospitals and primary care.

How you can get involved:

National Meeting 2022 – Call for Abstracts

Choosing Wisely Canada is now accepting abstracts to be featured virtually at Choosing Wisely Canada’s National Meeting, on May 25 and May 26, 2022.

Showcase your Choosing Wisely Canada initiatives and innovative approaches based on the following themes:

  • Quality Improvement/Implementation (e.g. interventions, health policy, interprofessional collaboration, deprescribing)
  • Measurement and Evaluation (e.g. administrative data, trends in low-value care, impact of intervention on low-value care)
  • Medical Education
  • Patient Engagement

Abstracts will be accepted in English and French. Relevant abstracts will be published in a digital abstract book and considered for online presentations in concurrent breakout sessions.

Important Dates:

  • Abstract submissions will be accepted until February 18, 2022 (extended from January 28, 2022).
  • Abstracts considered for online presentations will be notified by February 16, 2022.
  • National Meeting: May 25 & May 26, 2022.

Full details

When Every Drop Counts – Using Blood Wisely Designations

Southern Health-Santé Sud has been named the first health region in Canada to receive national Using Blood Wisely Designation. This signifies that each transfusing facility within Southern Health-Santé Sud has met or exceeded the national benchmark of appropriate red blood cell use in Canada.

As a vital and lifesaving resource, protecting Canada’s blood supply has never been more important due to the urgent care needs and constraints related to COVID-19. That’s why over 120 hospitals are participating in the Using Blood Wisely campaign, a national initiative to reduce inappropriate red blood cell transfusions. This campaign challenges hospitals to audit their inpatient red blood cell transfusions to see how they compare to national appropriateness benchmarks.

Southern Health-Santé Sud is a designated bilingual Regional Health Authority located in southern Manitoba, covering an area over 27 025 square kilometers wherein vibrant communities thrive including: 20 Rural Municipalities, 7 Municipalities, 4 cities, 4 towns, 1 village and 1 unorganized territory; 7 First Nation communities and many other cultures and communities including Métis, Hutterite, Francophone and Mennonite. They serve over 207 855 residents, the fastest growing population in Manitoba.

“These designations are an exciting achievement for all levels of health care, from leadership to front line staff,” says Dr. Charles Musuka, Medical Director, Transfusion Medicine, Shared Health. “We are so grateful for the hard work and dedication of all clinical and laboratory staff in Manitoba. This is a testament to their commitment to providing the best possible care for patients and best practices in Manitoba.”

With support from the Shared Health Transfusion Medicine Program, Best Blood Manitoba, and Choosing Wisely Manitoba, the hospitals and facilities within Southern Health-Santé Sud teamed up to implement the transfusion stewardship project – Appropriate Inpatient Red Blood Cell Utilization in Manitoba. This provincial clinical practice change implemented a new set of guidelines that optimizes laboratory and clinical processes to assess the appropriateness of each unit transfused in the inpatient setting.

Nurse educators, clinical educators, physicians, leaders and other staff from across Southern Health-Santé Sud also took part in a key step of the Appropriate Red Blood Cell Utilization project. Prior to the provincial roll out of the project, these individuals granted the Transfusion Stewardship team their time and expertise by joining in on a workshop to provide feedback on the guidelines. This additional support provided by the region was an influential aspect in the success of this important change for our province.

“The Southern Health-Santé Sud region has been an important partner in this project,” said Petr Kresta, Chief Operating Officer, Diagnostic Services, Shared Health. “Staff and clinicians from the region came together to provide important assistance to our Transfusion Medicine department by reviewing and testing changes to optimize this process for all of Manitoba. Being named the first region in Canada to receive the Using Blood Wisely designation is an exciting testament to their commitment to transfusion stewardship.”

When every drop counts, it takes a concerted effort to safeguard Canada’s blood supply. Choosing Wisely Canada and Canadian Blood Services would like to thank participating hospitals for their pursuit of best practices in transfusion medicine and collective efforts to deliver safe, quality, and appropriate care.

Facilitating Data Driven Quality Improvement Webinar

When Every Drop Counts – Using Blood Wisely Designations in Manitoba

Health Science Centre Winnipeg and Grace Hospital become first hospitals to receive national Using Blood Wisely Designation.

As a vital and lifesaving resource, protecting Canada’s blood supply has never been more important due to the urgent care needs and constraints related to COVID-19.

That’s why over 120 hospitals are participating in the Using Blood Wisely campaign, a national initiative to reduce inappropriate red blood cell transfusions. This campaign challenges hospitals to conduct a spot audit of recent red blood cell transfusion to see how they compare to national appropriateness benchmarks.

Only a few months following the official launch of the national campaign, two Manitoba Hospitals have achieved the Using Blood Wisely Designation. Health Sciences Centre (HSC) is the largest hospital in Manitoba and is the provincial tertiary care centre, serving patients from Manitoba, Northwestern Ontario and Nunavut. The Grace Hospital is a 251–bed facility that supports patients from all areas of Winnipeg and surrounding communities. Both hospitals are recognized for their significant achievements in meeting national appropriateness benchmarks for reducing inappropriate red blood cell transfusions.

“These designations are an exciting achievement for all levels of health care, from leadership to front line staff, says Dr. Charles Musuka, Medical Director, Transfusion Medicine, Shared Health. “We are so grateful for the hard work and dedication of all clinical and laboratory staff in Manitoba. This is a testament to their commitment to providing the best possible care for patients and best practices in Manitoba.”

HSC and Grace Hospital accelerated efforts with the campaign in response to anticipated blood shortages in the province. With support from the Shared Health Transfusion Medicine Program, Best Blood Manitoba, and Choosing Wisely Manitoba, the hospitals teamed up to implement their first transfusion stewardship project – Appropriate Inpatient Red Blood Cell Utilization in Manitoba. This provincial clinical practice change implemented a new set of guidelines that optimizes laboratory and clinical processes to assess the appropriateness of each unit transfused in the inpatient setting.

HSC and Grace Hospital are the first sites to achieve the designation in Canada, and more Manitoba hospitals are in the process of applying.

“We would like to congratulate all clinical and laboratory staff from Health Sciences Centre and Grace Hospital that made this a success. Their dedication and hard work have made these designations possible for Manitoba.” Petr Kresta, Chief Operating Officer, Diagnostic Services, Shared Health.

When every drop counts, it takes a concerted effort to safeguard Canada’s blood supply. Choosing Wisely Canada and Canadian Blood Services would like to thank participating hospitals for their pursuit of best practices in transfusion medicine and collective efforts to deliver safe, quality, and appropriate care.

New Choosing Wisely Manitoba Champions: The Transfusion Stewardship Team

In recognition of their excellent work towards implementing resource stewardship projects in Manitoba, the Transfusion Stewardship Team has been named Choosing Wisely Manitoba’s newest Champions.

Learn more about the team and their projects here.

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