Establishing a Satellite Transfusion Service Within an Academic Medical Center
Establishing a Satellite Transfusion Service Within an Academic Medical Center
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DOI：
10.1093/ajcp/aqaa018
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发表时间：
2020-06-01
影响因子：
3.5
通讯作者：
Virk, Mrigender S.
中科院分区：
文献类型：
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作者：
Murphy, Colin H.;Lim, Albert Y.;Virk, Mrigender S.
目的：日益复杂的医疗护理需要就近的专业输血支持。医院的增长可能需要将血库服务扩展到新的地点，以确保快速提供血液制品。我们描述了一个新的卫星输血服务，旨在满足儿科hospital.Methods的需求开放：机构过渡团队和利益相关者合作，讨论在一个新的儿科医院提供血液的选择。一个工作人员的卫星输血服务满足了多种服务的不同需求，并被认为是一个全新的输血服务和自动化solutions.Results之间的妥协：在建立实验室的最初挑战包括监管的不确定性和两家医院的信息技术服务之间的相互作用。实验室科学家的人员配置和实际使用需要适应卫星服务的紧急释放只有model.Conclusions：一个灵活的人员配备卫星输血服务满足了最迫切的需求，儿科医院的扩张。实施审查显示了未来扩展的潜在过程改进，包括全面的常规和大规模输血模拟。在向工作人员和专业血液制品供应方面遇到的挑战与国家趋势相符。其他机构可能会考虑在日益复杂的自动化解决方案和复杂的血液需求的背景下建立卫星输血服务。
Objectives: Increasingly complex medical care requires specialized transfusion support close at hand. Hospital growth can necessitate expansion of blood bank services to new locations to ensure rapid delivery of blood products. We describe the opening of a new satellite transfusion service designed to serve the needs of a pediatric hospital.Methods: Institutional transition teams and stakeholders collaborated to discuss options for providing blood at a new pediatric hospital. A staffed satellite transfusion service met the diverse needs of multiple services and was considered a compromise between a full new transfusion service and automated solutions.Results: Initial challenges in establishing the laboratory included regulatory uncertainty and interactions between two hospitals' information technology services. Laboratory scientist staffing and actual use required adapting the satellite service to an emergency release-only model.Conclusions: A flexibly staffed satellite transfusion service met the most urgent needs of a pediatric hospital expansion. Review of implementation revealed potential process improvements for future expansions, including comprehensive routine and massive transfusion simulations. The challenges experienced in supplying staff and specialized blood products track with national trends. Other institutions may consider establishing a satellite transfusion service in the context of both increasingly sophisticated automated solutions and complex blood needs.