Northwell Health, Manhasset, New York, USA.
North Shore University Hospital, Manhasset, New York, USA.
Transfusion. 2020 Jul;60(7):1356-1363. doi: 10.1111/trf.15849. Epub 2020 Jun 5.
Currently there are no widely accepted guidelines regarding the appropriate use of O- red blood cells (RBCs). Although there has been a decline in overall RBC utilization since 2010, the use of O- RBCs has continued to proportionally increase over this time period resulting in frequent shortages. When faced with these shortages, we implemented some simple strategies that resulted in a significant decrease in annual O- RBC utilization from 10% to 7.5% despite an increase in total RBC utilization. These strategies included collaboration with the clinical staff, improving practices within the blood bank, and having our health system partner with our blood supplier. Herein, we detail our strategies for hospital transfusion services to improve O- RBC utilization. Most of these can be easily implemented and do not require additional resources.
目前，关于 O- 型红细胞（RBC）的合理使用，还没有被广泛认可的指南。尽管自 2010 年以来，整体 RBC 使用率有所下降，但在此期间，O- RBC 的使用比例继续增加，导致频繁出现短缺。面对这些短缺，我们采取了一些简单的策略，尽管总 RBC 使用率有所增加，但每年 O- RBC 的使用率却从 10%显著下降到了 7.5%。这些策略包括与临床工作人员合作、改进血库内的操作流程，以及让我们的医疗系统与血液供应商合作。在此，我们详细介绍了改善 O- RBC 使用率的医院输血服务策略。其中大部分策略都易于实施，且不需要额外的资源。
