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SPECIAL REPORT :: TRANSFUSIONS


environment, human, machine, and task. Although this article focused on trauma patients, the strategies could be theoretically incorporated into any hospital’s MTP program with regularity, including guidance, evaluation, drills, and feedback.21


Conclusion


An MTP requires an all-hands-on-deck approach in the hospital blood bank as well as in the patient care areas. In interdepartmental approach is necessary to provide timely product delivery and immediate care for the patient to ensure the best chance at positive patient outcomes. Since all patients are unique, the science is not fully understood, and all hospitals do not have the same resources, diagnostic tools and equipment. Current research shows that it may not be feasible to have a fully standardized MTP throughout the U.S.24 In addition, little research has been performed to predict which patients may bleed, or measure patient outcomes after receiving a MTP. Although MTPs can be partially standardized in the blood bank with regard to the kinds and amounts of blood products used, it is clear that more research is needed to determine if a fully standardized transfusion approach for MTPs is feasible in this country, given that there are many uncontrollable, yet important, variables to consider.


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MLO-ONLINE.COM JULY 2019 59


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