Flexibility in a Crisis: How Strong Relational Coordination and Lean Literacy Helped Us Weather the COVID Storm.

Our city was significantly impacted by the initial COVID-19 outbreak in the United States. We describe how members of our Quality and Safety team were able to leverage skills in relational coordination and process improvement to respond to rapidly changing needs in a flexible and effective way.

Red blood cell use outside the operating theater: a prospective observational study with modeling of potential blood conservation during severe blood shortages.

Background: National guidance recommends planning for future blood shortages, but few studies have evaluated how reduced demand could be achieved acutely.

Study Design And Methods: A trained observer collected data concerning red blood cell (RBC) transfusion events outside the operating theater during 68 hours of blood bank monitoring over 7 weeks. Data were gathered at the patients' bedside from clinical staff and charts.