在大规模输血中标准化替代:质量改进项目
Marisa L Laing1, Kimberly Burtch, Angie Storrer
1Department of Trauma, The University of Kansas Health System, Kansas City (Drs Laing and McCoy); and Department of Nursing, Wichita State University, Wichita, Kansas (Drs Laing and Burtch and Ms Storrer).
概括
在大规模输血方案中实施标准化替代剂显著增加了创伤患者的施加率. 这解决了低血症,并改善了严重受伤的个体的凝血病管理.
科学领域:
- 创伤护理 创伤护理
- 关键护理医学 关键护理医学
- 生物化学 生物化学
背景情况:
- 低血症是遭受大规模输血的创伤患者经常出现的并发症.
- 它会加剧凝血病变,增加发病率和死亡率.
- 尽管有建议,标准化替代方案仍未得到充分利用.
研究的目的:
- 为了评估修订后的大规模输血协议对剂量给药率的影响.
- 评估接受大规模输血的创伤患者标准化替代疗法的有效性.
主要方法:
- 回顾性干预前/后质量改善研究.
- 来自城市一级学术创伤中心的数据分析 (2022年1月至10月).
- 协议修订前后的和电离监测率的比较.
主要成果:
- 干预后,的摄入量从78%增加到98%.
- 大规模输血协议的激活主要发生在创伤室 (79%).
- 在干预后,电离的监测量下降了14%.
结论:
- 标准化的替代方案有效地改善了大量输血患者的管理.
- 需要进一步的研究来优化剂量和确保足够的电离水平.
- 协议的修订可以在关键创伤场景中增强患者护理.
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