在没有创伤中心的情况下，在三级退伍军人医院环境中高效实施内部血小板的模型。
Highly Effective Model for Implementation of In-House Platelets in a Tertiary Veteran Hospital Setting Without a Trauma Center.
机构信息
Department of Pathology and Laboratory Medicine, Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA.
University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
出版信息
Lab Med. 2020 Sep 1;51(5):e51-e58. doi: 10.1093/labmed/lmaa024.
BACKGROUND
Platelet products have a limited shelf life and are costly. Therefore, to balance clinical usage/availability and wastage in a tertiary hospital setting without a trauma center, an innovative system model was established. This system reduced wastage by transferring platelet unit approaching their expiration date to a nearby facility (with the same blood supplier and a trauma center) before expiration, when there is no anticipated need for the product at the original location.
METHODS
A review of data to determine the degree of platelet wastage and wastage costs one year before implementation of this measure in October 2017 and one year after implementation of this measure.
RESULTS
Since the implementation of this measure, no platelet units have expired on the shelf. In contrast, from October 2016 to October 2017, before implementation of platelet transfer, platelet products expired regularly.
CONCLUSION
This new system model is highly effective in maintaining platelet inventory without wastage.
背景
血小板制品的保质期有限，且价格昂贵。因此，在没有创伤中心的三级医院环境中，为了平衡临床使用/供应情况和浪费情况，建立了一种创新的系统模型。该系统通过在血小板即将过期但原使用地预计无需求时，将临近过期的血小板单位转移到附近的设施（使用相同的血液供应商和创伤中心），减少了浪费。
方法
回顾数据，以确定在 2017 年 10 月实施该措施之前的一年和实施该措施之后的一年中血小板浪费的程度和浪费成本。
结果
自该措施实施以来，没有血小板单位过期报废。相比之下，在 2016 年 10 月至 2017 年 10 月实施血小板转移之前，血小板产品会定期过期报废。
结论
这种新的系统模型在保持血小板库存不浪费方面非常有效。
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