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Volume 51 (2005)
- Issue 6 Pages 565-
- Issue 5 Pages 491-
- Issue 4 Pages 373-
- Issue 3 Pages 315-
- Issue 2 Pages 101-
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Volume 51, Issue 4
Displaying 1-6 of 6 articles from this issue
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2005 Volume 51 Issue 4 Pages 373-399
Published: August 31, 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSDownload PDF (44585K) -
Miyako Sinji, Hiroyuki Morita, Masao Matsuda, Keitaro Tsushita2005 Volume 51 Issue 4 Pages 409-417
Published: August 31, 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSAutologous transfusion is currently considered to be the safest method of blood transfusion. Active promotion of predeposit autologous blood is desirable, particularly for patients on surgical standby. However, the collection and deposition stages are extremely complicated, so the work is onerous and easily avoided. To resolve this problem, an autologous blood collection pathway was created and introduced. The result was that determination of complicated autologous transfusion eligibility criteria and drafting of collection plans became easier. In addition, collection and deposition methods were also standardized, allowing safer predeposit autologous transfusions.View full abstractDownload PDF (2141K) -
Toshiya Ohsawa, Shio Sugita, Yuka Nakajima, Yoshiaki Furuta, Kayoko Ya ...2005 Volume 51 Issue 4 Pages 418-423
Published: August 31, 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSABO-incompatible blood transfusion attributable to inadequate identification of the patient or blood unit remains the most common serious hazard of transfusion. A final bedside check to insure that the blood unit is intended for the patient is a prerequisite to the prevention of incorrect blood transfusions. We have developed a network computer-assisted blood transfusion management system, which connects with a novel barcoded patient-blood unit identification system and automated device for pretransfusion testing. This system permits a decrease in the number of manual procedures in the multiple steps of the transfusion process, and the monitoring of the bedside verification process in real-time at the transfusion laboratory. Since the initial implementation of this blood transfusion management system (July 2002), more than 17, 000 blood components (approximately 70, 000 units) have been transfused without mistransfusion. Further changes to transfusion practices, especially in the guidelines for blood component issuance for surgical operations, have resulted in a decrease in the date-expired rate and use of red cell components. This network computer-assisted blood transfusion management system may be useful for the prevention of incorrect blood transfusion attributable to human error and for the appropriate use of blood components, when used in conjunction with the patient-blood unit identification system.View full abstractDownload PDF (2588K) -
Mariko Kondo, Michiko Okamoto, Rieko Suzuki, Masashi Kurita, Kimitoshi ...2005 Volume 51 Issue 4 Pages 424-429
Published: August 31, 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSOn July 30, 2003 the Revised Pharmaceutical Affairs Law and the Revised Transfusion Act were enacted by the Ministry of Health, Labor and Welfare to clarify the responsibilities of medical organizations. Taking this opportunity, the Hospital's Blood Transfusion Therapy Committee and Infection Control Committee undertook a review of methods of screening tests for post-transfusion infection. We decided to give patients a form letter to recommend they take a screening test for post-transfusion infection while providing notice to doctors that ‘2 months have passed since the transfusion (Blue Card)’. In addition, detailed discussions were held with respect to 1) test fees, 2) test criteria, 3) how to raise patients' awareness, and 4) how to enhance doctors' awareness. As a result, the use of screening tests for post-transfusion infection increased, from 6.8% to 54.6%, enabling us to confirm some effects. However, to fulfil our responsibilities to all patients receiving blood transfusion, the system for implementing this program requires urgent improvement. We thus aimed to further improve the system through operating the newly revised Blue Card system. In addition, it is necessary to create a system to ensure thorough implementation of the program with the electronic patient record due to commence in 2006.
Meanwhile, the Ministry of Health, Labor and Welfare is expected to extend the application of patient assistance programs, in addition to implementing a system to ensure that patients receive safer blood transfusion.View full abstractDownload PDF (1750K) -
Midori Kumagawa, Keiko Nibu, Kuninori Kubota, Yuriko Nomaguchi, Yoko Y ...2005 Volume 51 Issue 4 Pages 430-434
Published: August 31, 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSWe analyzed the usage of blood components at an Emergency and Critical Care Unit for 2 years, from 2001 to 2002. A total of 531 patients who received blood transfusions were divided into two groups, injured (group I; n=137 patients) and uninjured (group U; n=394 patients). Analysis of trigger points for transfusion revealed that group I showed statistically higher levels than those of group U, at 9.4 vs 8.6g/dl in Hemoglobin for red blood cell concentrates (RBCC), 69% vs 57% in prothrombin time for fresh frozen plasma (FFP) and 60, 000 vs 47, 000/μl in platelet counts for platelet concentrates. The trigger points in both groups for plasma transfusion were much higher than those recommended by the Government (30%). The FFP/RBCC ratios of transfused components were 0.31 in group I and 1.14 in group U. The cross-match/transfusion ratios were 1.3 in group I and 1.5 in group U, showing appropriate values. More than one kind of blood component was returned, however, during treatment in about one-half of group I and one-third of group U. Discussion of trigger points and other factors by the Blood Transfusion Committee is needed to determine the appropriate usage of blood components.View full abstractDownload PDF (3439K) -
2005 Volume 51 Issue 4 Pages 456-457
Published: 2005
Released on J-STAGE: March 12, 2010
JOURNAL FREE ACCESSDownload PDF (199K)
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