Clinical Transfusion


promote good clinical transfusion practice globally through education, audits and scientific studies

Clinical transfusion comprises all clinical aspects of blood transfusion and promotes safe practice and appropriate use of blood (components). This includes both the risks and benefits of transfusion as well as close monitoring of patients. Patients should only be transfused when there is evidence for potential benefit. Occasionally, transfusion alternatives might be considered. In order to optimize patient care in need for blood transfusion, it is crucial to follow an evidence-based, multidisciplinary approach. Patient Blood Management (PBM) comprises patient evaluation and clinical management surrounding this decision-making process. This includes application of appropriate indications, minimization of blood loss and optimization of patient red cells. PBM can reduce allogeneic blood transfusions and health-care costs, while ensuring that blood components are available for patients.




We develop educational tools in clinical transfusion medicine both for clinicians and transfusion specialists, medical and non-medical. We support ISBT's library of evidence-based guidelines, audits and perform benchmarks. We also exchange knowledge with other transfusion specialists for optimizing clinical transfusion practice.

We have the following subgroups:

  • 'Transfusion Indication Codes' (TIC, chaired by Jonathan Wallis) develops practical definitions that enable quantitative and comparative studies and audits between hospitals, regions and countries.
  • Patient Blood Management (PBM, chaired by Shubha Allard and Cynthia So-Osman) provides tools for PBM implementation, eLearning, and performing global benchmark surveys.
  • 'Transfusion Practitioners' (TP, chaired by Linley Bielby and  Rachel Moss) provide a forum for transfusion practitioners to connect and share knowledge. The Transfusion Practitioners also have their own online discussion forum. If you are interested in joining the forum, please search for 'Transfusion Practitioners' on LinkedIn for more information.

Our Chairpersons are Shubha Allard and Cynthia So-Osman.




We meet at ISBT congresses and organize annual interim business meetings (located in Amsterdam) and teleconferences within the subgroups (2-3 times per year).

Joining the WP

ISBT members who are interested in clinical transfusion can join this WP only if they have demonstrated an interest in clinical transfusion medicine.

To join the WP of Clinical Transfusion, please email one of our Chairpersons here or here.



Transfusion Practitioners in Dubai



Some of the content is only accessible for ISBT-members.
To join us, click here.

Online course

The Graduate Certificate in Transfusion Practice is an online course administered by The University of Melbourne School of Nursing and coordinated by Melbourne Consulting and Custom Programmes. The course is delivered under the auspice of the Blood Matters Program, Victoria, a collaboration between the Australian Red Cross Blood Service and The Department of Health. The course is currently offered part-time (2 subjects per semester).

It consists of four subjects:

Semester 1

  • Fundamentals in Transfusion Practice
  • Quality within Transfusion Practice

Semester 2

  • Advanced Concepts in Transfusion Practice
  • Transfusion Specialty Practice (Clinical Practice Portfolio)

Upon successful completion the student will obtain a Post Graduate Certificate in Transfusion Practice from Melbourne University.

For more information click here. Or click here to access the flyer.

Patient Blood Management - a great Resource

A project group from our Clincial Transfusion WP has developed a website resource around key aspects of Patient Blood Management (PBM) which is available on the ISBT website. PBM is an international initiative promoting an evidence-based, multidisciplinary approach at optimising the care of patients who might need transfusion. The key principles entail the appropriate use of blood and blood components only when indicated with the timely use of alternatives where appropriate and available. Various PBM topics will be covered and various training materials are included with links to support implementation.

Chapters 1-5 are freely accessible, login to access the complete resource.



Patient Blood Management (PBM) is an evidence-based, multidisciplinary approach aimed at optimising the care of patients who might need transfusion. It puts the patient at the heart of decisions made around blood transfusion, promoting appropriate use of blood and blood components and the timely use of alternatives where available. PBM represents an international initiative in best practice for transfusion medicine. The Clinical Transfusion Working Party have put together this resource to help support the wider implementation of PBM. It represents experience from a number of countries and contains 20 chapters on various aspects of PBM.


Please click on the hyperlinks below to access the chapters.

1. Potential benefits to patients and the healthcare system  

2. Establishing and implementing a PBM strategy 

3. Pre-operative optimisation of haemoglobin

4. Cell salvage - coming soon

5. Tranexamic acid

6. Reversal oral anticoagulation

7. Red cell transfusion triggers

8. Single unit Transfusion

9. Platelet Transfusion

10. PBM in laboratory testing, near patient testing 

11. Obstetric anaemia 

12. Neonatal red blood cell transfusion

13. Major haemorrhage - coming soon

14. The Role of the Transfusion Practitioner 

15. The Role of Transfusion Committees

16. Patient information and involvement in PBM - coming soon

17. Use of IT to support PBM 

18. Audit

19. Educational strategies for healthcare professionals - coming soon

20. Glossary


Cynthia So-Osman

Cynthia So-Osman


Sanquin Blood Supply
Leiden, the Netherlands

Shubha Allard

Shubha Allard


Barts Health
NHS Blood & Transplant
London, UK