建立數位化血品調度平台-提升診所產婦輸血安全

Establishing a Digital Blood Supply Platform to Enhance Safety for Obstetric Patients in Clinics

目的：根據臺灣婦產科醫學會統計，國內僅不到四成婦產科診所提供接生服務，主要原因之一為產後大出血風險。因此，本醫院試圖利用資訊化模式提升婦產科診所輸血安全。

方法：專案團隊運用品管圈活動手法，透過品質需求訪談和輸血流程價值溪流圖分析，確定關鍵品質項目並選定攻堅點。實施五大方策群組包括：「幸福一指通」、「機器人領航」、「血庫超商」、「小黃送血」、「新鮮送到府」。

結果：血品調度平台自110年12月啟用至112年底，一般領血時效達成率97.3%，緊急領血時效達成率81%，且無輸血不良反應或異常事件發生。

結論：為守護診所孕婦輸血品質，需持續優化血品調度平台並加強跨團隊之間有效溝通與合作。

 

Purpose: Statistics from the Taiwan Association of Obstetrics and Gynecology indicate that fewer than 40% of obstetrics and gynecology clinics in Taiwan offer delivery services, with one of the primary concerns being the risk of postpartum hemorrhage. This study aimed to enhance blood transfusion safety in obstetrics and gynecology clinics through the implementation of an information based model.

Materials and methods: The project team employed the quality circle method, conducting quality requirement interviews and value stream mapping of the blood transfusion process to identify key quality factors and select critical points for improvement. Five major strategic initiatives were implemented: "Happiness at Your Fingertips", "Robot Navigation", "Blood Bank Convenience Store", "Cab Blood Delivery", and “Fresh Delivery to Your Doorstep”.

Results: Since the launching of a digital blood component dispatch platform in December 2021, up until the end of 2023, the general blood component delivery efficiency rate reached 97.3% and the emergency blood component delivery efficiency rate reached 81%. No incidents of adverse reactions or abnormalities related to blood transfusions were observed.

Conclusion: To safeguard the quality of blood transfusion for pregnant women in clinics, it is necessary to continuously optimize the digital blood component dispatch platform and the effective communication and cooperation among teams.