S.O.S. - 拯救我们的供应品：了解解决退回血液制品浪费难题的原因

IF 1.4 4区医学 Q4 HEMATOLOGY

Transfusion Clinique et Biologique Pub Date : 2024-01-10 DOI:10.1016/j.tracli.2024.01.003

Deep Madkaiker, Kartik Iyer, Jagriti, Deepika Chenna, Ganesh Mohan, Shamee Shastry

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引用次数: 0

摘要

目的评估不同医院区域血液成分的退回情况、退回原因，并提出预防策略，以减少受控温度储存（CTS）外的血液物流和浪费。结果共发现 218 例退回成分，退回成分总数为 442 个（占所有发放成分的 0.4%）（38.4%（170 个）包装红细胞、16.2%（72 个）单供体低温沉淀浓缩物、19.6%（87 个）血小板浓缩物和 25.5%（113 个）新鲜冷冻血浆）。只有 59 例（27%）在 30 分钟内送回成分。病房和高危病房/重症监护病房的返还次数最多（分别为 86 次（39.4%）和 69 次（31.6%）），急诊科最少，只有 19 次（8.7%）。77.9%（170/218）的案例发生在常规输血申请中，97/218（44.5%）的案例本可以通过对患者进行适当的临床状态评估来避免。医院质量小组可将退回血液成分的情况作为质量改进项目的目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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S.O.S. – Save our supplies: Understanding reasons to tackle the challenge of wasted returned blood products

Objectives

To evaluate the return of blood components across different hospital areas, reasons for the same and suggest preventive strategies which might reduce out of controlled temperature storage (CTS) blood logistics and wastage.

Material and methods

A retrospective audit was carried out in the department of Transfusion Medicine from January 2019 to December 2022. Data related to returned blood components was compiled using departmental records and blood centre software entries.

Results

A total of 218 instances of returned components were noted and the total number of components returned were 442 (0.4% of all issued components) (38.4% (170) packed red blood cells, 16.2% (72) single donor cryoprecipitate concentrate, 19.6% (87) platelet concentrate and 25.5% (113) fresh frozen plasma). Components were returned back within 30 mins in only 27% (59/218) of all instances . Wards followed by high dependency units/intensive care units were noted to have the highest number of instances (86 (39.4%) and 69 (31.6%) respectively) with emergency department having the least,comprising 19 instances (8.7%). 77.9% (170/218) instances were observed for routine transfusion requests and 44.5% (97/218) of all instances could have been prevented by an appropriate clinical status assessment of the patient.

Conclusion

Stakeholders such as clinicians, transfusion laboratory professional and nursing staff must take consolidated efforts to eliminate wastage of blood components. Instances of returned blood components can be targeted by the hospital quality team as a quality improvement project.

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来源期刊

Transfusion Clinique et Biologique 医学-免疫学

CiteScore

2.50

自引率

11.80%

发文量

234

审稿时长

36 days

期刊介绍： Transfusion Clinique et Biologique, the official journal of the French Society of Blood Transfusion (SFTS): - an aid to training, at a European level - the only French journal indexed in the hematology and immunology sections of Current Contents Transfusion Clinique et Biologique spans fundamental research and everyday practice, with articles coming from both sides. Articles, reviews, case reports, letters to the editor and editorials are published in 4 editions a year, in French or in English, covering all scientific and medical aspects of transfusion: immunology, hematology, infectious diseases, genetics, molecular biology, etc. And finally, a convivial cross-disciplinary section on training and information offers practical updates. Readership: "Transfusers" are many and various: anesthetists, biologists, hematologists, and blood-bank, ICU and mobile emergency specialists...