AFJOG

African Journal of Obstetrics and Gynaecology | Volume 2 | Issue 3 | 2024 | 41 Pre-operative Intra-operative Post-operative MULTIDISCIPLINARY Blood services Laboratory Services Private funding entities Department of Health Clicnician societies Public National level Tertiary level Regional level District level Primary healthcare WHO IS RESPONSIBLE FOR IMPLEMENTING PBM? PBM principles and programmes are aimed at improving patient outcomes. As such, it remains the responsibility of all role- players in healthcare to contribute to the promotion and implementation of PBM in South Africa. This is a multidisciplinary, multimodal approach to patient care and involves a variety of role-players, situated at different levels of healthcare: HOW TO MONITOR A PBM PROGRAMME Successful PBM programmes look beyond the mere availability of guidelines, to having effective monitoring and feedback systems in place. The data to be monitored will depend on several factors: • Which plan/template are you implementing for your PBM programme, e.g. SABM (Society for the Advancement of Patient Blood Management) standards, WHO priorities for action or AABB (Association for the Advancement of Blood & Biotherapies) implementation plan? • What are the priorities in your specific setting? • Where are you in your implementation plan – initial stage or advanced stage? • What resources are available? • To what extent is data in your setting captured (and available) electronically vs manually? The quality of the data entered in your monitoring system (whether manual or electronic) will heavily impact on the success of your monitoring efforts. This principle should be communicated to all levels of stakeholders involved in your PBM programme. Feedback platforms/discussion groups form a crucial part of a PBM programme. Representatives of your blood-using departments, pharmacies, management, nursing services and supply chain should take part in this forum. Representation from your local blood services will also add value to your discussions, as they form part of the multidisciplinary team involved in PBM. Benchmarking against best practice should be ongoing and all discussions held and decisions taken should be effectively communicated to all levels of stakeholders in your setting. PATIENT BLOOD MANAGEMENT Optimise patient’s own red cell mass Constrol / minimise blood loss and bleeding Optimise and harness the patient’s physiological reserve / tolerance to anaemia Patient empowerment and participation