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ASSUNÇÃO, M. F. Evaluation of the institutional impact of the implementation of a program of Patient Blood Management (PBM), the development of an educational project and review of the related literature. 2018. 115p. Dissertation (Master of Science) Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, 2018. For many doctors of various specialties, transfusion is considered the first line in the approach to patients with anemia and blood loss, despite the currently recognized risks. Patient Blood Management is a way of approaching transfusions based on multimodal and multidisciplinary knowledge, whose main objective is the transfusion of blood components based on the needs of individual patients. This procedure reduces the use of allogeneic blood components in situations where there are safer alternatives and cost-effective solutions. In this study, we analyzed indicators of the effectiveness of the implementation of a Patient Blood Management program, based on the pillars established in the literature, particularly in the first and third pillars, which depend on a direct involvement of the physicians for their implementation. The use of a new protocol took place after an internal disclosure, a number of lectures and a training procedure for both residents and other members of the medical staff. The results of the study showed that the adoption of a new protocol, based on the concepts of Patient Blood Management, did not contribute to the effective change of practices. Some indicators pointed to a worsening of the practices after its adoption. A bibliographic review was also carried out on the topic and an educational program was developed for students, nurse students and professionals who are not familiar with the topic.

Avaliação do impacto institucional da implantação de um programa de Patient Blood Management (PBM), construção de um projeto educacional e revisão da literatura