Safety, quality & education

Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records

Anesth AnalgPublished Retrospective observational study

Authors' conclusion

Variation exists in the transfusion management experience among trainees at a single academic center.

Study context

Population
Anesthesiology residency graduates, University of Michigan cases in the Multicenter Perioperative Outcomes Group (MPOG) registry, January 1, 2012, to December 31, 2022
Participants
231 participants · 8 graduating cohorts
Outcome
Participation in intraoperative transfusion management (transfusion of any volume of homologous pRBC documented in the intraoperative anesthesia record)
Follow-up
Over the entire course of residency training
Methodological detailssingle-centre, electronic health record (EHR) data (MPOG registry)
  • Single-centre
  • EHR data (MPOG registry)

Main finding

As reported in the abstract

Cases with intraoperative pRBC transfusion per resident

Cases with intraoperative packed red blood cells (pRBC) transfusion per resident, mean (SD 8; range 16 to 60)

37

Cases including intraoperative pRBC transfusion, of 222,006

8529

4%

Observational data: associations, not effects.

Further findings

Participation in severe hemorrhage resuscitation (≥4 pRBCs) (subgroup)

Mean cases per resident (SD 3; range 2-22)
10

Participation in non-pRBC transfusion

Mean cases per resident (SD 3; range 1-14)
7

Participation in cell salvaged blood transfusion

Mean cases per resident (SD 4; range 3-26)
13

Surgical services accounting for transfusion management experiences

Five of 19 services (cardiac, transplant, vascular, neurosurgery, orthopedic) accounted for the majority
5668; 66%

Original publication

Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records. Anesth Analg. Published 27 March 2025. doi:10.1213/ane.0000000000007477

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.