在可靠的手术前血液订购的挑战:一个定性采访研究研究
Phillip Yang1, Emma P Zijlstra1, Bruce L Hall2
1Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Transfusion
|September 16, 2024
概括
临床医生发现手术前的血液订购是不一致的,原因是沟通不良和缺乏关于输血风险的信息. 提高教育和信息共享可以提高血液制品制备的决策.
科学领域:
- 输血医学 输血医学
- 外科手术的安全性
- 医疗保健管理的管理
背景情况:
- 手术前的血液订购对于患者的安全至关重要,但往往会导致过多的订单,增加成本.
- 了解临床医生的看法是优化手术前血液订购过程的关键.
研究的目的:
- 评估临床医生对当前手术前血液订购流程的看法.
- 识别在手术前血液订购中对可靠决策的感知障碍.
主要方法:
- 在一个大型学术医疗中心进行了一项描述性的定性研究.
- 与参与手术前护理的各种医疗保健专业人员进行了半结构化采访.
- 数据分析涉及诱导式开放编码和主题分析.
主要成果:
- 23名临床医生报告了手术前血液订购过程中的不一致性.
- 关键障碍包括缺乏关于手术输血风险的信息,沟通不良以及临床医生的经验差异.
- 关于血液制品的过度/不足准备和紧急释放血液的安全性的分歧导致了不一致.
结论:
- 显著的障碍阻碍了手术前血液订单的可靠决策.
- 建议在利益相关者之间加强信息共享,并对安全输血实践进行教育.
- 改善这些领域可能会导致更一致和更有效的手术前血液订购.
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