Abstract: Objective To construct a whole-process smart transfusion management model based on blood bank forward, to move the blood bank toward the departments of blood use, to realize the whole-process smart management of blood, and to explore the clinical effect of this model. Methods Smart blood cabinet and “the Internet of Things” refrigerated boxes with constant temperature were developed. A whole-process smart transfusion information management system was applied in hematology department. Clinical practice of this model was evaluated through measuring the time the blood withdrawn from the cold chain before transfusion, the qualified rate of transfusion nursing records, the time consumed per single blood bag transfusion and the proportion of transfusions during day shifts. Results After the blood bank was moved forward, the time the blood withdrawn from the cold chain before transfusion was shortened from (25.11±3.20 )min to (6.08±2.57) min (t=155.991, P<0.001); the qualified rate of blood transfusion nursing records increased from 84.94% to 97.22%（χ²=503.096, P<0.001); the time consumed per single blood bag transfusion was shortened from (19.39±3.27) min to (2.05±1.07) min(t=170.680, P<0.001), and the proportion of transfusions during day shifts increased from 54.90% to 85.07%（χ²=168.540, P<0.001). Conclusion The whole-process smart transfusion management model based on blood bank forward has improved blood management, quality of blood transfusion and safety of blood transfusion. It has also optimized clinical workflow and improved nurse work efficiency.

Key words: RFID technology, blood bank forward, smart nursing, safety of clinical blood use