Brien W F, Butler R J, Inwood M J
Department of Medicine, St. Joseph's Health Centre of London, Ont.
CMAJ. 1989 Apr 1;140(7):812-5.
As part of a quality assurance program a retrospective audit of transfusion practices for packed red blood cells, fresh frozen plasma and albumin was undertaken with predetermined criteria in a general teaching hospital. Of 520 transfusion episodes with 1218 units of packed red blood cells given to 297 patients 88% were considered appropriate; of 106 episodes with 405 units of fresh frozen plasma given to 83 patients 90% were deemed appropriate; and of 187 episodes with 320 units of albumin given to 99 patients 64% were considered appropriate. The results of this audit, when compared with those of other surveys of blood use in a similar population, suggest that pretransfusion approval of requested components would reduce the number of inappropriate transfusions.
作为质量保证计划的一部分，在一家综合教学医院按照预定标准对红细胞悬液、新鲜冰冻血浆和白蛋白的输血操作进行了回顾性审计。在297例患者接受的520次输血事件中，共输注了1218单位红细胞悬液，其中88%被认为是适当的；在83例患者接受的106次输血事件中，共输注了405单位新鲜冰冻血浆，其中90%被认为是适当的；在99例患者接受的187次输血事件中，共输注了320单位白蛋白，其中64%被认为是适当的。与其他针对类似人群的用血调查结果相比，本次审计结果表明，对申请的血液成分进行输血前审批将减少不适当输血的数量。
