Optimizing management strategies for blood transfusion in the severe trauma patients in the emergency department
10.3760/cma.j.issn.1671-0282.2024.12.017
- VernacularTitle:急诊严重创伤患者输血流程优化的管理实践
- Author:
Yi ZHANG
1
;
Jianzhong DI
Author Information
1. 上海市第六人民医院医务处，上海 200230
- Keywords:
Emergency department;
Severe trauma;
Process optimization;
Management practice
- From:
Chinese Journal of Emergency Medicine
2024;33(12):1760-1764
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To conduct an optimizing blood transfusion process for severe trauma patients in the emergency department and investigate its effectiveness.Methods:Based on the current situation and analysis of the reasons for the current blood transfusion preparation practices for severely injured patients, the optimization was carried out in three aspects: the medical treatment process, departmental responsibilities, and the blood transfusion process. The differences in the key time links of emergency blood transfusion were compared between 40 patients with severe trauma treated by traditional protocols (July-August 2022) and 40 patients treated by optimized process (April 2023) and the treatment effects were also investigated. T-tests were used to compare the key time links, and chi-square tests were used to compare the rates of successful resuscitation before and after optimization.Results:(1) Following process optimization, the average emergency department blood transfusion preparation time for severe trauma patients was significantly reduced compared with the traditional process [(28.40 ± 2.72) min vs. (64.83 ± 11.57) min, P<0.01]. (2) Average blood sample submission time decreased from (20.83 ± 7.88) min to (7.80 ± 1.59) min, and average blood retrieval time decreased from (15.08 ± 5.72) min to (8.10 ± 2.30) min, both with P<0.01. (3) Optimized procedures resulted in a reduction of resuscitation room stay time from (410.40 ± 157.69) min to (337.15 ± 74.09) min ( P<0.01). (4) Post-optimization, the Intensive Care Unit (ICU) length of stay for successfully resuscitated patients was significantly shorter [(13.54 ± 4.82) days vs. (16.61 ± 6.08) days, P<0.05]. Conclusions:Through process optimization, the blood transfusion process for severe trauma emergency patients is further standardized, reducing delays at each stage and improving both transfusion and treatment efficiency.
