A Cross-Sectional Pilot Study of Blood Utilization in 27 Hospitals in Northern California

作者：Bloch Evan M^*; Cohn Claudia; Bruhn Roberta; Hirschler Nora; Kim anh Nguyen

来源：American Journal of Clinical Pathology, 2014, 142(4): 498-505.

DOI：10.1309/AJCP8WFIQOJRCSIR

• Blood transfusions
• Utilization
• Quality management

Objectives: To gather benchmarking data on blood utilization so as to inform blood management strategies at regional hospitals.
Methods: We conducted a cross-sectional pilot study of 40 regional hospitals in Northern California using a paper-based survey designed to capture blood component utilization and transfusion management practices. The data were analyzed based on size and complexity of the respondent hospitals.
Results: Twenty-seven (68%) of 40 hospitals responded, ranging in size from 23- to 600-bed facilities. Results showed a wide range of transfusions for each component. All hospitals reported some level of blood utilization oversight in place. Overall, 88.5% had a computerized laboratory information system, of which 17% performed an electronic cross-match. Transfusion triggers for RBCs, platelets, plasma, and cryoprecipitate were in use in 61.5%, 65.4%, 57.7%, and 46.2% of hospitals, respectively
Conclusions: There is awareness of the need for transfusion oversight. However, the findings show a wide spectrum of transfusion practice, and high-yield measures, such as electronic cross-match and transfusion triggers, have not been uniformly implemented The results indicate that there is a role for blood centers to assist client hospitals to maximize their efficiency and reduce blood utilization.

• 出版日期2014-10