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Background Patient blood management (PBM) is one of the top patient safety initiatives of the decade. A community hospital, administering over 5000 transfusion a year, evaluated their transfusion practices against a national PBM data set. High-performing comparable hospitals are delivering 64–80% of their transfusions one unit at a time. Maryview Medical had an initial performance rate of 36%. Single unit transfusions (SUT) in non-hemorrhaging patients is a practice that decreases patient exposures, improves patient outcomes, and reduces hospital costs. Objectives Maryview aimed to improve single-unit transfusion rate while decreasing hospital costs. Methods Hospital Champions partnered with a team of PBM experts to implement a comprehensive and multidisciplinary program. Infrastructure was established and the evidence was reviewed. Validated PBM analytics were used to demonstrate organization, specialty, and physician level performance. The performance metrics guided the team toward patient service lines that had high opportunity to improve transfusion practices. A sense of urgency was created through a hospital wide awareness campaign. Physician champions used the Focus, Feedback and Fix model to begin accountable conversations. Nursing used clinical inquiry to advocate for patient centered ordering practices and the clinical team partnered with the blood bank staff to collaborate on driving out unnecessary transfusions. Results SUT practice improved from 36% to 74% over 12 months, with Emergency Medicine and Hospitalist having the greatest improvement. Additionally, monthly red cell utilization was reduced by 53% resulting in a significant decrease in hospital blood product spend. Conclusions Creating urgency, delivering performance feedback, and collaborating across services improves patient safety while decreasing costs.Abstract IHI ID 21 Figure 1Abstract IHI ID 21 Figure 2Abstract IHI ID 21 Figure 3Abstract IHI ID 21 Figure 4 Maryview monthly RBC utilization

IHI ID 21 A comprehensive PBM program emphasizes focused feedback to improve patient safety and decrease costs