电子增强,以减少血液型验证样本的拒绝
V Rakesh Sethapati1, Emily Morton2, Sashika Kilambi2
1Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Transfusion
|December 11, 2025
概括
通过防止标签打印直到初始类型和屏幕 (TNS) 样本采集后,电子增强显著减少了血型验证 (BTV) 拒绝. 这提高了患者的安全性和及时的血液产品可用性.
科学领域:
- 输血医学 输血医学
- 临床病理学 临床病理学
- 医疗信息学 医疗信息学
背景情况:
- 协会促进血液和生物疗法 (AABB) 标准要求对交叉匹配输血进行当前的类型和查 (TNS) 和血型验证 (BTV).
- BTV需要第二个,独立收集的血液样本,并重新确认患者身份.
- 政策要求在不同时间采集TNS和BTV样本;同时采集导致BTV被拒绝.
研究的目的:
- 描述一种旨在降低血型验证 (BTV) 拒绝率的电子增强.
- 为了提高输血前血液样本处理的效率和准确性.
主要方法:
- 实施电子健康记录 (EHR) 增强,防止BTV标签打印,直到TNS样本被记录为收集.
- 保证的BTV样本采集只有在初始的TNS样本验证后才能获得,强制执行独立的采集.
主要成果:
- 总体而言,BTV拒绝率从每月平均66个下降到实施后每月37个.
- 作为总样本排斥的百分比,BTV排斥率从每月的45%下降到2%.
结论:
- 一个简单的电子增强大大减少了BTV拒绝.
- 通过及时提供交叉匹配的血液制品,提高了患者安全.
- 减少了样本重新绘制的发生率,优化了实验室工作流程.
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