[Present conditions and problems about drawing blood].

The problem of clinical on-site confusion was put to the Japanese nursing association (JNA) safety measures department after a notice about "Self-inspections and Other Precautions for the Use of Vacuum Blood Collection Tubes" from the Ministry of Health, Labor and Welfare in November, 2003. The Infection Control Network in Japan (ICNJ) investigated the situation regarding the use of vacuum blood collection tubes and their cause of medical on-site confusion, in February, 2004. Results were obtained from 90 Healthcare facilities (collection rate 91%). The majority had more than 500 beds, and all Healthcare facilities knew of the notice from the Ministry of Health, Labor and Welfare. The results expressed the present conditions of the institutions, where information releases such as notices of the Ministry of Health, Labor and Welfare were provided. However, following the notice from the Ministry of Health, Labor and Welfare concerning the processing method using a drawing blood holder, and the disinfection method, 30% of Healthcare facilities reported on-site confusion concerning various things. Confusion existed in the processing method/procedure, and there were problems with the increase in the number of duties and administration of the drawing blood holders method, so a guarantee of the effectiveness of disinfection was difficult.