Bielby L, Moss R L
Department of Health and Human Services, Victoria and the Australian Red Cross Blood Service, Melbourne, Australia.
Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Transfus Med. 2018 Apr;28(2):98-106. doi: 10.1111/tme.12526. Epub 2018 Apr 16.
Patient blood management (PBM) is a widely established international initiative, with a multidisciplinary approach to reduce transfusion. The Transfusion Practitioner (TP) role is well embedded in the United Kingdom (UK) and Australia. The value of the TP in changing both culture and practice to implement an all-inclusive PBM approach to care will be discussed. The TP role was born from both a safety and haemovigilance culture, where the greatest identified risk to the patient undergoing a transfusion was human error. From this initial trigger for improved safety, the TP role has evolved to a multifaceted, highly specialised role, involved in both PBM and transfusion processes. As the transfusion paradigm shifted from product to patient, the TP role evolved to include PBM, with an emphasis on the patients and the impact transfusion has on them. A multidisciplinary team is required to drive both PBM and transfusion; the TP is recognised as a critical link in the multidisciplinary team. They are seen as a driving force for change, bridging the gap between the laboratory and clinical arenas. The TP plays a vital role in helping establish and embed PBM that improves patient and safety outcomes.
患者血液管理（PBM）是一项广泛开展的国际倡议，采用多学科方法来减少输血。输血从业者（TP）这一角色在英国和澳大利亚已得到充分确立。本文将讨论输血从业者在改变文化和实践以实施全面的患者血液管理护理方法方面的价值。输血从业者这一角色源于安全和血液警戒文化，在这种文化中，接受输血的患者所面临的最大风险被确定为人为错误。从最初为提高安全性而引发的这一契机出发，输血从业者的角色已演变为一个多方面、高度专业化的角色，涉及患者血液管理和输血过程。随着输血模式从关注产品转向关注患者，输血从业者的角色也演变为涵盖患者血液管理，重点关注患者以及输血对他们的影响。推动患者血液管理和输血需要一个多学科团队；输血从业者被视为多学科团队中的关键纽带。他们被视为变革的驱动力，弥合了实验室和临床领域之间的差距。输血从业者在帮助建立和推行能够改善患者状况及安全结果的患者血液管理方面发挥着至关重要的作用。
