Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Versiti Blood Centers, Milwaukee, Wisconsin, USA.
Transfusion. 2024 Jun;64(6):969-978. doi: 10.1111/trf.17845. Epub 2024 Apr 22.
With the widespread adoption of Blood Establishment Computer Systems and other Blood Collection and Transfusion Service (BCTS) clinical information systems (CIS), electronic blood donor, product, and patient data are now routinely required for clinical, regulatory, operational, and quality needs. That data are often not readily accessible for such secondary use within CIS databases, particularly for applications with significant data availability requirements such as machine learning and artificial intelligence. Data replication provides one avenue by which CIS data can be made more readily available.
Members of the AABB's Information Systems Committee along with institutional information technology colleagues provided a multi-institutional viewpoint on data replication through the lens of BCTS specific use cases. Case studies of informatics offerings leveraging such technologies were also elicited.
Six distinct use cases describe the potential role of data replication including the creation of data warehouses for frontline laboratory staff. Specific BCTS examples for each use case are presented to highlight the value of data replication, including visualization of critical inventory (O red blood cells, HLA-compatible platelets) and utilization analytics for patient blood management. Two case studies describe the approach to implement such technologies to (1) optimize staffing via laboratory workload reporting and (2) improve access to blood via antigen-negative blood product location services.
Data replication and warehousing can empower BCTS analytic offerings not otherwise natively available through one's CIS to improve patient care and laboratory operations.
随着血站计算机系统和其他采供血服务(BCTS)临床信息系统(CIS)的广泛采用,电子献血者、产品和患者数据现在通常是临床、监管、运营和质量需求所必需的。这些数据通常不易在 CIS 数据库中进行此类二次使用,特别是对于需要大量数据可用性的应用程序,如机器学习和人工智能。数据复制提供了一种使 CIS 数据更易于使用的途径。
AABB 信息系统委员会的成员以及机构信息技术同事从 BCTS 特定用例的角度提供了有关数据复制的多机构观点。还引出了利用此类技术的信息学产品的案例研究。
六个不同的用例描述了数据复制的潜在作用,包括为一线实验室工作人员创建数据仓库。为每个用例提供了具体的 BCTS 示例,以突出数据复制的价值,包括关键库存(O 型红细胞、HLA 相容血小板)的可视化和患者血液管理的利用分析。两个案例研究描述了实现此类技术的方法,(1)通过实验室工作量报告优化人员配置,(2)通过抗原阴性血液产品位置服务改善血液获取。
数据复制和仓库可以增强 BCTS 的分析产品,否则无法通过自己的 CIS 获得,从而改善患者护理和实验室运营。