优化电子血液订购和支持管理工作流程,以改善儿童医院环境中的血液利用率
Michelle Stoffel1,2,3, Michael G Leu2,4,5,6, Dwight Barry7
1Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Transfusion
|November 9, 2023
概括
重新设计电子血液订购工具显著减少了红细胞的浪费和儿科环境中不必要的交叉匹配. 时间序列分析有效评估了对未来改进的干预影响.
科学领域:
- 医疗保健操作 医疗保健操作
- 医疗信息学 医疗信息学
- 输血服务 输血服务
背景情况:
- 红细胞的浪费和不必要的交叉匹配程序是医疗保健中的重要问题.
- 无效的电子订购系统导致血液利用率低下.
研究的目的:
- 描述一种多式联络方法来重新设计电子订购工具,以改善儿科住院患者的血液利用情况.
- 应用时间序列数据分析来评估血液管理中的干预有效性.
主要方法:
- 利用多学科团队和丰田生产系统的方法来重新设计工艺.
- 分析了使用时间序列数据对输血比率和红细胞浪费的交叉匹配.
- 采用变化点和因果影响分析来评估干预效应.
主要成果:
- 变化点分析表明,交叉匹配与输血比率下降了11%,每月红细胞浪费下降了77%.
- 因果影响分析估计,由于干预措施,预期的血液浪费减少了61%.
结论:
- 电子健康记录的设计对于减少浪费和防止不必要的交叉匹配至关重要.
- 时间序列分析对于评估纵向过程重新设计努力和准未来改进是有价值的.
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