Electronic remote blood issue combined with a computer‐controlled, automated refrigerator for major surgery in operating theatres at a distance from the transfusion service

Verlicchi, Franco; Pacilli, Pasqua; Bragliani, Arianna; Rapuano, Silvia; Dini, Daniele; Vincenzi, Daniele

doi:10.1111/trf.14418

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…However, this benefit was not found in the hospital where both BBI and ERBI RBC units were collected from remote refrigerators. This confirms and builds on the findings from previous studies in single hospitals . A reduction in the time taken for blood to reach the patient was not realized when ERBI was carried out at a blood refrigerator in the blood bank.…”

Section: Discussionsupporting

confidence: 90%

“…In some single-center studies, EI has been extended to allow the controlled issue of blood at remote refrigerators away from the blood bank using a networked electronic remote blood release system 3 or electronic remote blood issue (ERBI). [4][5][6] Still, relatively few hospitals currently use these processes.…”

Section: Discussionmentioning

confidence: 99%

“…There are reports from single centers of the benefits of ERBI. 3,4,6,7 The objective of this study was to identify the value of ERBI in five hospitals, three of which were in England, one in Wales, and one in the United States. We found that the implementation of ERBI was rather different in the five hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…This confirms and builds on the findings from previous studies in single hospitals. 3,4,6,7 A reduction in the time taken for blood to reach the patient was not realized when ERBI was carried out at a blood refrigerator in the blood bank. Although the total task time to prepare RBC units for issue was reduced with ERBI compared to BBI, mainly as a result of reduced blood bank staff time, costs were only reduced up to $1,500/year, although the data available for this process were limited.…”

Section: Discussionmentioning

confidence: 99%

“…Transferring the issue of RBC units from the blood bank to a site closer to the clinical areas both reduces the risk of delays and the workload of the blood bank. In some single‐center studies, EI has been extended to allow the controlled issue of blood at remote refrigerators away from the blood bank using a networked electronic remote blood release system or electronic remote blood issue (ERBI) . Still, relatively few hospitals currently use these processes.…”

mentioning

confidence: 99%

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Electronic remote blood issue supports efficient and timely supply of blood and cost reduction: evidence from five hospitals at different stages of implementation

et al. 2019

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BACKGROUND This multicenter international study evaluated electronic remote blood issue (ERBI) for blood unit collection in hospitals. STUDY DESIGN AND METHODS Retrospective data were collected from the ERBI software databases and blood bank information systems. Prospective “time‐and‐motion” data collection methods simulated the delivery of red blood cell units to determine the staff time for each step. RESULTS The main benefit of ERBI was found in two hospitals where the blood unit was issued and collected at refrigerators remote from the blood bank (closer to the clinical area) compared with the standard process of blood bank issue (BBI) and blood unit collection in the blood bank. There was a reduction in the time for blood to reach patients (2.02 min compared to 8.43 min at one site [p ≤ 0.0001], 1.57 min compared to 6.54 min at the other [p ≤ 0.0001]). However, there was no reduction in time where ERBI was conducted in the blood bank or where a blood unit issued by the standard BBI was collected at remote refrigerators. In the three hospitals where ERBI was conducted at remote refrigerators, there was an improved issue:transfusion ratio (range of 1.02‐1.09 for ERBI compared to 1.48‐1.58 for BBI) and a reduction in staff time and costs of between $5,000 and $10,000/year. CONCLUSION This multicenter international study builds on findings from studies in single hospitals that ERBI at remote refrigerators improves the efficiency of transfusion by reducing the time taken for blood units to reach patients, staff time, and costs.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%