巻号一覧
51 巻, 4 号
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2005 年 51 巻 4 号 p. 373-399
発行日: 2005/08/31
公開日: 2010/03/12
ジャーナル フリーPDF形式でダウンロード (44585K) -
進士 都, 森田 弘之, 松田 眞佐男, 津下 圭太郎2005 年 51 巻 4 号 p. 409-417
発行日: 2005/08/31
公開日: 2010/03/12
ジャーナル フリーAutologous 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.抄録全体を表示PDF形式でダウンロード (2141K) -
大澤 俊也, 杉田 塩, 中島 由香, 降田 喜昭, 柳舘 佳代子, 市川 佳世子, 小林 光枝, 山口 功子, 安部 勝美, 大坂 顯通2005 年 51 巻 4 号 p. 418-423
発行日: 2005/08/31
公開日: 2010/03/12
ジャーナル フリーABO-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.抄録全体を表示PDF形式でダウンロード (2588K) -
近藤 まり子, 岡本 紀子, 鈴木 里絵子, 栗田 雅史, 堀場 公寿2005 年 51 巻 4 号 p. 424-429
発行日: 2005/08/31
公開日: 2010/03/12
ジャーナル フリーOn 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.抄録全体を表示PDF形式でダウンロード (1750K) -
熊川 みどり, 丹生 恵子, 久保田 邦典, 野間口 由利子, 吉浦 洋子2005 年 51 巻 4 号 p. 430-434
発行日: 2005/08/31
公開日: 2010/03/12
ジャーナル フリーWe 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.抄録全体を表示PDF形式でダウンロード (3439K) -
2005 年 51 巻 4 号 p. 456-457
発行日: 2005年
公開日: 2010/03/12
ジャーナル フリーPDF形式でダウンロード (199K)
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