Japanese Journal of Transfusion and Cell Therapy
Online ISSN : 1883-0625
Print ISSN : 1881-3011
ISSN-L : 1881-3011
Originals
CONSTRUCTION OF THE HOME TRANSFUSION SYSTEM IN YAME GENERAL HOSPITAL
Michitaka FukahoriHidetaka OdaMaki Yamaguchi
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JOURNAL FREE ACCESS

2018 Volume 64 Issue 1 Pages 59-65

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Abstract

Recently, home transfusions (HT) have increased due to governmental promotion of home care service. The Yame hospital group, which includes general hospitals and home care hospitals, created a unique HT system.

Beginning in November 2014, preparatory meetings were held to discuss the indications for HT, acquisition of informed consent, available products, transfusion-related examinations and preparation, blood product transportation, transfusion procedure, treatment of adverse events, billing, and so on.

A total of 20 home transfusions were planned for 5 patients between May 2015 and February 2017. Eighteen (18) transfusions were completed. There were no adverse events and QOL improved in every patient. One scheduled transfusion was not performed due to the deterioration of the patient's condition. One patient died while the blood products were in transport. One of the five patients was tested for transfusion transmitted infection (negative result).

Although HT still faces challenges such as unexpected change in patient condition and increased burden on medical staff, cooperation between general hospitals and home care hospitals resolves some of the problems associated with blood safekeeping and transfusion-related examinations. This collaborative approach makes it possible to safely introduce HT.

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© 2018 The Japan Society of Transfusion Medicine and Cell Therapy
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