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释放电子输血系统的潜力:英格兰NHS医院的实施见解

F Tomini¹, S Staples², H Evans³

¹Wolfson Institute of Population Health, Queen Mary University of London, London, UK.

British journal of haematology

|June 10, 2025

概括

电子输血 (EBT) 系统在英国医院的采用情况各不相同. 需要进一步证实成本效益和临床影响,以克服采用障碍并提高患者安全.

科学领域:

医疗信息学医疗信息学
患者安全患者安全
医疗保健管理的管理

背景情况:

国家指导方针主张使用电子输血 (EBT) 系统来提高患者的安全性和效率.
由于成本效益和临床影响的证据不足,EBT的广泛采用受到阻碍.

研究的目的:

评估英国医院EBT系统的当前实施情况.
确定主要EBT组件的采用率和实施障碍.

主要方法:

在2023年对206家英国医院进行了一项调查,达到55.6%的响应率 (114家医院).
调查的重点是电子血液冰箱 (EBF),电子血液订购系统与临床决策支持 (CDSS) 和床边患者识别 (PID) 系统.
还检查了EBT与电子健康记录 (EHR) 的整合以及医院间的联系.

主要成果:

67.3%的响应医院 (76个地点) 已经实施了至少一个EBT组件.
电子血液冰箱 (EBF) 是最常见的 (57.5%),其次是床边患者识别 (PID) 系统 (32.7%).
像CDSS这样的先进系统仅在14.2%的网站上被采用.

结论:

在英格兰NHS医院的EBT系统采用中存在显著的变化.
财务限制,高级管理层缺乏参与,以及技术挑战是关键障碍.
进一步的成本效益和临床有效性研究对于支持投资和克服先进EBT系统的组织障碍至关重要.

关键词:

英国NHS英格兰NHS英格兰数字技术技术的数字技术.电子输血系统电子输血系统医疗信息技术整合医疗信息技术整合实施因素实施因素

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