Ryan A. Metcalf, MD, CQA(ASQ)

Inpatient Chief Value Officer, Department of Pathology,
University of Utah Health and ARUP Laboratories
Professor (Clinical), University of Utah School of Medicine

Specialties

• Transfusion medicine
• Clinical pathology

Education

• Medical Degree—University of California Davis School of Medicine
• Residency—Anatomic and Clinical Pathology, Stanford University School of Medicine
• Fellowship—Pathology, Stanford University School of Medicine
• Fellowship—Transfusion Medicine, Stanford University School of Medicine

Certification/Affiliations

• American Board of Pathology (Blood Bank/Transfusion Medicine, Anatomic and Clinical Pathology)

Research Interests

• Data-driven clinical transfusion medicine
• Innovation and data visualization of patient blood management practice performance
• Artificial intelligence in medicine
• Patient blood management
• Quality management
• Risk quantitation of transfusion-related adverse events

Awards

• The William Roberts Award for Excellence in Laboratory Medicine, 2023, Department of Pathology, University of Utah
• Outstanding Teaching Award in Clinical Pathology, 2020, Department of Pathology, University of Utah

Recent Publications

• Metcalf RA, Mo A, White SK, et al. Monitoring and feedback using data in transfusion medicine: a study of practices from the BEST Collaborative. Transfusion. Published online Jun 2026.
• Hess AS, White SK, Crowe EP, et al. The clinical use of cryoprecipitate and fibrinogen concentrate: a scoping review. Transfusion. Published online May 2026.
• Metcalf RA, Dhiman P, Stanworth SJ. Personalized platelet transfusion predictions for neonates. JAMA. 2025;334(14):1240-1242.
• Pagano MB, Stanworth SJ, Dennis J, et al. Red cell transfusion in acute myocardial infarction: AABB International clinical practice guidelines. Ann Intern Med. 2025;178(10):1469-1477.
• Crowe EP, Andrews J, Chou ST, et al. Current advances 2024: a critical review of selected topics by the Association for the Advancement of Blood and Biotherapies (AABB) Clinical Transfusion Medicine Committee. Transfusion. 2025;65(9):1728-1737.
• Metcalf RA, Nahirniak S, Guyatt G, et al. Platelet transfusion: 2025 AABB and ICTMG international clinical practice guidelines. JAMA. 2025;334(7):606-617.
• White SK, Walker BS, Potter S, et al. Estimating the incidence of transfusion-associated circulatory overload using active surveillance: a systematic review and meta-analysis. Transfusion. 2025;65(6):1061-1071.
• Metcalf RA, Lin H, Wilburn J, et al. An innovative data visualization tool for patient blood management. Transfusion. 2024;64(8):1590-1591.
• Carson JL, Stanworth SJ, Guyatt G, et al. Red blood cell transfusion: 2023 AABB International guidelines. JAMA. 2023;330(19):1892-1902.
• Estcourt LJ, Cohn CS, Pagano MB, et al. Clinical practice guidelines from the Association for the Advancement of Blood and Biotherapies (AABB): COVID-19 convalescent plasma. Ann Intern Med. 2022;175(9):1310-1321.
• Wang Z, Zhe S, Zimmerman J, et al. Development and validation of a machine learning method to predict intraoperative red blood cell transfusions in cardiothoracic surgery. Sci Rep. 2022;12(1):1355.
• Lin H, Metcalf RA, Wilburn J, et al. Sanguine: visual analysis for patient blood management. Inf Visualization. 2021;20(2-3):123-137.
• Walker BS, Schmidt RL, Fisher MA, et al. The comparative safety of bacterial risk control strategies for platelet components: a simulation study. Transfusion. 2020;60(8):1723-1731.