Implementation challenges of electronic blood transfusion safety systems: Lessons from an international, multi-site comparative case study.
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| Názov: | Implementation challenges of electronic blood transfusion safety systems: Lessons from an international, multi-site comparative case study. |
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| Autori: | Horck S; Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands., Fahy N; RAND Europe, Cambridge, UK., Greenhalgh T; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. |
| Zdroj: | Transfusion medicine (Oxford, England) [Transfus Med] 2025 Feb; Vol. 35 (1), pp. 48-59. Date of Electronic Publication: 2024 Sep 09. |
| Spôsob vydávania: | Journal Article; Multicenter Study; Comparative Study |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9301182 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-3148 (Electronic) Linking ISSN: 09587578 NLM ISO Abbreviation: Transfus Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Oxford ; Boston : Blackwell Scientific Publications, |
| Výrazy zo slovníka MeSH: | Blood Transfusion*/standards , Blood Safety*/methods , Electronic Data Processing*, Humans ; Prospective Studies ; Netherlands ; England |
| Abstrakt: | Background: Severe transfusion reactions resulting from errors in matching the correct blood with the correct patient are considered never events. Despite the relative technical simplicity of barcode scanning for patient-blood bag matching, the adoption and universal application of this safety measure are by no means universal. This study highlights the logistical and institutional challenges associated with spreading, scaling up, and sustaining such IT-supported safety measures in healthcare. Study Design and Methods: We report findings from a 5-year, prospective, multi-site case study conducted across one hospital in England and three hospitals in the Netherlands. Ethnographic methods, including interviews and observations, were used at each site to investigate the implementation of barcode scanning-supported safety pathways for blood transfusions. Results: Significant variation was observed across the sites in the adoption and implementation of barcode scanning-supported safety pathways. Despite the potential for reducing transfusion errors, the introduction of this innovation was met with varying levels of success in different settings. Discussion: This study highlights the critical role of inter-hospital learning and flexible system design in successfully implementing barcode scanning-supported safety pathways for blood transfusions. A more structured, national-level network for knowledge sharing could enhance the spread and sustainability of such innovations across healthcare settings. (© 2024 The Author(s). Transfusion Medicine published by John Wiley & Sons Ltd on behalf of British Blood Transfusion Society.) |
| References: | Transfus Med. 2008 Aug;18(4):216-22. (PMID: 18783580) Transfus Med. 2014 Dec;24(6):341-71. (PMID: 25444239) Transfusion. 1996 Mar;36(3):216-21. (PMID: 8604505) Transfusion. 2003 Sep;43(9):1200-9. (PMID: 12919421) Transfus Med. 2014 Oct;24(5):274-9. (PMID: 25186089) Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746) J Am Med Inform Assoc. 2021 Feb 15;28(2):284-293. (PMID: 33043359) J Med Internet Res. 2017 Nov 01;19(11):e367. (PMID: 29092808) Transfus Med. 2025 Feb;35(1):48-59. (PMID: 39252454) Transfusion. 2009 May;49(5):829-37. (PMID: 19437613) Health Res Policy Syst. 2017 Aug 14;15(1):70. (PMID: 28806989) |
| Grant Information: | 165720001 Netherlands ZONMW_ ZonMw |
| Contributed Indexing: | Keywords: bedside‐scanning; implementation; organisational learning |
| Entry Date(s): | Date Created: 20240910 Date Completed: 20250218 Latest Revision: 20250610 |
| Update Code: | 20250611 |
| PubMed Central ID: | PMC11833216 |
| DOI: | 10.1111/tme.13095 |
| PMID: | 39252454 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background: Severe transfusion reactions resulting from errors in matching the correct blood with the correct patient are considered never events. Despite the relative technical simplicity of barcode scanning for patient-blood bag matching, the adoption and universal application of this safety measure are by no means universal. This study highlights the logistical and institutional challenges associated with spreading, scaling up, and sustaining such IT-supported safety measures in healthcare.<br />Study Design and Methods: We report findings from a 5-year, prospective, multi-site case study conducted across one hospital in England and three hospitals in the Netherlands. Ethnographic methods, including interviews and observations, were used at each site to investigate the implementation of barcode scanning-supported safety pathways for blood transfusions.<br />Results: Significant variation was observed across the sites in the adoption and implementation of barcode scanning-supported safety pathways. Despite the potential for reducing transfusion errors, the introduction of this innovation was met with varying levels of success in different settings.<br />Discussion: This study highlights the critical role of inter-hospital learning and flexible system design in successfully implementing barcode scanning-supported safety pathways for blood transfusions. A more structured, national-level network for knowledge sharing could enhance the spread and sustainability of such innovations across healthcare settings.<br /> (© 2024 The Author(s). Transfusion Medicine published by John Wiley & Sons Ltd on behalf of British Blood Transfusion Society.) |
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| ISSN: | 1365-3148 |
| DOI: | 10.1111/tme.13095 |