The Nurse's Role in Achieving Optimal Perioperative Outcomes Through Patient Blood Management: A Clinical Review

AORN J. 2025 Sep;122(3):153-162. doi: 10.1002/aorn.14397.

Abstract

This article provides a comprehensive discussion about how perioperative nurses can contribute to achieving the best perioperative outcomes through patient blood management (PBM). Patient blood management is a multidisciplinary, patient-centered approach to managing and preserving a patient's own blood and includes anemia management, coagulation optimization, and blood loss minimization to improve outcomes. This interdisciplinary strategy is endorsed by the World Health Organization and is particularly applicable to surgical settings. Their 2021 policy brief highlights the urgent need for PBM because of its effect on patient safety and health. Nurses play an influential role in implementing PBM by providing patient and clinician education; performing preoperative, intraoperative, and postoperative risk assessments and monitoring; and implementing general blood conservation strategies. With a comprehensive understanding of PBM and active involvement in the implementation of PBM strategies, nurses can promote positive clinical outcomes, reduce complications, and enhance patient recovery.

Keywords: anemia; blood conservation; coagulation optimization; nursing interventions; patient blood management.

Publication types

  • Review

MeSH terms

  • Humans
  • Nurse's Role*
  • Perioperative Care* / methods
  • Perioperative Care* / standards
  • Perioperative Nursing* / methods