{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:15:50Z","timestamp":1783653350738,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rapid, reliable, and safe access to blood products remains a persistent operational challenge in transfusion medicine, particularly in high\u2010acuity and geographically dispersed clinical environments. Traditional centralized blood bank workflows may contribute to delays, increased laboratory workload, and risks associated with blood component transportation and storage. Smart blood refrigerators have emerged as an important strategy to support decentralized storage, controlled product access, and enhanced traceability; however, published data describing real\u2010world implementation strategies and operational variability remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Methods<\/jats:title>\n                    <jats:p>To characterize real\u2010world adoption and use, we conducted a multi\u2010institutional survey of North American institutions utilizing BloodTrack\u2010integrated smart blood refrigerators. Survey findings were supplemented by targeted follow\u2010up interviews representing a range of operational models and use cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survey responses demonstrated substantial variability in deployment models, clinical workflows, and blood component storage practices. Smart refrigerators supported a wide range of transfusion service functions across diverse clinical environments, reflecting differing institutional, operational, and patient\u2010care priorities. Commonly reported benefits included shorter time to transfusion, improved workflow efficiency, enhanced traceability, reduced staffing burden, and support for patient\u2010specific blood product selection. Reported barriers primarily involved informatics integration, labeling workflows, serologic eligibility constraints, and training considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings illustrate how smart blood refrigerators are used across diverse transfusion service environments, highlighting the operational flexibility of these systems and providing practical insights for institutions seeking to implement, optimize, or expand smart refrigerator\u2010supported transfusion workflows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.70259","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T05:03:41Z","timestamp":1778216621000},"page":"1239-1251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How do we use smart blood refrigerators at our hospitals in North America?"],"prefix":"10.1111","volume":"66","author":[{"given":"Alexandra","family":"Jimenez","sequence":"first","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Chen","sequence":"additional","affiliation":[{"name":"Transfusion Medicine and Cellular Biotherapies Service NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaclyn","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Transfusion Medicine and Cellular Biotherapies Service NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5014-3435","authenticated-orcid":false,"given":"Stephanie","family":"Kinney","sequence":"additional","affiliation":[{"name":"Division of Pathology and Laboratory Medicine Cincinnati Children's Hospital Medical Center\/University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Coward","sequence":"additional","affiliation":[{"name":"Pathology WakeMed Health &amp; Hospitals  Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Althea","family":"Rossier","sequence":"additional","affiliation":[{"name":"Transfusion Services Sanford Health Marshfield Clinic  Marshfield Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Huggins","sequence":"additional","affiliation":[{"name":"Transfusion Services\/Blood Bank UF Health Shands Cancer Hospital  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Lyon","sequence":"additional","affiliation":[{"name":"Alberta Precision Laboratories Transfusion &amp; Transplantation Medicine Provincial Program  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denden","family":"Benabdessadek","sequence":"additional","affiliation":[{"name":"Transfusion Medicine and Cellular Biotherapies Service NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6296-6682","authenticated-orcid":false,"given":"Sabrina","family":"Racine\u2010Brzostek","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3484-790X","authenticated-orcid":false,"given":"Robert A.","family":"DeSimone","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9048-4114","authenticated-orcid":false,"given":"Tobias","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8042-1494","authenticated-orcid":false,"given":"Melissa M.","family":"Cushing","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"},{"name":"Department of Anesthesiology Weill Cornell Medicine\/NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/aob-22-2"},{"key":"e_1_2_11_3_1","volume-title":"The National Healthcare Safety Network (NHSN) manual: biovigilance component v3","author":"U.S. Centers for Disease Control and Prevention","year":"2026"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.17775"},{"key":"e_1_2_11_5_1","volume-title":"The 2024 annual SHOT report","author":"Narayan S","year":"2025"},{"key":"e_1_2_11_6_1","unstructured":"AllerRD WinstenD.When purchasing a smart refrigerator is well smart. CAP Today.2025. [cited 2026 Jan 22]. Available from:https:\/\/www.captodayonline.com\/newsbytes-0325\/"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/labmed\/lmae122"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14418"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2007.01545.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15231"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12149"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12240"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.70259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/trf.70259","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.70259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:48:27Z","timestamp":1783651707000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.70259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/trf.70259"],"URL":"https:\/\/doi.org\/10.1111\/trf.70259","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]},"assertion":[{"value":"2026-03-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}