Patient Blood Management for Healthcare Services course 2022 October-December

A successful educational experience in transfusion medicine

1. Introduction 

Welcome to PBM!

Patient Blood Management (PBM) is a multidisciplinary, patient-focused approach to optimize transfusion management for quality and effective medical care. It covers aspects of patients’ assessment and clinical management regarding transfusion decision-making and includes appropriate recommendations to minimize blood loss and optimize patients’ erythrocyte mass. “Using PBM concepts improves patients’ outcome through the correct management of anemia, which reduces the inappropriate use of blood transfusions “- Luciana Carlos, Hematologist & Hemotherapist. The establishment of PBM is based on three key strategies: blood conservation, blood substitution, and blood elimination (Franchini et al., 2019). “The importance of these strategies is still unknown and little disseminated by health professionals and services worldwide and WHO emphasizes the urgent need to implement PBM” – Dr David Marino, Anesthesiologist. 


2. Ceará/Brazil – Hemoce and the pioneering in PBM

In the State of Ceará/Brazil, there have been actions aimed at the rational use of blood and its components for more than two decades. These actions have been carried out by the Center for Hematology and Hemotherapy in Ceará (Hemoce) and made it possible to develop a public policy endorsing Patient Blood Management, created by State Ordinance No. 2576/2017 from the Ceará Health Department. “Those practices are adopted in several hospitals with success, showing excellent results”, according to Dr. Denise Brunneta, Hematologist & Hemotherapist. 


3. Instituto Pro Hemo Saúde - IPH

Instituto Pró-Hemo Saúde (IPH) is a non-profit, philanthropic Civil Society Organization, founded in 2013, whose main objective is to support social actions in health, education and research notably in the areas of hematology and hemotherapy, as well as providing support to public blood centers in Brazil. “In this context, the IPH is a support institution of the National System of Blood and Derivatives – SINASAN, as defined by law nº10.205/2001 – Brazil's National Blood Law acknowledged by Evandro Castro de Silva, IPH executive director. IPH Educa, the educational segment of the institution, develops and conducts technical training for professionals from all Brazilian regions. “More than twelve thousand students and professionals have been trained in the areas of hematology and hemotherapy, through courses promoted by the institution”, said Felipe Mesquita, Biomedical scientist. 


4. Patient Blood Management for Healthcare Services

“PBM for Healthcare Services” course delivered as a 45 hours (PBM content 40h + Tutoring sessions and forum 5h). it is worth mentioning that all the video lessons were subtitled in English and Portuguese, in a virtual learning environment with multiple educational resources as videos, audios, printed files, and interactive media tasks (figure 1). It was designed to attend several  professionals, including nurses, physicians, biomedical scientists, laboratory scientists, laboratory technicians, and others. Its  main objective was to improve knowledge about strategies to implement good transfusion practices, in order to improve care and safety. “It was developed with evidence-based medicine and current international guidelines, with the participation of specialists and reference professors in transfusion area”, noted by Jannison Ribeiro, Biomedical Scientist. 

Figure 1.png

Figure 1. Internal environment of the platform with English subtitled lectures, and audio-visual materials, used during the PBM course for health services: PBM in three steps®, Turminha do Sangue do IPH® and Educa Sangue project ®


5. Number of participants and course progression

Figure 2.png

Participants’ progression in the educational PBM program.


We had 2,166 registrations in our platform, and we could observe a total of 74,607 views of the content. We had a significant level of participation, with a total of 1,104 individuals showing interest in the course and the high level of engagement and commitment towards the training.


5.1 Participants occupations


The largest occupation group among participants was Nurses (30.9%), followed by Biomedical Scientists (24.4%) and Physicians (21.7%). There was also representation of the Pharmacist occupation group (9.7%) and a small group of Physiotherapists (0.5%). “The representation from different groups also suggests that the information provided in the program is relevant and valuable across a broad range of healthcare fields” – Dr. Luany Mesquita, Hematologist & Hemotherapist.

Figure 3.png


5.2 Demographic aspects 

Another relevant fact is participants’ demographics.

We had 1010 Brazilian participants and thirty-five (35) participants from Other countries: six from South America, eight from Asia twelve from Europe and one from North America. The course reached all the states of the Brazilian federation which is a notable achievement considering the size of our territory and population. The three Brazilian states with most participants were Ceará (33.0%), Minas Gerais (11.7%) and São Paulo (9.3%), but we could observe interest in regions with educational difficulties in PBM.

“This makes this initiative extremely relevant to bring technical knowledge to professionals who work in these regions,” noted by Bárbara Simões, Nurse, Health Regulation and Surveillance in Hemotherapy and Transplants.


Figure 4.png


Table 1.jpg



5.3 Quality scores and feedback questionnaire

The feedback questionnaire results, shows that most course participants found the scientific content extremely helpful (86.3%) or very helpful (13.3%). This indicates that the course was successful in imparting knowledge and skills related to scientific content and that participants found the material valuable and relevant to their needs. 

6. Final considerations

Hemoce and IPH would like to thank ISBT for the chance to provide quality education, based on scientific evidence, which helped Brazilian health workers to better understand the concept and importance of PBM and transfusion medicine and we hope to continue this partnership in future projects. 

Follow the hashtag: #welovepbm! 


The Author of this report

Jannison Karlly Cavalcante Ribeiro

Jannison Karlly Cavalcante Ribeiro

YPC Latin America Representative, Technical Director & Coordinator, Pro Hemo Saúde Institute & Centro de Hematologia e Hemoterapia do Ceará - Hemoce