Miura Nobuhiko, Ishii Jun-ichi
Department of Clinical Pathology, Fujita Health University Hospital, Toyoake 470-1192, Japan.
Rinsho Byori. 2010 Aug;58(8):833-8.
Obtaining blood specimens is routine; however, it is one of the riskiest procedures medical technologists perform. At the Fujita Health University Hospital, there were 182,000 blood collections in 2008, and 31 safety management reports on blood collection, accounting for 12% of all safety management reports. To reduce the risk of blood collection problems, our suggestions are as follows: (1) medical technologists should understand that venipuncture may induce nerve injury; (2) they should make efforts to improve their technical procedures; (3) they should develop procedural knowledge, an explanatory manner, and patient service; (4) they should make efforts to establish the safety of the blood collection system; and (5) they should recognize the need to provide high-quality medical services to patients and reduce problems associated with blood collection. Finally, when problems occur, medical technologists should collect accurate information and analyze it to promote blood collection safety.
采集血样是常规操作；然而，这是医学技术人员执行的风险最高的程序之一。在藤田保健大学医院，2008年有18.2万次采血，关于采血的安全管理报告有31份，占所有安全管理报告的12%。为降低采血问题的风险，我们的建议如下：（1）医学技术人员应明白静脉穿刺可能会导致神经损伤；（2）他们应努力改进技术操作程序；（3）他们应培养程序知识、解释方式和患者服务意识；（4）他们应努力建立采血系统的安全性；（5）他们应认识到有必要为患者提供高质量的医疗服务并减少与采血相关的问题。最后，当问题发生时，医学技术人员应收集准确信息并进行分析，以促进采血安全。
