最大手术用血预订计划：它有价值吗？
A maximum surgical blood ordering schedule: Does it add value?
作者信息
Benzil Deborah L, Auron Moises, Otrock Zaher K, Lallo Daniel, Flowers Noreen, Cummings Kenneth, Quraishy NurJehan, Tolich Deborah
机构信息
Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Hospital Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, Ohio, USA.
出版信息
Vox Sang. 2025 Apr;120(4):411-418. doi: 10.1111/vox.13804. Epub 2025 Feb 25.
BACKGROUND AND OBJECTIVES
Implementing and complying with a maximum surgical blood ordering schedule (MSBOS) is challenging but essential to avoid waste and reduce costs. MSBOS helps manage blood product scarcity and healthcare expenditure by avoiding unnecessary pre-transfusion testing and preparation, reducing product waste and improving clinical and operational efficiencies while maintaining patient safety.
MATERIALS AND METHODS
A multi-hospital health system in Ohio and Florida performing more than 200,000 surgeries annually implemented MSBOS through a risk-stratified protocol and electronic medical record automation.
RESULTS
The first-year analysis included 107,149 cases in 23 surgical specialties and 18 hospitals. Compliance with MSBOS improved over time, reducing type and screen tests by 4166 and saving $223,839 in costs. No patient safety issues were identified.
CONCLUSION
This project demonstrates that adopting MSBOS in a large health system adds value by reducing unnecessary testing and costs while maintaining patient safety.
背景与目的
实施并遵守最大手术用血预订计划（MSBOS）具有挑战性，但对于避免浪费和降低成本至关重要。MSBOS通过避免不必要的输血前检测和准备、减少产品浪费、提高临床和运营效率，同时确保患者安全，有助于管理血液制品短缺问题并控制医疗保健支出。
材料与方法
俄亥俄州和佛罗里达州的一个每年进行超过200,000例手术的多医院医疗系统，通过风险分层方案和电子病历自动化实施了MSBOS。
结果
第一年的分析涵盖了23个外科专科和18家医院的107,149例病例。对MSBOS的依从性随时间推移有所提高，减少血型和筛查检测4166次，节省成本223,839美元。未发现患者安全问题。
结论
该项目表明，在大型医疗系统中采用MSBOS可通过减少不必要的检测和成本，同时确保患者安全，从而增加价值。
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