通过制定关键绩效指标,通过全面的方法,不断提高大规模输血的质量
Ancy Ninan1, Vimal Krishnan2, Shamee Shastry1
1Department of Immunohaematology and Blood Transfusion, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.
Vox sanguinis
|September 9, 2024
概括
这项研究开发了关键绩效指标 (KPI) 来评估目标导向的大规模输血 (GDMT) 协议,揭示了输血医学和患者结果质量改善的领域.
科学领域:
- 输血医学 输血医学
- 紧急医疗 紧急医疗
- 提高质量 提高科学 提高质量
背景情况:
- 大规模输血协议对于治疗严重出血至关重要.
- 评估目标导向大规模输血 (GDMT) 的质量需要强大的绩效指标.
- 现有的GDMT质量评估方法可能缺乏全面的关键绩效指标 (KPIs).
研究的目的:
- 开发和验证关键绩效指标 (KPI) 以评估机构目标定向的大规模输血 (GDMT) 协议.
- 建立一个质量评估和GDMT改进的框架.
- 确定监测GDMT有效性和效率的具体指标.
主要方法:
- 从2021年1月到2022年12月的成年患者GDMT的横截面数据分析.
- 使用定义,测量,分析,改进,控制 (DMAIC) 方法来开发KPI.
- 根据重要性,科学稳定性和可行性评估的关键关键指标,使用中央趋势和基准比较的措施.
主要成果:
- 分析了92次大规模输血事件,涉及1405个血液成分,创伤是主要迹象.
- 适当的GDMT激活仅在43.47%的事件中发生; 周转时间在85.8%的基准范围内.
- 鉴定出血液成分利用率的显著变化和3.5%的浪费率,整体死亡率为45.65%.
结论:
- 开发的关键关键指标很容易被捕获,并促进GDMT的全面质量评估.
- 该研究提供了一种数据驱动的方法,以提高大规模输血协议的有效性和效率.
- 实施这些关键关键指标可以指导GDMT的有针对性的改进,可能会影响患者的治疗结果.
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