通过电子收集和分析数据,在多家医院比较输血实践
Ross D'Souza1, Amanpreet Singh Dhesi1, Kate Pendry1,2
1NHS Blood and Transplant, Liverpool, UK.
Transfusion medicine (Oxford, England)
|October 2, 2023
概括
结合来自多家医院的大型电子输血数据集,可以进行实践比较. 这种方法可以识别变异,并针对改善输血服务的干预措施.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 输血医学 输血医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手动收集数据来比较跨组织的输血实践是低效的.
- 进行了一项可行性研究,以评估从三个英格兰医院收集的大规模输血数据的结合.
- 目的是确定这种数据聚合是否可以促进实践比较.
研究的目的:
- 评估结合来自多家医院的电子输血数据的可行性.
- 为了使不同医疗机构的输血实践能够进行比较.
- 通过数据分析,确定改善输血服务的潜在领域.
主要方法:
- 从三个NHS医院 (学术医疗中心) 提取了临床,实验室和输血数据,用于2016年4月至2017年3月期间出院的患者.
- 使用患者管理系统 (PAS),实验室信息管理系统 (LIMS) 和电子输血系统来检索数据.
- 建立了一个集中式数据库,并使用商业智能软件进行数据集成和比较分析.
主要成果:
- 综合数据集包括748,982例患者护理事件和91,410例输血血液成分.
- 在特定年龄组 (0-4岁,孕妇,男性>60岁) 中确诊的输血峰值.
- 突出了组件利用的显著差异,例如心脏外科手术中的血小板使用 (2.4%7.3%) 跨医院,以每1000个病床日为对照单位.
结论:
- 大规模的电子医院数据集可以成功地结合起来进行比较分析.
- 这种数据整合方法可用于识别需要干预的特定领域.
- 这些发现支持使用组合电子数据来增强和标准化输血实践.
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