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Implementation of a novel real-time platelet inventory management system at a multi-site transfusion service.
Gomez, Alwyn Titus; Quinn, Jason George; Doiron, Donald Joseph; Watson, Stephanie; Crocker, Bryan David; Cheng, Calvino Ka-Wing.
Afiliación
  • Gomez AT; Faculty of Medicine and.
  • Quinn JG; Department of Pathology and Laboratory Medicine, Dalhousie University.
  • Doiron DJ; Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
  • Watson S; Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
  • Crocker BD; Pathology Informatics Group, Capital District Health Authority, Halifax, Nova Scotia, Canada.
  • Cheng CK; Department of Pathology and Laboratory Medicine, Dalhousie University.
Transfusion ; 55(9): 2070-5, 2015 Sep.
Article en En | MEDLINE | ID: mdl-25782084
BACKGROUND: Blood platelets (PLTs) are a valuable commodity. Management of their inventory has implications both for patient care and for the cost of health care delivery. There are a variety of different methods of managing PLT inventory currently in practice and multiple theoretical models aimed at improving PLT inventory metrics. In this study we evaluate the ability of a novel electronic dashboard system that monitors and displays both PLT inventory and patient data to improve transfusion metrics at a quaternary health care center. STUDY DESIGN AND METHODS: The Capital District Health Authority is a quaternary health care center that transfuses approximately 2500 PLT units annually. To improve PLT discard rates a novel, low-overhead system that interfaces with the laboratory information system and displays real-time data between transfusion sites on PLT inventory and orders was implemented in November 2011. This study examines the transfusion quality metrics data from the 24 months before and after implementation. RESULTS: A significant reduction in mean monthly PLT outdate rate was observed after the implementation of the PLT dashboard suite from 24.5% (n = 24, SD ± 6.4%) to 15.1% (n = 24, SD ± 6.4%; p < 0.001). PLT age at time of transfusion was also reduced from 3.60 days (n = 4796, SD ± 0.97 days) to 3.46 days (n = 4881, SD ± 1.00 days; p < 0.001). CONCLUSIONS: This study describes the implementation of a novel PLT dashboard suite. This suite significantly reduced PLT outdate rates at our institution over the 48-month study period.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plaquetas / Conservación de la Sangre / Sistemas de Información en Hospital / Transfusión de Plaquetas / Inventarios de Hospitales Tipo de estudio: Evaluation_studies Límite: Female / Humans / Male Idioma: En Revista: Transfusion Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plaquetas / Conservación de la Sangre / Sistemas de Información en Hospital / Transfusión de Plaquetas / Inventarios de Hospitales Tipo de estudio: Evaluation_studies Límite: Female / Humans / Male Idioma: En Revista: Transfusion Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos