如何实现低血浪费的整体血液计划?
Denise Bäckström1,2, Malin Jonsson Fagerlund3,4, Stella Larsson5
1Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Transfusion
|September 5, 2025
概括
低位数O全血 (LTOWB) 提供平衡的输血. 在瑞典医疗保健中实施LTOWB涉及到尽量减少浪费的后勤策略,平衡医院前需求与医院使用和红细胞制备.
科学领域:
- 输血医学
- 紧急医疗
- 物流和供应链管理
背景情况:
- 低位数O全血 (LTOWB) 越来越多地用于民用医院前治疗严重出血.
- 提供平衡的红细胞,凝固因子和血小板输血.
- 挑战包括LTOWB可用性和预测需求,风险浪费.
研究的目的:
- 描述在瑞典民用医疗保健中实施LTOWB的后勤战略.
- 分析五个输血中心关于生产,使用和浪费的经验.
- 确定减少LTOWB浪费的有效方法.
主要方法:
- 一项涉及五个瑞典输血中心生产LTOWB的描述性研究.
- 收集生产线,使用模式和浪费率的数据.
- 对实施的物流策略进行分析,以减少浪费.
主要成果:
- 在医院前 (HEMS,快速响应车辆) 和医院内 (大学医院) 使用LTOWB.
- 后勤策略包括将未使用的医院前LTOWB轮流用于医院内,并从旧的LTOWB中准备红细胞单元.
- 四个中心的浪费率在0%-13%之间,其中一个中心报告了34%的浪费.
结论:
- 在医院前紧急情况下预测LTOWB的需求是具有挑战性的.
- 减少浪费需要根据当地条件定制的物流链.
- 瑞典的中心使用LTOWB轮换或RBC准备来管理供需.
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