Kumar Ajay, Figueroa Priscilla I, Gowans Kate L, Parker Brian M, Proctor Andrew W, Benitez-Santana San Miguel, Koch Colleen
Division of Hospital Medicine, Hartford Hospital, Hartford, CT 06102, USA.
Qual Manag Health Care. 2011 Oct-Dec;20(4):311-21. doi: 10.1097/QMH.0b013e3182315ad9.
Blood management is a concept that adopts a principle of improving patient outcome by integrating all available techniques to ensure safety, availability, and appropriate allocation of blood products. This constitutes a model of multidisciplinary care where the changes in culture are system directed on the basis of evidence-based medicine. There are about 14% US hospitals where any kind of blood management program exists, although the idea remains the same but the programs vary in their execution, implementation, and ultimately providing the value to patients. In this article, we have described our experience of creating a patient-centric, cost-effective, evidence-based, and multipronged program creation with scalable results. The use of data, education, process improvement, engagement, and accountability of caregivers have resulted in sustained results and helped in creating a comprehensive blood management program.
血液管理是一个概念，它采用通过整合所有可用技术来改善患者预后的原则，以确保血液制品的安全、可及性和合理分配。这构成了一种多学科护理模式，其中文化变革是基于循证医学由系统主导的。在美国，约有14%的医院设有某种血液管理项目，尽管理念相同，但这些项目在执行、实施以及最终为患者提供价值方面存在差异。在本文中，我们描述了创建一个以患者为中心、具有成本效益、基于证据且多方面的项目并取得可扩展成果的经验。数据的使用、教育、流程改进、参与以及医护人员的问责制带来了持续的成果，并有助于创建一个全面的血液管理项目。
