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输血错误:原因和预防措施。

Errors in transfusion: causes and measures to avoid them.

机构信息

Department of Pathology and Laboratory Medicine, Immunohematology and Transfusion Center, University Hospital of Parma, Parma, Italy.

出版信息

Clin Chem Lab Med. 2010 Aug;48(8):1075-7. doi: 10.1515/CCLM.2010.178.

DOI:10.1515/CCLM.2010.178
PMID:20578965
Abstract

Adverse events related to medical errors are common worldwide and largely unreported. However, they represent a serious problem within the health care community, resulting in avoidable loss of life and/or extremely high costs. Likewise, errors in transfusion medicine, which most frequently involve misidentification of the patient, not rarely may have life-threatening consequences. In this review, the errors related to blood transfusion are briefly summarized along with new technologies developed for improving blood safety.

摘要

与医疗差错相关的不良事件在全球范围内很常见,但大多未被报告。然而,它们是医疗保健界的一个严重问题,导致本可避免的生命损失和/或极高的成本。同样,输血医学中的错误,最常见的是患者身份识别错误,可能会导致危及生命的后果。在这篇综述中,简要总结了与输血相关的错误,并介绍了为提高血液安全性而开发的新技术。

相似文献

1
Errors in transfusion: causes and measures to avoid them.输血错误:原因和预防措施。
Clin Chem Lab Med. 2010 Aug;48(8):1075-7. doi: 10.1515/CCLM.2010.178.
2
[Examination for prevent of blood transfusion errors].[预防输血错误的检查]
Rinsho Byori. 2003 Feb;51(2):146-9.
3
Transfusion errors: scope of the problem, consequences, and solutions.输血错误:问题范围、后果及解决办法
Curr Hematol Rep. 2003 Nov;2(6):518-21.
4
Transfusion errors: causes, incidence, and strategies for prevention.输血错误:原因、发生率及预防策略。
Curr Opin Anaesthesiol. 2014 Dec;27(6):657-9. doi: 10.1097/ACO.0000000000000136.
5
[Present state of transfusion errors].[输血错误的现状]
Rinsho Byori. 2003 Jan;51(1):43-9.
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Errors in transfusion medicine: have we learned our lesson?输血医学中的错误:我们吸取教训了吗?
Mt Sinai J Med. 2011 Nov-Dec;78(6):854-64. doi: 10.1002/msj.20296.
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Consecutive national surveys of ABO-incompatible blood transfusion in Japan.日本连续全国性 ABO 血型不合输血调查。
Vox Sang. 2009 Oct;97(3):240-6. doi: 10.1111/j.1423-0410.2009.01199.x. Epub 2009 May 20.
8
Errors in transfusion medicine are not only misidentifications of the recipient, but also pre-analytical and analytical errors.输血医学中的错误不仅包括受血者身份识别错误,还包括分析前和分析过程中的错误。
Clin Chem Lab Med. 2010 Aug;48(8):1053-4. doi: 10.1515/CCLM.2010.269.
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Root cause analysis of transfusion error: identifying causes to implement changes.输血错误的根本原因分析:确定原因以实施变更。
Transfusion. 2010 Dec;50(12 Pt 2):2772-7. doi: 10.1111/j.1537-2995.2010.02943.x.
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[Accidental transfusion with ABO-incompatible blood: process for analysis of the contributing causes].[ABO血型不相容血液的意外输血:促成原因的分析流程]
Sangre (Barc). 1997 Jun;42(3):205-13.

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Performance Assessment of Internal Quality Control (IQC) Products in Blood Transfusion Compatibility Testing in China.中国输血相容性检测中内部质量控制(IQC)产品的性能评估
PLoS One. 2015 Oct 21;10(10):e0141145. doi: 10.1371/journal.pone.0141145. eCollection 2015.