一个临床审计使用O组阴性红细胞和教训的经验
Arzina Aziz Ali1, Hira Qadir2, Areeba Khalid3
1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Asian journal of transfusion science
|January 17, 2025
概括
这项研究发现,近一半的O (Rh) D阴性红细胞 (ONEG红细胞) 输血不是必需的. 实施更好的政策和医生教育可以改善ONEG RBC库存管理并减少浪费.
科学领域:
- 血液学 血液学 血液学
- 输血医学 输血医学
- 临床审计 临床审计
背景情况:
- 有效的血液库存管理对于最大限度地提高可用性和最大限度地减少浪费至关重要.
- 建立O (Rh) D阴性红细胞 (ONEG红细胞) 的基准值对于最佳库存控制至关重要.
- 临床审计对于确定血液产品管理改善的领域至关重要.
研究的目的:
- 进行O (Rh) D阴性红细胞 (ONEG红细胞) 输血的临床审计.
- 确定改善血液中心库存管理的机会.
- 建立一个对ONEG RBC利用率的基准.
主要方法:
- 从2017年4月到2018年3月进行了追溯临床审计.
- 收集了接受ONEG红细胞细胞的患者的数据,包括人口统计数据,入院原因和临床情况.
- 从血液中心系统,实验室数据和患者医疗记录中收集了信息.
主要成果:
- 在577次事件中输入了807个单位的ONEG红细胞,每次事件的中位数为2个单位.
- 49%的ONEG红细胞单位输血给非生育潜力的女性和成年男性可能会被保存.
- 新生儿,儿科患者,慢性输血患者和骨髓移植受体的输血占单位的42%.
结论:
- 51%的ONEG红细胞被适当输血,而49%的可能是可以避免的.
- 实施适当的政策,战略规划和医生教育是必要的.
- 建议定期进行临床审计,以完善输血实践和优化ONEG红细胞库存.
相关概念视频
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