Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, US.
Department of Pathology, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, US.
Am J Clin Pathol. 2023 Sep 1;160(3):268-275. doi: 10.1093/ajcp/aqad049.
To improve documentation of blood product administration by assessing the completion status of blood transfusions. In this way, we can ensure compliance with the Association for the Advancement of Blood & Biotherapies standards and facilitate investigation of potential blood transfusion reactions.
This before-and-after study includes the implementation of an electronic health record (EHR)-based, standardized protocol for documenting the completion of blood product administration. Twenty-four months of retrospective data (January-December 2021) and prospective data (January-December 2022) were collected. Meetings were held before the intervention. Ongoing daily, weekly, and monthly reports were prepared, and targeted education to deficient areas as well as spot in-person audits by the blood bank residents were conducted.
During 2022, 8,342 blood products were transfused, of which 6,358 blood product administrations were documented. The overall percentage of completed transfusion order documentation improved from 35.54% (units/units) in 2021 to 76.22% (units/units) in 2022.
Interdisciplinary collaborative efforts helped produce quality audits to improve the documentation of blood product transfusion through a standardized and customized EHR-based blood product administration module.
通过评估输血完成情况来提高血液制品管理记录的完整性。这样，我们可以确保符合血液与生物治疗促进协会的标准，并为调查潜在的输血反应提供便利。
本项前后对照研究纳入了一项基于电子病历（EHR）的标准化方案，以记录血液制品管理的完成情况。我们收集了 24 个月的回顾性数据（2021 年 1 月至 12 月）和前瞻性数据（2022 年 1 月至 12 月）。在干预实施前召开了会议。同时，我们还持续每周和每月编写每日、每周和每月报告，并对薄弱环节进行有针对性的教育，以及由血液库住院医师进行现场实地审核。
2022 年共输注了 8342 个血液制品，其中有 6358 次血液制品管理记录。总的来说，完整输血医嘱记录的百分比从 2021 年的 35.54%（单位/单位）提高到 2022 年的 76.22%（单位/单位）。
通过标准化和定制的基于 EHR 的血液制品管理模块，跨学科协作努力有助于进行质量审核，从而提高血液制品输注记录的完整性。
