Renner S W, Howanitz J H, Fishkin B G
QRB Qual Rev Bull. 1987 Mar;13(3):76-80. doi: 10.1016/s0097-5990(16)30110-5.
During a one-year period, all blood transfusions at an acute care Veterans Administration hospital were concurrently reviewed. Inappropriate transfusion episodes represented less than 2% of the total according to clinical criteria established for purposes of screening cases. The percentage of episodes reviewed that did not meet the screening criteria decreased progressively (3.6% to 0.3%) during the study period. Episodes in which red blood cells (RBC) or fresh frozen plasma (FFP) alone and RBC and FFP together were transfused comprised almost all of the cases that were unjustified by peer review. The findings indicated that, although comprehensive review may document the overall appropriateness of clinical transfusion practice, more detailed profiling of clinical circumstances of each episode is necessary to provide convincing arguments for major revisions in hemotherapy practice.
在一年时间里，对一家退伍军人事务部急症医院的所有输血情况进行了同步审查。根据为筛查病例制定的临床标准，不适当输血事件占总数的比例不到2%。在研究期间，不符合筛查标准的审查事件比例逐渐下降（从3.6%降至0.3%）。单独输注红细胞（RBC）或新鲜冰冻血浆（FFP）以及同时输注RBC和FFP的事件几乎构成了所有经同行评审不合理的病例。研究结果表明，尽管全面审查可能记录临床输血实践的总体适宜性，但有必要对每一事件的临床情况进行更详细的剖析，以便为血液治疗实践的重大修订提供有说服力的论据。
