The purpose of this study is to create and validate a computable phenotype for patient cohorts at risk for unnecessary transfusion and to deploy and evaluate the implementation of computerized decision support tools designed to enhance compliance with blood transfusion guidelines for PICU patients. Development of the computable phenotype and implementation/evaluation of the CCDS tools are intended to address gaps in knowledge and develop the research tools necessary for the design and execution of a future implementation trial.
The study has two aims.
Aim 1: To create and validate a computable phenotype for a dynamic cohort of PICU patients at risk for unnecessary transfusion, including children eligible for threshold-based and/or clinical judgment-based CCDS tools.
Aim 2: Deploy and assess implementation of Computerized Clinical Decision Support (CCDS) tools as one component of the transfusion implementation bundle.
