SelectedWorks - Chester Andrzejewski MD

Contact

Selected Works of Chester Andrzejewski MD

Department of Pathology

Works
About

×

About Chester Andrzejewski MD

Present	Pathology Diagnostic Medicine Services, Baystate Health
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution

Medicine and Health Sciences

Can a Checklist Facilitate Recognition of a Transfusion-Associated Adverse Event by Prelicensure Nursing Students? (Chester Andrzejewski) All Scholarly Works (2023)

Background: Early identification of a transfusion-associated adverse event (TAAE) is key to patient safety. Research has indicated that use of a TAAE checklist resulted in greater frequency of TAAE recognition behaviors. Purpose: To explore whether ...

Standardized reporting of pulmonary transfusion complications: Development of a model reporting form and flowchart (Chester Andrzejewski) All Scholarly Works (2023)

Background: Pulmonary complications of blood transfusion, including transfusion-related acute lung injury (TRALI), transfusion-associated circulatory overload (TACO), and transfusion-associated dyspnea, are generally underdiagnosed and under-reported. The international TRALI and TACO definitions have recently been updated. Currently, ...

Unmasking delayed hemolytic transfusion reactions in patients with sickle-cell disease: Challenges and opportunities for improvement (Chester Andrzejewski) All Scholarly Works (2022)

Incorporating the entity of under-transfusion into hemovigilance monitoring: Documenting cases due to lack of inventory (Chester Andrzejewski) All Scholarly Works (2022)

Background: Under-transfusion is an underreported entity within most hospitals and hemovigilance systems. While critical blood shortages are being reported more frequently, without incident codes to document instances of under-transfusion due to lack of inventory, estimating ...

Apheresis medicine in the era of advanced telehealth technologies: An American Society for Apheresis position paper part II: Principles of apheresis medical practice in a 21st century electronic medical practice environment (Chester Andrzejewski) All Scholarly Works (2021)

A Comparison of Transfusion-Related Adverse Reactions Among Apheresis Platelets, Whole Blood-Derived Platelets, and Platelets Subjected to Pathogen Reduction Technology as Reported to the National Healthcare Safety Network Hemovigilance Module (Lynne O'Hearn and Chester Andrzejewski) All Scholarly Works (2021)

Despite advances in transfusion safety, concerns with safety of platelet transfusions remain including platelet-related sepsis and higher reaction rates observed among patients receiving apheresis platelets (APLTs). National Healthcare Safety Network (NHSN) Hemovigilance Module (HM) data ...

Apheresis medicine in the era of advanced telehealth technologies: An American Society for Apheresis position paper Part I: Understanding the basic technologies and apheresis medicine practice models (Chester Andrzejewski) All Scholarly Works (2020)

The wide spread availability and use of sophisticated high-speed telecommunication networks coupled with inexpensive and easily accessible computing capacity have catalyzed the creation of new tools and strategies for healthcare delivery. Such tools and strategies ...

Use of a Transfusion Checklist by Student Nurses to Improve Patient Safety (Chester Andrzejewski) All Scholarly Works (2019)

Better education around the recognition of transfusion-associated adverse events is warranted. It is unknown if checklist use improves recognition by student nurses. This study examined whether using a checklist could improve transfusion-associated adverse event recognition ...

Revised international surveillance case definition of transfusion-associated circulatory overload: a classification agreement validation study (Chester Andrzejewski) All Scholarly Works (2019)

BACKGROUND: Transfusion-associated circulatory overload (TACO) is a major cause of transfusion-related morbidity and mortality in countries with well developed transfusion services. The International Society of Blood Transfusion, the International Haemovigilance Network, and AABB (formerly American ...

Enhancing hemotherapy safety through pertinent diagnostic testing and electronic "provisional diagnosis" reporting: expanding roles for blood bank technologists in biovigilance and patient safety (Chester Andrzejewski, Lynne O'Hearn, Joan Rock, et al.) All Scholarly Works (2018)

BACKGROUND: Suspected transfusion reaction (STR) investigations are foundational for biovigilance. Diagnostic evaluations performed by blood banks may prolong turnaround times (TATs) for final STR results reporting. We identified a quality improvement opportunity using diagnostic testing ...

