Measure Abbreviation
TRAN-03-Peds
Measure Type
Process
Description

Percentage of pediatric surgical cases with a blood transfusion that have a hemoglobin or hematocrit value documented prior to transfusion.

Measure Time Period

Up to 36 hours prior to the first transfusion during the case

Inclusions

Patients  ≥ 6 months to 18 years of age who receive a transfusion of red blood cells intraoperatively

Exclusions
  • ASA 6
  • Patients < 6 months and ≥ 18 years of age
  • Cardiac Procedures
  • Obstetric Procedures
  • Massive Transfusion or blood loss: Defined as volume of 40mL/kg
  • Cases where the ‘Measure End Time’ precedes ‘Measure Start Time’ will be excluded and marked 'invalid'
Success

Documentation of hemoglobin and/or hematocrit within 90 minutes prior to each blood transfusion volume ≥ 15mL/kg

Other Measure Build Details
  • Documentation of a Hgb/Hct value must be present within 90 minutes before each transfused volume of 15mL/Kg.
  • Exceptions
    • If the Hgb/Hct was  < 8/24 within 36 hours of the first transfusion, 15mL/kg may be transfused without a lab check 
    • If the most recent hgb/hct drawn before the first transfusion is ≤ 5/16, a volume of ≤ 30mL/kg can be administered without a lab check
Responsible Provider

Provider(s) who administered blood product

MPOG Concept IDs Required

Blood Products

POC Lab Tests

Formal Labs

EBL

10489

Packed Red Blood Cells- Autologous

3415

POC-Blood gas-Hct measured

5005

Formal lab- Hemoglobin

10499

EBL

10490

Packed Red Blood Cells- Homologous

3435

POC- hematocrit spun

5006

Formal lab- Hematocrit

   

10492

Whole Blood- Homologous

3440

POC- Coulter counter- Hemoglobin

5038

Formal lab- Blood gas- Hct measured

   

10616

Packed Red Blood Cells- Unknown Type

3450

POC- Coulter counter- Hematocrit

5080

Formal lab- Blood gas- Hemoglobin

   

10617

Whole Blood- Unknown Type

5081

POC- Blood gas- Hemoglobin