Blood-product stewardship.

Reducing avoidable waste through data visibility, inventory redesign, supplier coordination, and governance.

Conceptual downward trend in waste cost associated with visibility, inventory design, shared ownership and review. No quantitative data or causal effect sizes are plotted.
Less waste through coordinated change. Illustrative trend, not measured data. The reported historical costs and their qualifications appear below.
Project status

Implemented clinical systems improvement

My role

Medical Director of Transfusion Services; Transfusion Committee co-chair; Blood Pillar lead

The operational problem

Blood-product waste was concentrated in short-shelf-life, high-cost platelets. Low-use satellite stocking and fragile manual expiration and ordering workflows contributed to outdating.

A coordinated intervention

I built the initial waste tracker and used data and workflow analysis to make losses visible at the level needed for action. The work brought clinical, laboratory, and operational stakeholders together around inventory levels, product rotation, expiration monitoring, and near-expiry use.

Supplier optimization, education, low-dose platelet analysis, and a cold-stored platelet strategy were supporting elements of the broader stewardship effort.

Reported financial impact

PeriodAll-product waste
FY22Approximately $720,000
FY23$547,000
FY24, annualized from partial-year dataBelow $300,000

Historical figures reported in my clinical-systems portfolio. FY24 is an annualized estimate from available partial-year institutional data; the final full-year value was unavailable after my transition to a new role. These are waste costs, not a claim of independently attributable savings.

The systems lesson

The improvement depended on a coordinated operating model. Data visibility made it possible to govern a high-cost, short-shelf-life product, assign responsibility, and sustain changes in daily work.

The underlying philosophy

From clinical need to institutional action.

These projects connect clinical expertise, usable systems, and accountable decisions—the same concerns that shape my approach to clinical informatics.