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1.
PLoS One ; 19(6): e0303970, 2024.
Article in English | MEDLINE | ID: mdl-38838043

ABSTRACT

BACKGROUND: Blood banks are an important part of healthcare systems. They embrace critical processes that start with donor recruitment and blood collection, followed by blood processing to produce different types of blood components used in transfusions, blood storage, blood distribution, and transfusion. Blood components must be generated at high quality, preserved safely, and transfused in a timely manner. This can be achieved by operating interrelated processes within a complex network. There is no comprehensive blueprint of Blood Banking and Transfusion (BB&T) processes and their relationships; therefore, this study aims to develop and evaluate a BB&T process architecture using the Riva method. RESEARCH DESIGN: This research adopts a design science research methodology process (DSRM) that aims to create artifacts for the purpose of serving humanity through six phases: identifying problems, identifying solutions and objectives, designing and developing artifacts, demonstrating and evaluating the artifacts, and communicating the work. The adapted DSRM process is used to build a process architecture in the BB&T unit to improve the quality and strategic planning of BB&T processes. Applying the adapted DSRM process generated four increments before the outcomes were communicated as a highly comprehensive BB&T process architecture (BB&TPA) blueprint for virtual organizations. Finally, the generated BB&TPA is tested and validated at a reference hospital. RESULTS: A Riva-based process architecture diagram was successfully developed, acting as a reference model for virtual BB&T organizations. It is a novel output in the domain of BB&T and can also be considered as a reference model to evaluate the existing processes in BB&T real-world units. This assists domain experts in performing gap analysis in their BB&T units and paths for developing BB&T management information systems and can be incorporated in the inspection workflow of accreditation organizations.


Subject(s)
Blood Banks , Blood Transfusion , Humans , Blood Banks/standards , Blood Transfusion/methods
2.
J Multidiscip Healthc ; 17: 473-489, 2024.
Article in English | MEDLINE | ID: mdl-38318487

ABSTRACT

Purpose: The current state of the art in process modeling of blood banking and transfusion services is not well grounded; methodological reviews are lacking to bridge the gap between such blood banking and transfusion processes (and their models) and their automation. This research aims to fill this gap with a methodological review. Methods: A systematic mapping study was adopted, driven by five key research questions. Identified research studies were accepted based on fulfilling the following inclusion criteria: 1) research studies should focus on blood banking and transfusion process modeling since the late 1970s; and 2) research studies should focus on process automation in relation to workflow-based systems, with papers classified into categories in line with the analysis undertaken to answer each of the research questions. Results: The search identified 22 papers related to modeling and automation of blood banking and transfusion, published in the period 1979-2022. The findings revealed that only four process modeling languages were reported to visualize process workflows. The preparation of blood components, serologic testing, blood distribution, apheresis, preparation for emergencies, maintaining blood banking and transfusion safety, and documentation have not been reported to have been modeled in the literature. This review revealed the lack of use of Business Process Modeling Notation (BPMN) as the industry standard process modeling language in the domain. The review also indicated a deficiency in modeling specialized processes in blood banking and transfusion, with the majority of reported processes being described as high level, but lacking elaboration. Automation was reported to improve transfusion safety, and to reduce cost, time cycle, and human errors. Conclusion: The work highlights the non-existence of a developed process architectural framework for blood banking and transfusion processes, which is needed to lay the groundwork for identifying and modeling strategic, managerial, and operational processes to bridge the gap with their enactment in healthcare systems. This paves the way for the development of a data-harvesting platform for blood banking and transfusion services.

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