通过优化手术前订单和消除交叉匹配和持有来改善RBC库存
Mrigender Singh Virk1, Kathleen Cederlof2, Emily Howard2
1Department of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Transfusion
|November 19, 2024
概括
通过减少不必要的红细胞 (RBC) 订单和交叉匹配来优化血液银行库存管理,改善了RBC可用性和保质期,而不会影响输血率. 这提高了血液供应链的效率.
科学领域:
- 输血医学 输血医学
- 医疗保健运营管理 医疗保健运营管理
- 血液银行 血液银行
背景情况:
- 血液产品的限制需要在血液银行改善库存管理.
- 供应链的挑战和捐赠者的可用性影响了血液银行.
- 现有的解决方案往往会减少输血量和血液库存.
研究的目的:
- 为了提高血液银行库存的可用性,而不会改变输血率.
- 实施解决方案,防止不必要的红细胞 (RBC) 订单和交叉匹配.
主要方法:
- 专注于减少重复订单,手术前的血液订单和过剩的血液订单量.
- 实施了针对外科手术期间需要的交叉匹配工作流程的变化.
- 监控的交叉匹配与输血 (CT) 的比率和到期后的保质期.
主要成果:
- 红细胞的CT比率显著下降,从2.03降至1.67 (p < 0.05).
- 已发行的红血细胞的平均保质期从17.5天增加到20.4天 (p < 0.05).
- 在干预后,库存管理效率有所提高.
结论:
- 修改手术前订单集和员工教育对库存产生积极影响.
- 交叉匹配工作流程的变化大大减少了不必要的RBC保留.
- 这些改进可以在不显著影响周转时间的情况下实施.
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