Identification of Transfusion-Associated Circulatory Overload: An Eye-Tracking Study (Chester Andrzejewski) All Scholarly Works (2017)

Background The identification of transfusion-associated circulatory overload (TACO) relies heavily on the nurse's surveillance activities. Eye tracking can provide important information about nurses' surveillance behaviors as they carry out the blood transfusion process. The purpose ...

Blood Management Strategies to Reduce Transfusions After Elective Lower-Extremity Joint Arthroplasty Surgeries: One Tertiary Care Hospital's Early Experience With an Alternative Payment Model-a Total Joint "Bundle". (Ankit Kansagra, Chester Andrzejewski, Robert Krushell, et al.) All Scholarly Works (2017)

Blood loss associated with lower-extremity total joint arthroplasty (TJA) often results in anemia and the need for red blood cell transfusions (RBCTs). This article reports on a quality improvement initiative aimed at improving blood management ...

Transfusion-Associated Circulatory Overload: Evidence-Based Strategies to Prevent, Identify, and Manage a Serious Adverse Event (Elizabeth Henneman, Chester Andrzejewski, Thomas Panaccione, et al.) All Scholarly Works (2017)

Transfusion-associated circulatory overload (TACO) is a potentially life-threatening complication of blood transfusion and is associated with increased morbidity, length of stay (hospital and intensive care unit), and hospital costs. Bedside nurses play a key role ...

Apheresis Medicine education in the United States of America: State of the discipline (Darlene Cloutier and Chester Andrzejewski) All Scholarly Works (2017)

Apheresis Medicine is a medical discipline that involves a variety of procedures (based on the targeted component to be removed or collected), indications (therapeutic vs. donation), and personnel (operators, management, and medical oversight). Apheresis services ...

Hemovigilance in Massachusetts and the adoption of statewide hospital blood bank reporting using the National Healthcare Safety Network (Lynne O'Hearn and Chester Andrzejewski) All Scholarly Works (2017)

A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for ...

Role of therapeutic apheresis in infectious and inflammatory diseases: Current knowledge and unanswered questions (Chester Andrzejewski) All Scholarly Works (2015)

Apheresis can remove pathogens and mediators that contribute to pathogenic inflammatory responses in diseases not generally considered to be "Hematologic." Erythrocytapheresis can remove intracellular pathogens such as Babesiosis. Plasmapheresis can remove mediators of the inflammatory ...

How we view and approach transfusion-associated circulatory overload: pathogenesis, diagnosis, management, mitigation, and prevention (Chester Andrzejewski) All Scholarly Works (2013)

Therapeutic targeting of NOTCH signaling ameliorates immune-mediated bone marrow failure of aplastic anemia (Chester Andrzejewski) All Scholarly Works (2013)

Severe aplastic anemia (AA) is a bone marrow (BM) failure (BMF) disease frequently caused by aberrant immune destruction of blood progenitors. Although a Th1-mediated pathology is well described for AA, molecular mechanisms driving disease progression ...

Tackling TACO: Naming it, claiming it, and taming it? (Chester Andrzejewski) All Scholarly Works (2013)

Tackling TACO: Naming it, claiming it, and taming it? (Chester Andrzejewski) All Scholarly Works (2013)

Tackling TACO: Naming it, claiming it, and taming it? (Chester Andrzejewski) All Scholarly Works (2013)

American Society for Apheresis white paper: considerations for medical staff apheresis medicine physician credentialing and privileging. (Chester Andrzejewski) All Scholarly Works (2012)

INTRODUCTION: Physician supervision of apheresis contributes to safe and high-quality patient care. Literature is limited regarding the requirements for hospital privileges of physicians providing apheresis services. This report provides recommendations from the American Society for ...

Jay Steingrub MD

Jay Steingrub MD