在一家中等输血活动的医院中，使用新型便携式计算机化系统提高了可追溯性和输血安全性。

Improved traceability and transfusion safety with a new portable computerised system in a hospital with intermediate transfusion activity.

机构信息

Transfusion Service, Hospital de Navarra, Pamplona, Navarra, Spain.

出版信息

Blood Transfus. 2011 Apr;9(2):172-81. doi: 10.2450/2011.0044-10. Epub 2011 Jan 17.

DOI:10.2450/2011.0044-10

PMID:21251464

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3096861/

Abstract

BACKGROUND

A retrospective study carried out on medical records of transfused patients in our hospital in 2002 revealed that manual identification procedures were insufficient to offer satisfactory traceability. The aim of this study was to assess adequacy of transfusion traceability and compliance with proper identification procedures after introducing an electronic identification system (EIS) for transfusion safety.

MATERIALS AND METHODS

The chosen EIS (Gricode(®)) was set up. Traceability was calculated as the percentage of empty blood units used returned to the Transfusion Service, compared to the number of supplied units. Compliance in the Transfusion Service was calculated as the percentage of electronic controls from dispatch of blood components/transfusion request performed, compared to the total number of transfused units. Compliance in the ward was calculated as the percentage of electronic controls from sample collection/transfusion performed, compared to the total number of samples collected.

RESULTS

This retrospective study showed that only 48.0% of the medical records were free of inaccuracies. After the implementation of the EIS (2005-2008), traceability was always above 99%. Percentage of monthly compliance from 2006 to 2008 was always above 93%, showing a significant trend to increase (p<0.05). The mean compliance in this period was higher in the Transfusion Service (97.8 ± 0.7 SD) than in the ward (94.9 ± 2.4 SD; p<0.001). Compliance in the ward was lowest when the system was first implemented (87.9% in April 2006) after which it progressively increased. No errors in ABO transfusions were registered.

CONCLUSION

After implementation of the EIS, traceability and compliance reached very high levels, linked to an improvement in transfusion safety.

摘要

背景

2002 年，我们医院对接受输血的患者病历进行了回顾性研究，结果表明手动识别程序不足以提供令人满意的可追溯性。本研究旨在评估引入电子识别系统（EIS）用于输血安全后，输血可追溯性的充分性和符合适当识别程序的情况。

材料和方法

选择了电子识别系统（Gricode(®)）。将使用的空血袋返回输血科的比例与供应的单位数进行比较，计算可追溯性。从发送血液成分/输血申请到进行电子控制的比例与输注的单位总数进行比较，计算输血科的依从性。从采集样本/输血到进行电子控制的比例与采集的样本总数进行比较，计算病房的依从性。

结果

这项回顾性研究表明，只有 48.0%的病历没有错误。实施 EIS（2005-2008 年）后，可追溯性始终高于 99%。2006 年至 2008 年每月的依从率始终高于 93%，呈显著上升趋势（p<0.05）。在此期间，输血科的平均依从率（97.8 ± 0.7 SD）高于病房（94.9 ± 2.4 SD；p<0.001）。系统首次实施时，病房的依从性最低（2006 年 4 月为 87.9%），之后逐渐提高。未发现 ABO 输血错误。