Blood Bank, Department of Laboratory Medicine, China Medical University Hospital, Taichung, Taiwan.
Am J Clin Pathol. 2011 Dec;136(6):842-7. doi: 10.1309/AJCPOQNBKCDXFWU3.
Recognizing and reporting a transfusion reaction is important in transfusion practice. However, the actual incidence of transfusion reactions is frequently underestimated. We designed an online transfusion reaction reporting system for nurses who take care of transfusion recipients. The common management before and after transfusion and the 18 most common transfusion reactions were itemized as tick boxes. We found the overall documented incidence of transfusion reaction increased dramatically, from 0.21% to 0.61% per unit of blood, after we started using an online reporting system. Overall, 94% (30/32) of nurses took only 1 week to become familiar with the new system, and 88% (28/32) considered the new system helpful in improving the quality of clinical transfusion care. By using an intranet connection, blood bank physicians can also identify patients who are having a reaction and provide appropriate recommendations immediately. A well-designed online reporting system may improve the ability to estimate the incidence of transfusion reactions and the quality of transfusion care.
识别和报告输血反应在输血实践中很重要。然而，输血反应的实际发生率经常被低估。我们为照顾输血接受者的护士设计了一个在线输血反应报告系统。将输血前后的常见管理和 18 种最常见的输血反应列为勾选框。我们发现，自从开始使用在线报告系统后，输血反应的总记录发生率从每单位血液的 0.21%急剧增加到 0.61%。总的来说，94%（30/32）的护士只需 1 周即可熟悉新系统，88%（28/32）认为新系统有助于提高临床输血护理质量。通过使用内部网连接，血库医生还可以立即识别出正在发生反应的患者并提供适当的建议。精心设计的在线报告系统可能会提高估计输血反应发生率和输血护理质量的能力。
