“我的血制品来了吗?”:在电子健康记录系统中实施一种新型血液制品跟踪器。

IF 2.5 3区 医学 Q2 HEMATOLOGY Transfusion Pub Date : 2025-01-01 Epub Date: 2024-12-08 DOI:10.1111/trf.18089
Tina Chai, Connor Hartzell, Randy Winstead, Kirk Krokosky, Kaycie Atchison, Angela Mueller, Erika Hall, Jonathan P Wanderer, Jennifer Andrews
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引用次数: 0

摘要

背景:输血是美国医院最常见的手术。血液制品交付所需的步骤常常被提供者误解,导致大量电话打给血库询问订单状态。分散注意力的电话会延长周转时间,尤其是在血液制品或人员短缺的情况下。我们寻找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)中实施的新颖血液跟踪工具,该工具允许提供者查看他们的血液订单状态。研究设计和方法:我们与多学科的医疗保健专业人员团队一起,构建了一个用户友好的血液追踪器,在我们的电子病历中可见。它可以实时显示血液产品的状态,从“订单打印”到“准备”再到“在途中”。我们调查了血库技术人员,以确定呼叫量和注意力分散是否发生了变化。结果:我们计算了每月的浏览量作为使用率的替代。从2023年1月到12月,该血液追踪器平均每月被浏览10.9626万次。每班接听21个或更多电话的技术人员比例下降了47%。讨论:我们成功地在我们的电子病历中构建并实现了一种新颖的血液追踪器,它可以传递血液制品的状态。根据血库技术人员的报告,这是我们电子病历中高度关注的一条信息,减少了血库呼叫量。它的成功表明,实验室和提供者之间关于血液制品的闭环沟通在我们组织内部和潜在的其他组织中是有益的。
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"Are my blood products coming?": Implementation of a novel blood product tracker in the electronic health record system.

Background: 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.

Study design and methods: 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.

Results: 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%.

Discussion: 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.

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来源期刊
Transfusion
Transfusion 医学-血液学
CiteScore
4.70
自引率
20.70%
发文量
426
审稿时长
1 months
期刊介绍: TRANSFUSION is the foremost publication in the world for new information regarding transfusion medicine. Written by and for members of AABB and other health-care workers, TRANSFUSION reports on the latest technical advances, discusses opposing viewpoints regarding controversial issues, and presents key conference proceedings. In addition to blood banking and transfusion medicine topics, TRANSFUSION presents submissions concerning patient blood management, tissue transplantation and hematopoietic, cellular, and gene therapies.
期刊最新文献
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