Jain Ashish, Kumari Sonam, Marwaha Neelam, Sharma Ratti Ram
Department of Transfusion Medicine, PGIMER, Chandigarh, 160012 India.
Indian J Hematol Blood Transfus. 2015 Jun;31(2):269-74. doi: 10.1007/s12288-014-0444-7. Epub 2014 Aug 17.
Pre-transfusion testing includes proper requisitions, compatibility testing and pre-release checks. Proper labelling of samples and blood units and accurate patient details check helps to minimize the risk of errors in transfusion. This study was aimed to identify requisition errors before compatibility testing. The study was conducted in the blood bank of a tertiary care hospital in north India over a period of 3 months. The requisitions were screened at the reception counter and inside the pre-transfusion testing laboratory for errors. This included checking the Central Registration number (C.R. No.) and name of patient on the requisition form and the sample label; appropriateness of sample container and sample label; incomplete requisitions; blood group discrepancy. Out of the 17,148 blood requisitions, 474 (2.76 %) requisition errors were detected before the compatibility testing. There were 192 (1.11 %) requisitions where the C.R. No. on the form and the sample were not tallying and in 70 (0.40 %) requisitions patient's name on the requisition form and the sample were different. Highest number of requisitions errors were observed in those received from the Emergency and Trauma services (27.38 %) followed by Medical wards (15.82 %) and the lowest number (3.16 %) of requisition errors were observed from Hematology and Oncology wards. C.R. No. error was the most common error observed in our study. Thus a careful check of the blood requisitions at the blood bank reception counter helps in identifying the potential transfusion errors.
输血前检测包括正确的申请单填写、相容性检测和发放前检查。对样本和血袋进行正确标记以及准确核对患者详细信息有助于将输血错误风险降至最低。本研究旨在识别相容性检测前的申请单错误。该研究在印度北部一家三级护理医院的血库进行，为期3个月。在接待柜台和输血前检测实验室内对申请单进行错误筛查。这包括核对申请单和样本标签上的中央登记号（C.R. No.）及患者姓名；样本容器和样本标签的适用性；不完整的申请单；血型不符情况。在17148份血液申请单中，在相容性检测前检测到474份（2.76%）申请单错误。有192份（1.11%）申请单，其表格上的C.R. No.与样本不符，70份（0.40%）申请单，申请单上的患者姓名与样本不同。申请单错误数量最多的是来自急诊和创伤科的申请单（27.38%），其次是内科病房（15.82%），而血液科和肿瘤科病房的申请单错误数量最少（3.16%）。C.R. No.错误是我们研究中观察到的最常见错误。因此，在血库接待柜台仔细核对血液申请单有助于识别潜在的输血错误。
