Fadeyi Emmanuel A, Emery Wanda, Simmons Julie H, Jones Mary Rose, Pomper Gregory J
Department of Pathology and Laboratory Medicine, Wake Forest University School of Medicine.
Department of Pathology and Laboratory Medicine, Wake Forest Baptist Health, Winston-Salem, North Carolina.
Transfusion. 2017 Oct;57(10):2477-2482. doi: 10.1111/trf.14234. Epub 2017 Jul 13.
The objective was to report a successful implementation of a blood cooler insert and tracking technology with educational initiatives and its effect on reducing red blood cell (RBC) wastage.
The blood bank database was used to quantify and categorize total RBC units issued in blood coolers from January 2010 to December 2015 with and without the new inserts throughout the hospital. Radiofrequency identification tags were used with special software to monitor blood cooler tracking. An educational policy on how to handle the coolers was initiated. Data were gathered from the software that provided a real-time location monitoring of the blood coolers with inserts throughout the institution.
The implementation of the blood cooler with inserts and tracking device reduced mean yearly RBC wastage by fourfold from 0.64% to 0.17% between 2010 and 2015. The conserved RBCs corresponded to a total cost savings of $167,844 during the 3-year postimplementation period.
The implementation of new blood cooler inserts, tracking system, and educational initiatives substantially reduced the mean annual total RBC wastage. The cost to implement this initiative may be small if there is an existing institutional infrastructure to monitor and track hospital equipment into which the blood bank intervention can be adapted when compared to the cost of blood wastage.
目的是报告血液冷却器插入物及追踪技术与教育措施的成功实施情况及其对减少红细胞（RBC）浪费的影响。
利用血库数据库对2010年1月至2015年12月期间全院使用和未使用新型插入物的血液冷却器中发放的总RBC单位进行量化和分类。使用射频识别标签及专用软件监测血液冷却器的追踪情况。启动了关于如何处理冷却器的教育政策。从提供全院带有插入物的血液冷却器实时位置监测的软件中收集数据。
2010年至2015年期间，带有插入物及追踪装置的血液冷却器的实施使平均每年的RBC浪费减少了四倍，从0.64%降至0.17%。节省的RBC在实施后的3年期间总计节省成本167,844美元。
新型血液冷却器插入物、追踪系统及教育措施的实施大幅降低了平均每年的总RBC浪费。与血液浪费成本相比，如果有现有的机构基础设施来监测和追踪医院设备，从而可以适配血库干预措施，那么实施该措施的成本可能很小。
