Njah M, Nouira A, Yacoub S, Belajouza S, Ghachem L, Boufares F, Chabriéres C
Service d'hygiène hospitallère-CHU Farhat hached Sousse, Tunisie.
Tunis Med. 2002 Jun;80(6):306-11.
During last years, blood transfusion and transfusion security were domains which have preoccupied health authorities, the population and health professionals. Beginning with the principle that blood transfusion is a care that must be under medical responsibilities, authors analyse physician's implication in this field. To reach this objective, a study interested 199 young physicians, working in two university hospitals in Tunisia. Results indicate that physician's knowledge about blood transfusion is insufficient to guarantee quality of this medical act. In terms of attitudes and practices, physicians are not really always implicated in the different stages of blood transfusion process. Intervention is limited to prescription and blood transfusion record card writing. Transfusion herself and monitoring were, in particular, delegated to nurses. So transfusion incidents were under--declared. Transfusion medicine must occupy important place in physicians curriculum. At hospital level, quality insurance process, based on audit, have to be implemented to obtain transfusion good practices, in a domain were risks are unfortunately not yet totally circumscribed.
在过去几年中，输血及输血安全一直是卫生当局、公众和卫生专业人员关注的领域。基于输血是一项必须由医疗责任承担的治疗这一原则，作者分析了医生在该领域的参与情况。为实现这一目标，一项研究对突尼斯两家大学医院的199名年轻医生进行了调查。结果表明，医生关于输血的知识不足以保证这一医疗行为的质量。在态度和做法方面，医生在输血过程的不同阶段并非总是真正参与其中。干预仅限于开处方和填写输血记录卡。输血本身及监测尤其被委托给护士。因此，输血事故报告不足。输血医学必须在医生课程中占据重要地位。在医院层面，必须实施基于审核的质量保证流程，以在一个风险尚未完全界定的领域获得良好的输血实践。
