Wenz B, Mercuriali F, AuBuchon J P
Department of Laboratory Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Am J Clin Pathol. 1997 Apr;107(4 Suppl 1):S12-6.
Human error is a leading cause of transfusion-associated death. Many of these events are associated with a failure to comply with established unit-recipient identification protocols. Although several dedicated systems designed to minimize this problem are currently available, none of them have been sufficiently challenged by the various conditions that exist in diverse clinical settings. However, data available for computer-based recognition procedures and for a disposable blood bag combination lock, which precludes access to the blood before it is properly identified, are encouraging.
人为失误是输血相关死亡的主要原因。其中许多事件都与未能遵守既定的单位-受血者识别协议有关。尽管目前有几种旨在尽量减少这一问题的专用系统,但它们都没有受到不同临床环境中各种条件的充分挑战。然而,基于计算机的识别程序和一次性血袋密码锁(在血液未正确识别之前无法打开)的现有数据令人鼓舞。