Goldman M, Rémy-Prince S, Trépanier A, Décary F
Canadian Red Cross Society, Blood Services, Transfusion Center of Quebec, Canada.
Transfusion. 1997 May;37(5):523-7. doi: 10.1046/j.1537-2995.1997.37597293885.x.
Although certain transfusion risks are eliminated by the use of autologous blood, clerical errors may still occur. In addition, because of differences in donor selection criteria and donor-patient expectations, the consequences of certain errors may be different in autologous and allogeneic donations.
In January 1996, autologous donation error rates in Canada from 1989 to November 1995 were estimated by 1) a detailed questionnaire sent to hospitals supplied by the Canadian Red Cross, Blood Services, Transfusion Center of Quebec at Montreal autologous donation program (n = 31), 2) a review of that institution's quality assurance non-compliance reports, and 3) a detailed questionnaire sent to other Canadian Red Cross centers with autologous donation programs (n = 16) and hospital-based autologous programs in Canada (n = 3). The total number of autologous donations collected was determined from Canadian Red Cross annual reports and information supplied by hospital-based programs.
There were 113 errors reported for 16,873 units collected by the Montreal center (1/149 units) based on collection center and hospital data. The most frequent errors were the late receipt of units for surgery (25% of errors) or the receipt of units in the wrong hospital (23%). Other Canadian programs reported 166 errors for approximately 53,500 units collected (1/322 units). However, this figure was based mainly on collection center, and not hospital, data. The most frequent errors were in labeling (48%) and component preparation (25%). One unit of autologous fresh-frozen plasma was transfused to the wrong recipient. Errors were more frequent if components were produced, if units were drawn in hospitals for interhospital transfer, or it units were shipped between Red Cross centers.
Errors are not infrequent in autologous donation programs. Autologous transfusion should not be considered as being without risk.
尽管使用自体血可消除某些输血风险，但仍可能发生文书错误。此外，由于供者选择标准和供者 - 患者期望的差异，某些错误在自体和异体献血中的后果可能不同。
1996年1月，通过以下方式估计1989年至1995年11月加拿大的自体献血错误率：1）向由加拿大红十字会、血液服务机构、魁北克蒙特利尔输血中心自体献血项目提供血液的医院（n = 31）发送详细问卷；2）审查该机构的质量保证不符合报告；3）向加拿大其他有自体献血项目的红十字中心（n = 16）和加拿大医院自体项目（n = 3）发送详细问卷。收集的自体献血总数根据加拿大红十字会年度报告和医院项目提供的信息确定。
根据采集中心和医院数据，蒙特利尔中心采集的16,873单位血液中有113起错误报告（每149单位中有1起）。最常见的错误是手术用血接收延迟（占错误的25%）或血液在错误的医院接收（占23%）。其他加拿大项目报告在采集的约53,500单位血液中有166起错误（每322单位中有1起）。然而，该数字主要基于采集中心而非医院数据。最常见的错误是标签错误（占48%）和成分制备错误（占25%）。有1单位自体新鲜冰冻血浆输给了错误的受者。如果制备成分、在医院采集用于医院间转运或在红十字中心之间运送血液，则错误更频繁。
自体献血项目中错误并不罕见。自体输血不应被视为无风险。
