Staples Sophie, O'Callaghan Clare, Pavord Sue, Staves Julie, Murphy Michael F
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
NHS Blood & Transplant (NHSBT), Oxford, UK.
Transfusion. 2020 Sep;60(9):2153-2155. doi: 10.1111/trf.16028. Epub 2020 Aug 23.
Transfusion of an incorrect blood component is an important avoidable serious hazard of transfusion resulting from process errors. Our group and others have taken advantage of new technology and developed electronic transfusion systems for safe transfusion practice in a previous studies. They allow the clinical staff to correctly identify the patient and the blood product at the bedside, ensuring the right blood product is given to the right patient. This video is to demonstrate the process and not to promote any specific product. It is a follow up our previous video clip on electronic remote blood issue in a previous study. The process for correct patient identification originates from the wristband, which contains the patient identification details in a 2D barcode and is printed from the electronic patient record system. These details are associated with the blood sample through using a portable printer to produce a label for the sample tube. The patient details are scanned into the blood bank laboratory information system (LIS) and are then printed on a compatibility label by the LIS, which also contains a 2-dimensional barcode, and is then attached to the blood product. Following an initial visual check of these details by the clinical staff, the electronic bedside system requires that both the patient wristband barcode and the blood product compatibility barcode are scanned. This will electronically verify at the patient's bedside that the right unit is to be given to the right patient. This is the final step in ensuring end-to-end electronic control and safe transfusion practice.
输注错误的血液成分是因流程错误导致的一种重要的、可避免的严重输血风险。在之前的研究中，我们团队及其他团队利用新技术开发了用于安全输血操作的电子输血系统。这些系统使临床工作人员能够在床边正确识别患者和血液制品，确保将正确的血液制品输给正确的患者。本视频旨在演示该流程，而非推广任何特定产品。它是我们之前关于电子远程血液发放的视频片段在先前研究中的后续内容。正确识别患者的流程始于腕带，腕带以二维条形码形式包含患者识别详细信息，由电子患者记录系统打印生成。通过使用便携式打印机为样本管制作标签，这些详细信息与血样相关联。患者详细信息被扫描录入血库实验室信息系统（LIS），然后由LIS打印在一个同样包含二维条形码的相容性标签上，该标签随后被粘贴到血液制品上。在临床工作人员对这些详细信息进行初步目视检查后，电子床边系统要求同时扫描患者腕带条形码和血液制品相容性条形码。这将在患者床边通过电子方式验证是否将正确的血袋输给正确的患者。这是确保端到端电子控制和安全输血操作的最后一步。
