为了减少偏远岛屿医疗机构的输血浪费,进行了回顾性研究
Takamitsu Sakamoto1,2, Hiroyuki Mizuta3, Naohisa Niiro4
1Fukuoka Tokushukai Medical Center, Department of General Medicine, Kasuga, Japan.
Advances in hematology
|December 20, 2023
概括
在医院库存中优化血型分布显著降低了输血处置率. 这一策略对于改善东岛等偏远岛屿的血液管理至关重要.
科学领域:
- 输血医学 输血医学
- 医疗保健管理的管理
- 在库存控制,库存控制.
背景情况:
- 东岛因其偏远的位置和缺乏中央血液储存站,在输血医学方面面临挑战.
- 东岛东舒凯医院管理着岛上70%的输血需求,努力维持足够的血液库存和管理处置.
研究的目的:
- 评估改变医院库存中的血型分布对减少输血处置率的影响.
- 通过战略性血液库存调整来评估成本节约效应和库存管理改进.
主要方法:
- 进行了10年 (2013-2022) 的回顾性调查,比较了干预前 (2013-2017) 和干预后 (2018-2022) 期间.
- 医院将红细胞 (RBC) 库存从 (A:4,B:4,O:4,AB:2) 单位调整为 (A:2,B:2,O:6,AB:0) 单位.
主要成果:
- 每年血液制品浪费率从干预前期的23.4%降至干预后期的17.9%.
- 血液产品储存的战略变化表明,输血处置率有所降低.
结论:
- 调整输血药物的血液制品分配可以有效地降低输血处置率.
- 这一策略为改善资源有限的环境中的血液库存管理提供了可行的解决方案.
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