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Ways To Enhance Blood Transfusion Safety: A Systematic Review
Nahid Dehghan Nayeri1, Javad Nadali2, Anahita Divani3
1Department of Critical Care Nursing and Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Improving blood transfusion safety involves using modern technology to reduce human errors and exploring alternative methods for blood product administration. These strategies aim to minimize complications and enhance patient care.
Area of Science:
- Medical Science
- Patient Safety
- Transfusion Medicine
Background:
- Blood product administration is critical but carries risks.
- Ensuring patient safety during transfusions is paramount.
- Clinical damage can result from transfusion-related issues.
Purpose of the Study:
- To comprehensively review methods for improving blood transfusion safety.
- To identify key strategies for reducing transfusion risks.
- To synthesize evidence on enhancing patient safety in transfusion medicine.
Main Methods:
- Systematic review of literature from major electronic databases over 30 years.
- Keywords: patient safety, blood transfusion, risk management, safety management, transfusion reaction.
- Adherence to PRISMA guidelines for article selection and review.
Main Results:
- 16 articles were selected from over 6105 initial findings.
- Modern technologies (patient ID, barcodes) were discussed in 50% of studies.
- Alternative transfusion methods (autologous, cord blood, HBOCs) and indications/thresholds were also evaluated.
Conclusions:
- Technology implementation significantly reduces human errors and associated complications.
- Alternative transfusion strategies offer cost-effective ways to mitigate adverse events.
- Optimizing transfusion indications and thresholds is crucial for patient safety.
Aim:
Blood product administration is a vital and possibly life-threatening issue that may increase the risk of clinical damage in patients. This review aims to provide a comprehensive review of the ways to improve blood transfusion safety.
Method:
In order to conduct this systematic review, electronic databases, including PubMed/MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, Scopus, and Google Scholar, were searched for data of the last 30 years using keywords including patient safety, blood transfusion, risk management, safety management, and transfusion reaction. The inclusion criteria set for the selection of quantitative articles were articles written in English and published in peer-reviewed journals during the mentioned period. In this study the publications are reviewed in line with the PRISMA guide checklist.
Results:
Among 6105 articles found during the initial search, 16 articles were finalized for further investigation. Fifty percent of the included articles discussed the use of modern technology including patient identification system, barcode technology, portable computer systems, and databases. Moreover, 31% of the studies evaluated the use of alternative methods for transfusion of blood products including mediastinal blood transfusion, the use of autologous blood in adult patients, the use of cord blood in children, the use of hemoglobin-based oxygen carrier-201, and the injection of fresh whole blood. About 18% of articles drew attention to indications and thresholds as an essential factor increasing patient safety.
Conclusion:
It was concluded from this study that the use of technology leads to fewer human errors and complications caused by these errors. In addition, some alternative methods can be used in a cost-effective way to reduce serious adverse events caused by common strategies.
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