转变输血安全:从英国国家卫生服务信任机构实施床边电子检查的见解
Florence Oyekan1,2, Montasir Ahmed3, Catherine Booth1,4
1Barts Health NHS Trust, London, UK.
Vox sanguinis
|February 22, 2026
概括
实施床边电子输血检查 (BETC) 提高了输血安全. 为了实现BETC的广泛采用,需要培训80%的员工,并解决工作流的障碍,以获得最佳的结果.
科学领域:
- 医疗保健技术 医疗保健技术 医疗保健技术
- 患者安全 患者安全
- 输血药物 输血药物 输血药物
背景情况:
- 建议在床边进行电子输血检查 (BETC),以提高输血安全.
- 尽管有国家指导,但英国采用BETC的数量有限.
- 这项研究详细介绍了巴茨健康NHS信托基金会内四家医院的BETC实施情况.
研究的目的:
- 报告英国国家卫生服务 (NHS) 信托机构在BETC的实施过程.
- 确定影响BETC采用和有效性的因素.
- 为未来的BETC实施提供见解,以提高输血安全.
主要方法:
- 一个分阶段的实施方法:试点前,试点和主要实施 (2022-2025年).
- 通过对培训满意度和输血活动关键绩效指标 (KPIs) 的员工调查进行评估.
- 使用统计过程控制 (SPC) 图表来分析BETC实施后的数据趋势.
主要成果:
- 培训了5079名员工;在四个地点部署了404个个人数字助理 (PDA) 设备.
- 至少80%的员工的培训显著提高了BETC采用率,而BETC采用率为60%.
- 增加BETC用于组和屏幕 (G&S) 样本标签与减少样本拒绝率相关;99.5%的员工培训满意度.
结论:
- 广泛采用BETC需要扩展培训,强有力的支持,并应对技术/工作流程挑战.
- 早期采用者至关重要,但持续的努力是显著影响的关键.
- 强制使用系统和优化工作流程可以加快BETC对输血安全和效率的好处.
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