{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680247855232.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3925/jjtc.57.484"}},{"identifier":{"@type":"NAID","@value":"10030456673"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2012117527"}}],"dc:title":[{"@language":"en","@value":"REDUCING DISCARDED BLOOD COMPONENTS: ANALYSIS OF REASONS FOR DISCARD OVER THE PAST 6 YEARS"},{"@language":"ja","@value":"廃棄血削減への取り組み‐過去６年廃棄理由の解析‐"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We are working on reducing the amount of discarded blood components by introducing T&S and MSBOS, promoting proper blood transfusion, and reexamining inventories in our hospital. To reveal the reasons for discard in detail, we analyzed discard rates and reasons from 2004 to 2009. Comparison between the discard rates in 2004 and 2009 revealed that the discard rate of red blood cell (RBC) products decreased from 1.1% to 0.2% and that of platelet concentrates (PC) from 0.3% to 0.1%. The discard rate of fresh frozen plasma (FFP) increased from 0.4% to 0.8%.<br> The main reason for the marked reduction in the discard rate of RBC products was a reduction in the amounts of expired products at the Department of Blood Transfusion (75 packs in 2004, 6 packs in 2009). In contrast, reasons for the discard of FFP and PC were found mainly in clinical departments (97% in FFP and 92% in PC). Although most cases were unavoidable, some were due to improper handling.<br> The reasons for discard differed by the type of blood product. However, our analysis revealed that there were still many human errors such as improper handling, besides expiration of products and patients' condition change. Education about the characteristics of each blood product and handling method is necessary to execute safe and effective transfusion therapy.<br>"},{"@language":"ja","@value":"当院ではT&S・MSBOSの導入や,適正輸血の推進,また在庫量の再検討を行うなど,廃棄血削減に取り組んでいる.本論文では,廃棄理由の詳細を明らかにするため2004年から2009年の6年間の当院での廃棄率,廃棄理由を解析した.2004年と2009年の廃棄率を比較すると,赤血球製剤は1.1％から0.2％に減少し,血小板製剤は0.3％が0.1％に減少.新鮮凍結血漿は0.4％から0.8％と増加した.赤血球製剤の廃棄が著減したのは輸血部における期限切れ廃棄となった製剤の減少が主たる要因であった（2004年75本,2009年6本）.新鮮凍結血漿・血小板製剤は診療科に原因があって廃棄となる割合が高く（新鮮凍結血漿97％，血小板製剤92％）,患者の容態変化などやむを得ないものも多いが,人為的なミスも多くあった.<br> 今回の解析にて,製剤種によって傾向の違いはあるものの,有効期限切れや患者容態の変化など以外に,不適切な取り扱いによるものなど人為的なミスによるものが多いことが明らかとなった.安全かつ効果的な輸血療法を実施するためには各血液製剤の特性や取り扱い方法を教育・浸透させていくことが必要であると考えられる.<br>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222282531972","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019092900"}],"foaf:name":[{"@language":"en","@value":"Ikeda Tamayo"},{"@language":"ja","@value":"池田 珠世"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531974","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019092903"}],"foaf:name":[{"@language":"en","@value":"Nakao Mayumi"},{"@language":"ja","@value":"中尾 まゆみ"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"},{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172235953282","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017333983"}],"foaf:name":[{"@language":"en","@value":"Tateno Mika"},{"@language":"ja","@value":"館農 美香"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"},{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531975","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000000421010"}],"foaf:name":[{"@language":"en","@value":"Kiyokawa Tomoko"},{"@language":"ja","@value":"清川 知子"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"},{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172235953153","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Tomiyama Yoshiaki"},{"@language":"ja","@value":"冨山 佳昭"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205031243904","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000003838420"}],"foaf:name":[{"@language":"en","@value":"Oshida Machiko"},{"@language":"ja","@value":"押田 眞知子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531976","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000000421011"}],"foaf:name":[{"@language":"en","@value":"Aochi Hiroshi"},{"@language":"ja","@value":"青地 寛"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531971","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019092901"}],"foaf:name":[{"@language":"en","@value":"Kiyama Tomomi"},{"@language":"ja","@value":"帰山 ともみ"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531970","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019092902"}],"foaf:name":[{"@language":"en","@value":"Sakuragi Mikiko"},{"@language":"ja","@value":"櫻木 美基子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222282531968","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000364131552"}],"foaf:name":[{"@language":"en","@value":"Nagamine Keisuke"},{"@language":"ja","@value":"永峰 啓丞"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Blood Transfusion, Osaka University Hospital"},{"@language":"ja","@value":"大阪大学医学部附属病院輸血部"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"18813011"},{"@type":"EISSN","@value":"18830625"},{"@type":"NCID","@value":"AA12159645"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Transfusion and Cell Therapy"},{"@language":"ja","@value":"日本輸血細胞治療学会誌"},{"@language":"en","@value":"JJTC"},{"@language":"ja","@value":"日輸細治会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japan Society of Transfusion Medicine and Cell Therapy"},{"@language":"ja","@value":"一般社団法人 日本輸血・細胞治療学会"}],"prism:publicationDate":"2011","prism:volume":"57","prism:number":"6","prism:startingPage":"484","prism:endingPage":"489"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2012117527"}],"availableAt":"2011","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Proper%20usage","dc:title":"Proper usage"},{"@id":"https://cir.nii.ac.jp/all?q=Discard%20blood%20products","dc:title":"Discard blood products"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%81%A9%E6%AD%A3%E4%BD%BF%E7%94%A8","dc:title":"適正使用"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%BB%83%E6%A3%84%E8%A1%80","dc:title":"廃棄血"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001205271265664","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"SURVEY ON DISCARD OF DONATED BLOOD IN HOSPITALS"},{"@language":"ja","@value":"愛媛県における輸血用血液の廃棄率調査からの考察"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205273209088","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"凍結融解を繰り返した400m<i>l</i>全血採血由来新鮮凍結血漿の品質について"},{"@language":"en","@value":"QUALITY OF REPEATEDLY FREEZE-THAWED FRESH FROZEN PLASMA DERIVED FROM 400 m<i>l</i> OF WHOLE BLOOD"}]},{"@id":"https://cir.nii.ac.jp/crid/1390024423154455168","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"当院における赤血球液の有効期間延長の効果に関する報告"},{"@language":"en","@value":"EFFECTS OF EXTENDED RED BLOOD CELL STORAGE PERIODS IN OUR HOSPITAL"}]},{"@id":"https://cir.nii.ac.jp/crid/1390566775153330816","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"ANALYSES OF DISCARDED BLOOD PRODUCTS AND REASONS OF DISCARD"},{"@language":"ja","@value":"当院における血液製剤廃棄の現況と削減に向けての目標と課題"}]},{"@id":"https://cir.nii.ac.jp/crid/1390568848973343360","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"EFFORTS AT OUR HOSPITAL TO REDUCE THE DISPOSAL RATE OF RED BLOOD 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