犯错是人类的......那么我们如何才能防止所有ABO不兼容的输血?
Nancy M Dunbar1, Richard M Kaufman1
1Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
British journal of haematology
|December 4, 2024
概括
尽管在英国,法国和德国采取了各种安全措施,可预防的ABO不兼容红细胞输血仍然存在. 人类错误仍然是防止这些输血错误的一个重大挑战.
科学领域:
- 输血医学 输血医学
- 患者安全 患者安全
- 血液学 血液学 血液学
背景情况:
- 与ABO不相容的红细胞输血对患者安全构成重大风险.
- 尽管已建立的协议,可预防的错误在输血实践中继续发生.
研究的目的:
- 分析ABO不兼容红细胞输血的频率和原因.
- 确定在不同国家预防输血错误方面存在的持续挑战.
主要方法:
- 对ABO不兼容红细胞输血数据的回顾性分析.
- 包括来自英国,法国和德国的数据.
- 对床边预防措施的审查和错误识别.
主要成果:
- 在这三个国家,仍能发现可预防的ABO不兼容红细胞输血.
- 床边预防措施的各种策略并没有消除这些错误.
- 人类错误是导致这些误译持续存在的一个关键因素.
结论:
- 发生ABO不兼容的红细胞输血仍然是一个持续的问题.
- 解决人为错误对于改善输血安全至关重要.
- 持续的警和改进的错误预防策略在输血医学中是必要的.
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