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Computer-critiqued blood ordering using the HELP system.

R M Gardner1, O K Golubjatnikov, R M Laub

  • 1LDS Hospital, Salt Lake City, Utah.

Computers and Biomedical Research, an International Journal
|December 1, 1990
PubMed
Summary
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A computerized system at LDS Hospital improved blood product ordering by providing "on-line" critiques. This enhanced safe blood use and resource management, with most orders meeting physician-approved criteria.

Area of Science:

  • Medical Informatics
  • Healthcare Quality Improvement

Background:

  • The medical risks associated with blood transfusions necessitate enhanced safety protocols.
  • Effective management of scarce blood products is crucial in healthcare settings.

Purpose of the Study:

  • To detail the computer methods used for ordering blood products and critiquing their appropriateness.
  • To evaluate the effectiveness of a computerized system in improving the safe use of blood products.

Main Methods:

  • Implementation of the HELP computer system for "on-line" order entry and critique by physicians and nurses.
  • Physician and nurse order entry with justification via physician-approved criteria linked to clinical and laboratory data.
  • Verification of orders by the computer system and Quality Assurance nurses.

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Main Results:

  • During the fourth quarter of 1989, 3396 blood orders for 1043 patients were analyzed.
  • The computer system verified that 82% of blood orders met established criteria.
  • After comprehensive review, only 0.24% of orders were identified as true exceptions, indicating high appropriateness.

Conclusions:

  • Physicians and nurses have accepted the computerized critiquing system.
  • The system provides real-time "on-line" critiquing, significantly improving the appropriate use of blood products.
  • Computerized systems can enhance the safe and efficient utilization of vital blood resources.