Evidence map›Paper›PMID 40000019›Full record

ArticleVox sanguinis2025

A maximum surgical blood ordering schedule: Does it add value?

Deborah L Benzil, Moises Auron, Zaher K Otrock, Daniel Lallo, Noreen Flowers, Kenneth Cummings, NurJehan Quraishy, Deborah Tolich

Abstract readMulticenter Study
In one paragraph

Article in Vox sanguinis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Deborah L BenzilDepartment of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Moises AuronDepartment of Hospital Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0001-6398-6047
Zaher K OtrockTransfusion Medicine, Division of Laboratory Medicine, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Daniel LalloDepartment of Laboratory Medicine, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Noreen FlowersOR Operations, Cleveland Clinic, Cleveland, Ohio, USA.
Kenneth CummingsCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
NurJehan QuraishyUniversity of Toledo Medical Center, Cleveland, Ohio, USA.
Deborah TolichDepartment of Laboratory Medicine, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0001-6438-4347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesImplementing and complying with a maximum surgical blood ordering schedule (MSBOS) is challenging but essential to avoid waste and reduce costs. MSBOS helps manage blood product scarcity and healthcare expenditure by avoiding unnecessary pre-transfusion testing and preparation, reducing product waste and improving clinical and operational efficiencies while maintaining patient safety. MATERIALS AND

methodsA multi-hospital health system in Ohio and Florida performing more than 200,000 surgeries annually implemented MSBOS through a risk-stratified protocol and electronic medical record automation.

resultsThe first-year analysis included 107,149 cases in 23 surgical specialties and 18 hospitals. Compliance with MSBOS improved over time, reducing type and screen tests by 4166 and saving $223,839 in costs. No patient safety issues were identified.

conclusionThis project demonstrates that adopting MSBOS in a large health system adds value by reducing unnecessary testing and costs while maintaining patient safety.

Indexed as

Blood TransfusionSurgical Procedures, OperativeHumanscost savingshigh‐value careMSBOS (maximum surgical blood ordering system)patient safetytype and screen

Identifiers

PMID40000019
PMCPMC12017947

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.