Going for gold: blood planning for the London 2012 Olympic Games
被引:10
|
作者:
Glasgow, S. M.
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机构:
Queen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, EnglandQueen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, England
Glasgow, S. M.
[1
]
Allard, S.
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机构:
Royal London Hosp, Dept Haematol, London E1 1BB, England
NHS Blood & Transplant, Birmingham B15 2SG, W Midlands, EnglandQueen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, England
Allard, S.
[2
,3
]
Rackham, R.
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机构:
NHS Blood & Transplant, Birmingham B15 2SG, W Midlands, EnglandQueen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, England
Rackham, R.
[3
]
Doughty, H.
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机构:
NHS Blood & Transplant, Birmingham B15 2SG, W Midlands, EnglandQueen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, England
Doughty, H.
[3
]
机构:
[1] Queen Mary Univ London, Blizard Inst, Barts & London Sch Med & Dent, London, England
[2] Royal London Hosp, Dept Haematol, London E1 1BB, England
[3] NHS Blood & Transplant, Birmingham B15 2SG, W Midlands, England
blood modelling;
blood provision;
major event health care planning;
transfusion contingency planning;
MASSIVE TRANSFUSION PROTOCOL;
CASUALTY INCIDENTS;
HEALTH-CARE;
TRAUMA;
EXPERIENCE;
MANAGEMENT;
PRODUCTS;
DISASTER;
RESUSCITATION;
PREDICTION;
D O I:
10.1111/tme.12116
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
The Olympics is one of the largest sporting events in the world. Major events may be complicated by disruption of normal activity and major incidents. Health care and transfusion planners should be prepared for both. Previously, transfusion contingency planning has focused on seasonal blood shortages and pandemic influenzas. This article is the first published account of transfusion contingency planning for a major event. We describe the issues encountered and the lessons identified during transfusion planning for the London 2012 Olympics. Planning was started 18months in advance and was led by a project team reporting to the Executive. Planning was based on three periods of Gamestime. The requirements were planned with key stakeholders using normal processes enhanced by service developments. Demand planning was based on literature review together with computer modelling. The aim was blood-stock sufficiency complimented by a high readiness donor panel to minimise waste. Plans were widely communicated and table-top exercised. Full transfusion services were maintained during both Games with all demands met. The new service improvements and high readiness donors worked well. Emergency command and control have been upgraded. Red cell concentrate (RCC) stock aged but wastage was not significantly increased. The key to success was: early planning, stakeholder engagement, service developments, integration of transfusion service planning within the wider health care community and conduct within an assurance framework.