Chai Tina, Hartzell Connor, Winstead Randy, Krokosky Kirk, Atchison Kaycie, Mueller Angela, Hall Erika, Wanderer Jonathan P, Andrews Jennifer
Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Transfusion. 2025 Jan;65(1):17-21. doi: 10.1111/trf.18089. Epub 2024 Dec 8.
Blood transfusions are the most common procedure performed in American hospitals. The steps required for blood product delivery are often misunderstood by providers, leading to numerous phone calls to the blood bank requesting order status. Distracting calls can lengthen turnaround time, especially during blood product or staff shortages. We sought a tool to address these questions and reduce distraction. This study highlights a novel blood tracker tool implemented in the electronic health record (EHR) that allows providers to see their blood order's status.
With a multidisciplinary team of healthcare professionals, we constructed a user-friendly blood tracker highly visible in our EHR. It shows the status of a blood product in real time from "order printed" to "preparing" to "on its way." We surveyed blood bank technologists to determine if call volume and distraction changed.
We counted the number of views per month as a surrogate of usage. The blood tracker was viewed 109,626 times per month on average from January through December 2023. The fraction of technologists who received 21 or more calls per shift decreased by 47%.
We successfully constructed and implemented a novel blood tracker into our EHR that relays the status of a blood product. It is a highly viewed piece of information in our EHR and decreases blood bank call volume as reported by blood bank technologists. Its success demonstrates that closed-loop communication between the lab and providers regarding blood products is beneficial within our organization and potentially others.
输血是美国医院最常见的操作。血制品配送所需步骤常常被医护人员误解，导致大量致电血库询问订单状态的情况。这些干扰性的电话会延长周转时间，尤其是在血制品或人员短缺期间。我们寻求一种工具来解决这些问题并减少干扰。本研究重点介绍了一种在电子健康记录（EHR）中实施的新型血液追踪工具，该工具可让医护人员查看其血液订单的状态。
我们与医疗保健专业人员组成的多学科团队，构建了一个在我们的电子健康记录中高度可见的用户友好型血液追踪器。它实时显示血制品从“订单打印”到“准备中”再到“正在途中”的状态。我们对血库技术人员进行了调查，以确定呼叫量和干扰是否发生了变化。
我们将每月的查看次数作为使用情况的替代指标。2023年1月至12月，血液追踪器平均每月被查看109,626次。每班接到21个或更多电话的技术人员比例下降了47%。
我们成功地在我们的电子健康记录中构建并实施了一种新型血液追踪器，它能传递血制品的状态。它是我们电子健康记录中被高度查看的一条信息，并且如血库技术人员所报告的那样，减少了血库的呼叫量。它的成功表明，在我们的组织以及其他可能的组织中，实验室与医护人员之间关于血制品的闭环沟通是有益的。
