ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2026
Efficient blood testing in endourology A transfusion dashboard initiative to minimize unnecessary type and screen tests.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The trial behind it
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Who cites it
1 citing paper in PubMed.
- Streamlining preoperative testing in endourology.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionType and screen testing (T&S) is routinely performed preoperatively for many endoscopic procedures, despite low transfusion rates. While important, T&S can be costly, unnecessary, and burdensome for patients to obtain in a short timeframe due to expiry. We aimed to assess and reduce unnecessary T&S in a safe and collaborative manner through a transfusion dashboard. We assessed the effect of reduced testing on patient safety, cost, and the environment.
methodsThis quality improvement study used the transfusion dashboard, a web-based, institutional platform tracking blood transfusion trends. During the observation phase (2016- 2019), procedure-specific preoperative T&S recommendations were developed. Following implementation of these recommendations in 2020, the incidence of T&S, perioperative transfusion rates, and rescue transfusion rates were assessed pre- and post-intervention using the Chi-squared test. Cost and environmental savings were also evaluated.
resultsFrom 2016-2023, outcomes were tracked for 4375 pre-initiative and 2488 post-initiative patients who underwent endoscopic procedures. We found a statistically significant decrease in T&S following initiative implementation for transurethral resection of the prostate (TURP), percutaneous nephrolithotomy (PCNL), holmium enucleation of the prostate (HoLEP), and transurethral resection of bladder tumor (TURBT) by as much as 51.2%. There was no change in uncrossed or overall blood transfusions. Since the implementation of the initiative, $45 362.81 in testing materials were saved, and an associated reduction of 697 kg CO
conclusionsInstitutional- and procedure-specific testing guidelines decreased unnecessary tests, leading to improved resource stewardship, reduced cost, improved patient experience, and environmental savings. Initial modest cost savings and care improvements may be amplified safely in larger organizations and across more procedures.
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Registered trials
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