不充分报告输血事件的情况
Josiane Garcia1, Anna Cecília Dias Maciel Carneiro2, Sheila Soares Silva2
1Health Surveillance Unit, Quality Management Sector, Clinical Hospital of the Federal University of Triângulo Mineiro (HC-UFTM/Ebserh), Uberaba, MG, Brazil.
Hematology, transfusion and cell therapy
|March 14, 2024
概括
这项研究发现,与报告的事件相比,在积极搜索医疗记录时,立即输血不良反应的发生率显著更高. 这凸显了血液输血安全实践中严重报告不足的问题.
科学领域:
- 输血医学 输血医学
- 患者安全 患者安全
- 临床研究 临床研究
背景情况:
- 输血是一种重要的疗法,具有固有的风险,包括立即的不良反应.
- 确保输血安全涉及到细致的程序,但仍然可能发生不良事件.
- 尽管有安全协议,但立即出现的不良反应仍构成重大风险.
研究的目的:
- 评估24小时内发生的即时输血不良反应的发生率.
- 为了比较反应的实际发病率与报告的病例.
- 评估对输血安全法规的遵守情况.
主要方法:
- 从2018年10月到2019年8月进行的分析血液成分输血的前性描述性研究.
- 通过审查医疗记录,输血申请表以及患者/家庭采访收集数据.
- 使用描述性统计和人口统计学协会的千平方测试进行定量分析.
主要成果:
- 在184名患者中,共输血了1042个血液单位.
- 积极搜索发现了17个输血反应,之前没有报告过,产生16.3/1000单位的比率.
- 报告的通知率明显较低,为3.83/1000个单位,这表明报告不足.
结论:
- 积极监测显示,对输血不良反应的报道不足.
- 不充分遵守报告协议会危及输血安全.
- 实施主动搜索方法对于准确检测不良事件和提高患者安全至关重要.
相关概念视频
Types of Reports II: Incident or Occurrence Report
827
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
827
Blood Transfusion
558
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
558
Blood Transfusion and Agglutination
10.8K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
10.8K
Errors occurring during blood pressure monitoring
721
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
721
Types of Reports III: Telephone and Verbal Reports
740
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
740
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K


