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患者血液管理:混合与丢弃方法用于中央静脉导管血液样本采集中心静脉导管血液样本采集

Mary Jo Sarver^1,2, Monica McManus^1,2, John Toler^1,2

¹Author Affiliations: Oncology and Infusion Services, Providence Regional Medical Center Everett Cancer Partnership, Everett, Washington (Sarver); Sarver Better Living Products LLC, Everett, Washington (Sarver); Outpatient Infusion Center, University of Washington Medical Center, Seattle, Washington (McManus); Nursing Services, Medical Oncology, Providence Regional Medical Center Everett, Everett, Washington (Toler); Everett Community College, Everett, Washington (Toler); Providence Regional Medical Center Everett, Everett, Washington (Johnson).

Journal of infusion nursing : the official publication of the Infusion Nurses Society

|November 6, 2024

概括

与丢弃方法相比,实验室抽取血液的混合方法减少了血液浪费和医院获得的贫血. 虽然它不是优越的,但对于患者的血液管理计划来说,它是非劣质的和具有成本效益的.

科学领域:

临床实验室科学临床实验室科学
患者血液管理患者血液管理
医疗器械技术医疗器械技术

背景情况:

医院获得的贫血是一个重大问题,通常与实验室抽血实践有关.
目前的实验室样本技术可能会导致不必要的血液浪费和增加患者的风险.
患者血液管理 (PBM) 计划旨在优化血液利用,并最大限度地减少输血需求.

研究的目的:

为了比较混合与丢弃方法,用于在急性护理环境中收集实验室样本.
评估这些方法对血红蛋白水平和输血率的影响.
评估中央静脉接入装置 (CVAD) 类型对血液溶解和错误结果的影响.

主要方法:

一项长达30个月的准实验性研究比较了混合和丢弃的血液抽取技术.
主要终点包括三角血红蛋白 (Hgb) 和输血率.
二级终点监测了由于血液溶解,错误结果和CVAD类型的重新绘制.

主要成果:

混合方法在Hgb含量和输血率方面,证明与丢弃方法不劣.
CVAD类型没有显著影响血液溶解率或错误结果的发生.
混合方法显示,通过消除对外部血液管理设备的需求,可以节省成本.

结论:

在PBM计划中,混合方法有效地减少了血液浪费和医院获得的贫血.
混合方法的实施在各种医疗保健环境中是可行的.
虽然混合方法并不是绝对优越的,但它为实验室样本采集提供了可行的,具有成本效益的替代方案.

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