Computerization in the Transfusion Service

Butch, Suzanne H.

doi:10.1111/j.1423-0410.2002.tb05279.x

Cited by 13 publications

(8 citation statements)

References 11 publications

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“…Wherever possible and economically compatible, the use of automation in all laboratory procedures should be encouraged. All the above greatly facilitate error detection and prevention, increase documentation of the transfusion process and improve haemovigilance [42]. Moreover, barcode identification of all patients improves the electronic cross‐match process [43–45].…”

Section: Discussionmentioning

confidence: 99%

Transfusion recipient identification

Pagliaro

Rebulla

2006

Vox Sanguinis

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Recent reports from different haemovigilance systems indicate that errors in the whole-blood transfusion chain - from initial recipient identification to final blood administration - occur with a frequency of approximately 1 in 1000 events. Although mistakes occur also within the blood transfusion service, about two-thirds of errors are associated with incorrect blood recipient identification at the patient's bedside. To prevent the potentially fatal consequences of such mistakes, specific tools have been developed, including patient identification bracelets with barcodes and/or radio frequency identification devices, mechanical or electronic locks preventing access to bags assigned to other patients, and palm computers suitable for transferring blood request and administration data from the patient's bedside to the blood transfusion service information system in real time. The effectiveness of these systems in preventing mistransfusion has been demonstrated in a number of studies.

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Section: Discussionmentioning

confidence: 99%

Transfusion recipient identification

Pagliaro

Rebulla

2006

Vox Sanguinis

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“…11 The capability of blood bank computerization, therefore, has not been realized fully and its versatility not wholly explored.…”

Section: Discussionmentioning

confidence: 99%

Virtual Blood Banking

Wong

Kwan

2005

Am J Clin Pathol

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The operating theater blood transaction system (OTBTS) is a virtual blood banking system that allows computer crossmatch-compatible blood ordering and delivery in the operating theater remote from the hospital blood bank. It was developed and implemented in our hospital in 1997 and was expanded in 2002 to include an unmatched blood module that allows ordering and issuing unmatched RBCs for intraoperative transfusion. During the past 7 years, the system has handled 6,333 crossmatch requests for intraoperative transfusion and issued 20,073 units of RBCs, including 100 units of unmatched RBCs (group O, 72 units; group-identical, 28 units). The OTBTS has proven to be efficient (with a turnaround time for blood ordering and issuing < 30 seconds), effective (with a reduced crossmatch/transfusion ratio and blood wastage), and error free (no delay or error in transfusion or postponement of operation). Furthermore, our experience with the unmatched blood module has attested to the safety and efficacy of computer-controlled, online ordering and real-time, on-site delivery of unmatched RBCs for emergency transfusion.

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“…Subsequently, it was shown that the test could be omitted if no clinically significant antibody was detected by the antiglobulin phase in antibody screen. [78] Immediate spin was added as a safeguard against ABO incompatibility between the recipient serum and donor red cells. It was then shown that the immediate spin could be replaced by repeat ABO typing and computer checking of donor-recipient ABO compatibility before blood issue thus eliminating the need of testing the recipient serum against donor red cells.…”

Section: Introductionmentioning

confidence: 99%

Virtual blood bank

Wong

2011

Journal of Pathology Informatics

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Virtual blood bank is the computer-controlled, electronically linked information management system that allows online ordering and real-time, remote delivery of blood for transfusion. It connects the site of testing to the point of care at a remote site in a real-time fashion with networked computers thus maintaining the integrity of immunohematology test results. It has taken the advantages of information and communication technologies to ensure the accuracy of patient, specimen and blood component identification and to enhance personnel traceability and system security. The built-in logics and process constraints in the design of the virtual blood bank can guide the selection of appropriate blood and minimize transfusion risk. The quality of blood inventory is ascertained and monitored, and an audit trail for critical procedures in the transfusion process is provided by the paperless system. Thus, the virtual blood bank can help ensure that the right patient receives the right amount of the right blood component at the right time.

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Computerization in the Transfusion Service

Cited by 13 publications

References 11 publications

Transfusion recipient identification

Transfusion recipient identification

Virtual Blood Banking

Virtual blood bank

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