Department of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Transfusion. 2011 Dec;51(12):2583-7. doi: 10.1111/j.1537-2995.2011.03229.x. Epub 2011 Jul 11.
Transfusion services rely on transfusion reaction reporting to provide patient care and protect the blood supply. By voluntary participation in the Hemovigilance Module of the Biovigilance Component of the National Healthcare Safety Network, health care facilities have an opportunity to share institutional transfusion reaction data nationally. An optimally designed reporting form is a critical part of reaction reporting.
All reports of transfusion reactions from 2006 to 2009 were analyzed to evaluate the frequency of reported signs and symptoms and the ability of our reporting form to capture this information. A total of 400 reactions with 879 reported signs and symptoms were reviewed. We then redesigned our reporting form to facilitate participation in hemovigilance reporting and capture with the check-box option at least 90% of historically reported signs and symptoms and all those reported in at least 2% of reactions.
Our original reporting form failed to capture 10 of 32 (31%) signs and symptoms present on the hemovigilance reporting tool. Although our original reporting form contained 27 check-box options, these captured only 657 (74.8%) of reported signs and symptoms. Our redesigned form captures all hemovigilance signs and symptoms. Based on our retrospective review, the new form would also capture up to 95% of previously reported signs and symptoms using the check-box option.
We believe that this study presents an evidence-based approach to the improvement of the transfusion reaction reporting form, which may be attractive for hospitals considering participation in the hemovigilance program.
输血服务依赖于输血反应报告，以为患者提供护理并保护血液供应。通过自愿参与国家医疗保健安全网络生物监测部分的血液监测模块，医疗机构有机会在全国范围内分享机构输血反应数据。设计最佳的报告表格是反应报告的关键部分。
分析了 2006 年至 2009 年的所有输血反应报告，以评估报告的体征和症状的频率，以及我们的报告表格捕捉此信息的能力。共审查了 400 次反应和 879 个报告体征。然后，我们重新设计了报告表格，以促进参与血液监测报告，并使用复选框选项至少捕获 90%的历史报告体征和所有报告中至少 2%的反应的体征。
我们原始的报告表格未能捕获血液监测报告工具上存在的 32 个体征和症状中的 10 个（31%）。尽管我们原始的报告表格包含 27 个复选框选项，但这些选项仅捕获了报告体征和症状的 657 个（74.8%）。我们重新设计的表格可捕获所有血液监测体征。根据我们的回顾性审查，新表格还可以使用复选框选项捕获多达 95%的先前报告的体征和症状。
我们认为，这项研究为改进输血反应报告表格提供了循证方法，对于考虑参与血液监测计划的医院可能具有吸引力。
