Croatian Institute of Transfusion Medicine, Zagreb, Croatia.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Transfus Med. 2021 Apr;31(2):88-93. doi: 10.1111/tme.12762. Epub 2021 Jan 17.
The objective of this study was to show experience of the Croatian Institute of Transfusion Medicine in monitoring and analysing collection failures caused by the venepuncture technique or occurred as a result of adverse reactions and complications experienced by donors during donation.
Collection failures represent one of the leading nonconformities in blood establishments. Apart from being a negative motivating factor for blood donors, they also affect the blood components supply and have a negative financial impact.
Nonconformity records referring to collection failures were analysed retrospectively over a 6-year period (2013-2018) with regard to their frequency, causes, donor characteristics (age, gender, number of donations), place of occurrence (blood establishment, mobile sessions) and trends during the analysed period.
A total of 5166 collection failures out of 618 251 donations (0.84%) were recorded during the analysed period. The leading cause was haematoma at puncture site (1676, i.e., 32.4%). Collection failures which are primarily attributed to the venepuncture technique or vein selection accounted for 91% of all cases, whereas collection failures which occurred as a result of discontinued punctures due to adverse reactions in donors accounted for 9% of all cases. A much higher frequency of all collection failure types was recorded in female donors, whereas younger donors experienced adverse reactions more frequently (median age of 24).
The analysis and monitoring frequency of collection failures play an important role in planning of staff training activities, work organisation and timely implementation of corrective actions.
本研究旨在展示克罗地亚输血医学研究所监测和分析由于穿刺技术引起的采集失败以及献血者在献血过程中发生不良反应和并发症而导致的采集失败的经验。
采集失败是血液采集机构的主要不合格项之一。除了对献血者产生负面影响，导致其失去积极性外，采集失败还会影响血液成分的供应，并产生负面的经济影响。
对 6 年来（2013-2018 年）回顾性分析的采集失败的不合格记录，从其发生频率、原因、献血者特征（年龄、性别、献血次数）、发生地点（血液采集机构、流动采血点）以及分析期间的趋势等方面进行分析。
在分析期间，共记录了 618251 次献血中的 5166 次采集失败（0.84%）。主要原因为穿刺部位血肿（1676 次，即 32.4%）。主要归因于穿刺技术或静脉选择的采集失败占所有病例的 91%，而由于献血者发生不良反应而中断穿刺导致的采集失败占所有病例的 9%。所有采集失败类型在女性献血者中的频率更高，而年轻献血者更常发生不良反应（中位年龄为 24 岁）。
分析和监测采集失败的频率在规划员工培训活动、工作组织和及时实施纠正措施方面发挥着重要作用。
