过度测试血液:影响,伦理问题和缓解行动
Federico Pennestrì1, Rossella Tomaiuolo1,2, Giuseppe Banfi1,2
1IRCCS Istituto Ortopedico Galeazzi, Scientific Direction, Milan, Italy.
Clinical chemistry and laboratory medicine
|December 29, 2023
概括
医院获得的贫血 (HAA) 导致输血增加和患者负担增加. 通过技术和组织变革来减少血液抽取量,为减少测试频率提供了更安全的替代方案.
科学领域:
- 临床医学 临床医学
- 实验室科学 实验室科学
- 医疗保健管理的管理
背景情况:
- 医院获得的贫血 (HAA) 与更高的输血率,死亡率和发病率有关.
- 过度检测血液样本造成了大量的患者,实验室和环境成本.
- 目前经常抽血的做法与非恶性和患者自主权等伦理原则相冲突.
研究的目的:
- 为了突出医院获得的贫血和过度测试血液的负面后果.
- 探索减少不必要的血液样本采集的策略.
- 建议减少抽血量作为减少测试频率的可行替代方案.
主要方法:
- 对医院获得的贫血和血液过度检测现有文献的审查.
- 分析与过度实验室测试相关的成本.
- 讨论潜在的干预措施,包括推动策略和技术解决方案.
主要成果:
- 医院获得的贫血增加了患者的负担,住院时间和资源利用.
- 过度测试血液浪费实验室资源,对环境产生影响,并推迟对其他患者的测试.
- 通过较小的管道和自动化平台等方法减少血液抽取量是可行的.
结论:
- 实施减少血液抽取量策略是一种切实可行的方法,可以减轻HAA和过度测试的危害.
- 技术,采购和组织调整可以促进医疗保健机构的血液储蓄.
- 这种方法平衡了安全问题与有效和道德实验室实践的需求.
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