Measure Abbreviation
TRAN-04-Peds
Measure Type
Outcome
Description

Percentage of pediatric surgical cases with a post transfusion hemoglobin or hematocrit value greater than or equal to 10 g/dL or 30%

Measure Time Period

90 minutes before the last intraoperative transfusion to 18 hours after Anesthesia End

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

Hematocrit value documented ≤ 30% and/or hemoglobin value documented ≤ 10 g/dL

Other Measure Build Details
  • All hemoglobin/hematocrit lab values drawn after the last transfusion and within 18 hours after anesthesia end will be evaluated. If the lowest of these values is ≤10g/dL or ≤30%, the case will pass.
  • If no Hgb/Hct checked within 18 hours after Anesthesia End time, the case will fail
  • If the hemoglobin or hematocrit at the time of the last transfusion (within 90 minutes before) is less than or equal to 8/24, the case will pass.
Responsible Provider

Provider(s) who administered blood product

Threshold
10%
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

 

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

       

10618

Categorized Note - Blood Products