Calder L, Woodfield G
Auckland Area Health Board.
N Z Med J. 1991 Oct 9;104(921):427-9.
Quality assurance has an important contribution to make in the judicious use of scarce resources. Auckland Hospital has established a transfusion committee because there was an escalating usage of blood and blood products which are expensive prescription medicines. A pilot audit of red cell transfusions indicated that 29% of red cell transfusions may have been unnecessary. A wide range of initiatives at Auckland Hospital has reduced blood product usage. Inappropriate use of blood carries an opportunity cost and may subject patients to unnecessary risk of reactions, including potential disease transmission. Strategies which need to be employed by transfusion committees include the introduction of clinical audit, physician education, restrictions on availability, and clinical budgeting. It is recommended that transfusion committees be set up in all major hospitals.
质量保证对于合理使用稀缺资源有着重要贡献。奥克兰医院设立了一个输血委员会，因为血液及血液制品这类昂贵的处方药用量不断攀升。一项红细胞输血的试点审计表明，29%的红细胞输血可能是不必要的。奥克兰医院采取了一系列举措，减少了血液制品的使用。不当使用血液会带来机会成本，还可能使患者面临不必要的反应风险，包括潜在的疾病传播风险。输血委员会需要采用的策略包括开展临床审计、对医生进行教育、限制供应以及进行临床预算。建议在所有大型医院都设立输血委员会。
