Raynal M-J
Pôle Samu-urgence, centre hospitalier de Perpignan, Perpignan, France.
Transfus Clin Biol. 2008 Nov;15(5):274-6. doi: 10.1016/j.tracli.2008.09.019. Epub 2008 Oct 18.
In hospitals, patients' identity mismatch is the cause of serious incidents during transfusion or other healthcare processes. With a wider use of healthcare software, new dysfunctions and risks may occur in case of ID mismatch between different software and for transfusion between blood bank and hospital. Four critical stages are to be considered when using software management of hospital care: initial patients' identification, modifications of identification data during hospital stay and then synchronization of all different software, proper use of patient's identification means by hospital staff and share of patient's identification data with others such as the Etablissement français du sang (EFS) for transfusional purposes. Perpignan Hospital has put in place an identity vigilance group whose role is to enforce a safe patients' identification policy. It has to inform and train hospital staff, make sure that all software requiring patients' ID are correctly synchronized, especially when sharing data with EFS and monitor improvement with a surveillance system. As transfusion care is one of the more patients' ID sensitive, particularly when computer assisted, haemovigilance officers are highly involved in identity vigilance.
在医院中，患者身份不匹配是输血或其他医疗过程中严重事故的原因。随着医疗软件的广泛使用，如果不同软件之间的身份不匹配以及血库与医院之间输血时，可能会出现新的功能障碍和风险。在使用医院护理软件管理时，需要考虑四个关键阶段：患者初始身份识别、住院期间身份识别数据的修改以及所有不同软件的同步、医院工作人员正确使用患者身份识别手段以及与法国血液中心（EFS）等其他机构共享患者身份识别数据以用于输血目的。佩皮尼昂医院成立了一个身份警惕小组，其职责是执行安全的患者身份识别政策。该小组必须对医院工作人员进行宣传和培训，确保所有需要患者身份识别的软件正确同步，特别是在与法国血液中心共享数据时，并通过监测系统监督改进情况。由于输血护理是对患者身份识别较为敏感的领域之一，尤其是在计算机辅助的情况下，血液警戒官员高度参与身份警惕工作。
