Murphy M F, Kay J D S
National Blood Service, John Radcliffe Hospital, Oxford, UK.
Curr Opin Hematol. 2004 Sep;11(5):334-8. doi: 10.1097/01.moh.0000142801.38087.e5.
Errors related to blood transfusion in hospitals may produce catastrophic consequences. This review addresses potential solutions to prevent patient misidentification including the use of new technology, such as barcoding.
A small number of studies using new technology for the transfusion process in hospitals have shown promising results in preventing errors. The studies demonstrated improved transfusion safety and staff preference for new technology such as bedside handheld scanners to carry out pretransfusion bedside checking. They also highlighted the need for considerable efforts in the training of staff in the new procedures before their successful implementation.
Improvements in hospital transfusion safety are a top priority for transfusion medicine, and will depend on a combined approach including a better understanding of the causes of errors, a reduction in the complexity of routine procedures taking advantage of new technology, improved staff training, and regular monitoring of practice. The use of new technology to improve the safety of transfusion is very promising. Further development of the systems is needed to enable staff to carry out bedside transfusion procedures quickly and accurately, and to increase their functionality to justify the cost of their wider implementation.
医院中与输血相关的错误可能会产生灾难性后果。本综述探讨了预防患者身份误认的潜在解决方案,包括使用条形码等新技术。
少数在医院输血过程中使用新技术的研究在预防错误方面显示出了有前景的结果。这些研究表明输血安全性得到了提高,并且工作人员更倾向于使用床边手持扫描仪等新技术进行输血前床边检查。它们还强调了在成功实施新程序之前,需要在工作人员培训方面付出巨大努力。
提高医院输血安全性是输血医学的首要任务,这将取决于综合方法,包括更好地理解错误原因、利用新技术降低常规程序的复杂性、改进工作人员培训以及定期监测实践。使用新技术提高输血安全性非常有前景。需要进一步开发这些系统,以使工作人员能够快速准确地进行床边输血程序,并增加其功能以证明更广泛实施的成本是合理的。