Why you should read this article:

•

To enhance your understanding of the principles of patient blood management

•

To recognise the factors that can influence transfusion decisions and enhance patient safety

•

To understand the role of the nurse in transfusion decisions, managing anaemia, and supporting patients to be involved in their treatment and care

Patient blood management has been defined as a patient-focused and evidence-based approach to optimising the management of patients during the transfusion of blood components. This article explores the complex factors that can influence clinical decisions and enhance patient safety in the administration of blood components, particularly red blood cell transfusions in patients with anaemia. The article also explores the nurse’s role in acting as a patient advocate and considering alternatives to the use of blood components. While this article focuses on anaemia-related transfusions, the author relates the principles of patient blood management to all transfusion care.