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Blood Management

The Department of Hospital Medicine at Cleveland Clinic has been an important contributor to the institution's Blood Management Program.

This program has been nationally recognized by the Joint Commission as well as the Society of Hospital Medicine.

Several current members of the Department of Hospital Medicine belong to Cleveland Clinic Transfusion Task Force, which oversees the pre-surgical optimization of anemic patients undergoing, primarily orthopaedic, colorectal and gynecologic surgeries.

This optimization consists of the evaluation of the cause of anemia, through identifying hematinic deficiencies with subsequent preoperative replacement to provide substrate for hematopoiesis. These efforts in addition to a conservative transfusional approach have resulted in a substantial decrease in intraoperative and postoperative allogeneic blood transfusions with improvement in patients outcomes.

In addition, the hospitalists of Cleveland Clinic Transfusional Task Force are current leaders in national and international education in preoperative anemia optimization and parsimonious blood utilization.