Authors (including presenting author) :
Kong SY (1), Lee CK (1) and Wong LGM (2)
Affiliation :
1. Hong Kong Red Cross Blood Transfusion Service
2. Quality & Safety Division, Hospital Authority Head Office On behalf of Patient Blood Management Steering Committee, Hospital Authority
Keyword 1: :
Patient Blood Management
Keyword 2: :
Clinical Indicators
Keyword 3: :
Key Performance Indicators
Introduction :
Patient Blood Management (PBM) is now a standard of care in healthcare system. World Health Organization recognizes the importance of PBM and issue Implementation Guidance to its members states in 2025. However, awareness among frontline healthcare workers and hospital administrators remains variable. Hospital Authority rolled out PBM initiatives for the city since 2018 with four strategic directions – 1) Good clinical management; 2) Transfusion Best Practice; 3) Awareness; and 4) Establishment of performance indicators. To assist frontline healthcare workers and hospital administrators, clinical indicators and key performance indicators are developed for monitoring the progress.
Objectives :
To review the present PBM progress in a public healthcare system in a densely populated city with more than 7.5 millions people
Methodology :
Retrospective data retrieval from Hospital Authority data warehouse was done for the period from 1 January 2020 to 31 December 2025.
Result & Outcome :
Since 2018, a number of indicators have been developed and made readily available for both frontline healthcare workers and hospital administrators to monitor the PBM progress. These include anaemia rate on admission, transfusion rate, Hb threshold for transfusion, and single unit red cell transfusion rate. With availability of intravenous and fibrinogen concentrates within Hospital Authority, their utilization was obtained. For the period from 2020 to 2025, anaemia rate upon admission remains almost static at 39.1%. However, red cells transfusion rate per 1000 patients were reduced by 18.1% (from 101.9 to 83.4 per 1000 patients) with a corresponding increase in single unit red cell transfusion from an average of 45.5% in 2020 to 64.9% in 2025. At the same time, number of patients received 1) intravenous iron increased by 56.3%, ii) fibrinogen concentrates by 245.8% and prothrombin complex concentrates by 125.8% Despite progresses made with encouraging results, there are still rooms for ongoing improvement and optimization. While analysis of patient-outcome-related parameters are needed by clinical teams and hospital administrators, special attention should also be made to address the high anaemia rate on admission with early anaemia detection and prompt management.
