From the Blood Systems Research Institute, San Francisco, CA; Blood Centers of the Pacific, San Francisco, CA;
Blood Centers of the Pacific, San Francisco, CA; Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis; and.
Am J Clin Pathol. 2014 Oct;142(4):498-505. doi: 10.1309/AJCP8WFIQ0JRCSIR.
To gather benchmarking data on blood utilization so as to inform blood management strategies at regional hospitals.
We conducted a cross-sectional pilot study of 40 regional hospitals in Northern California using a paper-based survey designed to capture blood component utilization and transfusion management practices. The data were analyzed based on size and complexity of the respondent hospitals.
Twenty-seven (68%) of 40 hospitals responded, ranging in size from 23- to 600-bed facilities. Results showed a wide range of transfusions for each component. All hospitals reported some level of blood utilization oversight in place. Overall, 88.5% had a computerized laboratory information system, of which 17% performed an electronic cross-match. Transfusion triggers for RBCs, platelets, plasma, and cryoprecipitate were in use in 61.5%, 65.4%, 57.7%, and 46.2% of hospitals, respectively.
There is awareness of the need for transfusion oversight. However, the findings show a wide spectrum of transfusion practice, and high-yield measures, such as electronic cross-match and transfusion triggers, have not been uniformly implemented. The results indicate that there is a role for blood centers to assist client hospitals to maximize their efficiency and reduce blood utilization.
收集血液使用的基准数据，为地区医院的血液管理策略提供信息。
我们对北加利福尼亚州的 40 家地区医院进行了一项基于纸张的横断面试点研究，该研究旨在收集血液成分使用情况和输血管理实践的数据。这些数据是根据应答医院的规模和复杂程度进行分析的。
40 家医院中有 27 家（68%）做出了回应，这些医院的规模从 23 到 600 张床位不等。结果显示，每种成分的输血范围都很广。所有医院都报告了某种程度的血液使用监督。总体而言，88.5%的医院拥有计算机化的实验室信息系统，其中 17%的医院进行了电子交叉配型。红细胞、血小板、血浆和冷沉淀的输血触发在分别有 61.5%、65.4%、57.7%和 46.2%的医院中使用。
人们已经意识到需要对输血进行监督。然而，调查结果显示，输血实践的范围很广，而且高收益措施，如电子交叉配型和输血触发，尚未得到统一实施。结果表明，血液中心在协助客户医院提高效率和减少血液使用方面可以发挥作用。
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