Laboratory Medicine Center, Department of Transfusion Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), No.158 Shangtang Road, Hangzhou, Zhejiang, China.
XianJu People's Hospital, Zhejiang Southeast Campus of Zhejiang Provincial People's Hospital, No.53 Chengbei East Road, Xianju, Zhejiang, China.
BMC Health Serv Res. 2022 Apr 26;22(1):561. doi: 10.1186/s12913-022-07825-6.
The aim of this study was to improve the blood transfusion treatment consent accuracy, simplify the verification process, prolong the temperature control time before the blood transfusion, and save the blood transportation labor cost.
We designed the blood transfusion consent electronic signing process, which can generate personalized the text content and can automatically check the filling accuracy. The signal can be transmitted to the blood transfusion management system (TMS) to relieving the blood distribution. For blood delivering pattern, we established the blood transport center, recruited full-time nurses and used temperature-controlled blood transfer boxes to deliver blood in batches on a regular basis.
A quarterly data analysis of blood transfusion quality showed a 100% blood transfusion consent accuracy after an electronic signing process was implemented. The average confirmation time savings between the electronic content and paper content was 26 min for the Department of Emergency (estimated difference 95% CI = 26 (20 to 36), p < 0.05). The blood delivering pattern reduced the time for each unit by leaving the average temperature control by 7.24 min (estimated difference 95% CI = 7.24 (6.92 to 7.56), p < 0.05). Furthermore, $3.67 was saved for the blood transportation labor cost for each unit as well.
Blood transfusion consent electronic signing process not only ensures the accuracy, but also saves the verification time. Moreover, the blood delivering pattern prolongs the blood temperature control time and saves blood transportation labor costs. Thus, these two improvements could enhance transfusion management.
本研究旨在提高输血治疗同意书的准确性，简化核对流程，延长输血前的控温时间，并节省血液运输的人工成本。
我们设计了输血同意书电子签名流程，可生成个性化的文本内容，并能自动检查填写的准确性。信号可传输至输血管理系统（TMS），以缓解血液配送工作。对于血液配送模式，我们建立了血液转运中心，招募全职护士并使用控温血液转运箱定期批量配送血液。
输血质量的季度数据分析显示，实施电子签名流程后，输血同意书的准确性达到了 100%。电子内容与纸质内容之间的平均确认时间节省了 26 分钟（电子内容与纸质内容之间的平均确认时间差异 95%CI=26（20 到 36），p<0.05）。血液配送模式将每个单位的控温时间缩短了 7.24 分钟（每个单位的控温时间差异 95%CI=7.24（6.92 到 7.56），p<0.05），从而节省了血液运输的人工成本。
输血同意书电子签名流程不仅保证了准确性，还节省了核对时间。此外，血液配送模式延长了血液的控温时间，节省了血液运输的人工成本。因此，这两项改进措施可以提高输血管理水平。
