Sherer P B, Chambers R W, Taswell H, Altshuler C, Aster R, Covino K, Gordon S, Gajewski M, Smith A, Horrigan S, Pfaff K
Transfusion. 1977 Nov-Dec;17(6):586-97. doi: 10.1046/j.1537-2995.1977.17678075655.x.
Clerical and administrative errors are the most common mistakes in blood banking, with errors of sample or patient identification accounting for the majority of mistakes. In an effort to reduce the incidence of human errors, three automated donor-recipient identification systems were developed and were evaluated under clinical conditions. After two years of development and bench testing, each set of equipment was tested, along with established procedures, at a large clinical center, a medium-sized community hospital and a regional donor center. Although none of the systems, as tested, proved acceptable under clinical conditions, a great deal was learned about prototype equipment testing in the clinical setting. Future development of identification systems for clinical use should respond to carefully defined problems, apply in all areas of the hospital or donor center, and be convenient and reliable. The development of the equipment should involve established manufacturers and be subject to exacting preclinical testing.
文书和管理错误是血库中最常见的失误,样本或患者识别错误占失误的大多数。为了降低人为错误的发生率,开发了三种自动供受者识别系统,并在临床条件下进行了评估。经过两年的开发和实验室测试,每套设备都与既定程序一起在一家大型临床中心、一家中型社区医院和一个地区献血中心进行了测试。尽管测试的系统在临床条件下均未被证明是可接受的,但在临床环境中对原型设备测试有了很多了解。临床使用的识别系统的未来发展应针对明确定义的问题,适用于医院或献血中心的所有区域,并且方便可靠。设备的开发应涉及知名制造商,并进行严格的临床前测试。