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Anemia – Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses

​Given the broad range of potential causes of anemia - hemorrhage,Ìýclinical and system reviews should be conducted to identify potential causes and determine appropriate recommendations.

Occurrences of harm are often complex with many contributing factors. Organizations need to:

1. Measure and monitor the types and frequency of these occurrences.
2. Use appropriate analytical methods to understand the contributing factors.
3. Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
4. Have mechanisms in place to mitigate consequences of harm when it occurs.

To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources forÌýconducting chart auditsÌý²¹²Ô»åÌýanalysis methodsÌýare included in theÌýHospital Harm Improvement Resources Introduction.

If your review reveals that your cases of anemia - hemorrhage are linked to specific processes or procedures, you may find these resources helpful:

• American Society of Anesthesiologist.Ìý

• American Society of Anesthesiologists: Practice Guidelines for Perioperative Blood Management (2015).

• British Committee for Standards in Haematology.
• Canadian Medical Association - CPG Infobase: Clinical Practice Guidelines.
• Canadian Patient Safety Institute - Canadian Surgical Safety Checklist.
• European Society of Anesthesiology.ÌýÌý
• European Society of Anaesthesiology: Management of severe perioperative bleeding (2017).
• National Blood Authority- Australia.Ìý
• National Institute for Health and Care Excellence (NICE).
• Network for the Advancement of Patient Blood Management - Haemostasis and Thrombosis.
• Ontario Regional Blood Coordinating Network- Bloody Easy for Healthcare Professionals.
• Thrombosis Canada.Ìý
• The British Society for Haematology.Ìý
• World Health Organization - Safe Surgery.

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