東北地方各医療機関への輸血業務，副作用に関するアンケート調査結果　　日本輸血学会東北支部，「医療における輸血の実際に関する安全性を考える小委員会」での調査概略

DOI 被引用文献1件 参考文献8件

書誌事項

タイトル別名
  • Survey of management of transfusion systems and on transfusion related events in the tohoku district.
  • 日本輸血学会東北支部,「医療における輸血の実際に関する安全性を考える小委員会」での調査概略

この論文をさがす

抄録

We surveyed by questionnaire the management of transfusion systems and transfusion-related events during the 10-year period from 1989 to 1998 in 104 hospitals in the Tohoku district. Only thirty percent of the hospitals have their own transfusion service unit. Sixty-eight percent of hospitals which do not have transfusion service units have no plans to establish such units for several reasons: 1) lack of space and personnel 2) financial insufficiency 3) satisfaction with the existing situation 4) insufficient annual number of transfusions, and 5) reliance on other divisions or sections within the institution. More than half of the hospitals have a transfusion regulation committee; however, 45 (47%) have no committee, and 29 out of 45 have no plans to establish a committee. Laboratory controls including equipment and calibration maintenance are carried out in half of the hospitals, but few hospitals engage in error management, record and sample keeping, and staffing and personnel competency in quality audits. Fifty-three cases of transfusion-related serious events have been reported from 32 hospitals: 18 cases of ABO-incompatibile transfusion, 9 cases of transfusion associated GVHD (including suspected cases), 8 cases of hemolysis or other symptoms due to red cell antibody in recipient, 8 cases of shock or anaphylaxis of unknown cause, 6 cases of hepatitis (HB:3, HC:3), and others. Most of the major errors of ABO-incompatible transfusion occurred during nonemergency situations, in wards or on scheduled surgical operations. We conclude that retrospective information of this kind in a survey can provide the impetus to reduce transfusion-associated errors or complications. A quality control program should be established in each hospital to ensure the quality of blood procedures and the safety of transfusion practices.

収録刊行物

  • 日本輸血学会雑誌

    日本輸血学会雑誌 47 (1), 29-35, 2001

    一般社団法人 日本輸血・細胞治療学会

被引用文献 (1)*注記

もっと見る

参考文献 (8)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