如何通过信息技术和实践提高输血安全
Peirong Chen1, Dong Lai2, Xiaolu Xu3
1Quality Control Department, Second Affiliated Hospital of Xiamen Medical College, China.
Computers in biology and medicine
|April 4, 2025
概括
在输血中实施信息技术可以通过规范实践和减少错误来提高患者的安全. 这项技术提高了对指导方针的遵守,并最大限度地减少了操作错误,确保正确的血液到达正确的患者.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健技术 技术 医疗保健 技术
- 患者安全 患者安全
背景情况:
- 安全的输血依赖于血液产品准确地传递给患者.
- 标准化临床实践对于改善输血安全至关重要.
- 信息技术为增强输血过程提供了一条途径.
研究的目的:
- 实施和评估一套信息技术,以提高输血安全.
- 通过使用技术解决方案,在整个输血过程中标准化临床实践.
主要方法:
- 实施自动警告,监管限制,适应性警报和交叉检查系统.
- 利用条形码匹配,个人数字助理进行跟踪,以及对不良行为进行自发提醒.
- 使用Excel进行特殊情况和数据分析的系统重置.
主要成果:
- 从2019-2024年实现了1.0%的浪费率.
- 观察到延迟输血的减少,红细胞输血从30分钟后开始减少到2.8%,并在4小时后完成到0.7%.
- 输血反应率为每10万单位746.9,其中119个红细胞请求缺乏理由.
结论:
- 将监管限制和提醒纳入输血知识库可以防止知识错误.
- 技术识别和预警系统有效地减少了输血过程中的滑动错误.
- 信息技术通过改善指导方针的遵守和最大限度地减少操作错误来提高输血安全.
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