Safe And Effective Implementation Of A Red Blood Cell (Rbc) Transfusion Hemoglobin (Hb) Threshold Of 7 G/Dl On An Inpatient Stem Cell Transplant Unit: A Single Institution Experience

Introduction: Patient Blood Management (PBM) is an evidence-based, multidisciplinary approach designed to avoid unnecessary transfusions, optimize hemostasis, and minimize blood loss to improve patient outcomes. Our Blood and Marrow Transplant (BMT) program, in collaboration with our PBM program, changed the Hb guidelines for RBC transfusions to 7g/dL in the fall of 2015 for all patients without acute bleeding or cardiac history on our inpatient transplant floor. This study aimed to assess the compliance with the guideline and the impact of the change on allogeneic patient outcomes (readmission within 30 days and mortality).