A Well-Designed Online Transfusion Reaction Reporting System Improves the Estimation of Transfusion Reaction Incidence and Quality of Care in Transfusion Practice

作者：Yeh Su Peng^*; Chang Ci Wen; Chen Ju Chuan; Yeh Wan Chen; Chen Pei Chi; Chuang Su Jung; Lin Chiou Ping; Hsu Ling Nu; Chen Han Mih; Lu Jang Jih; Peng Ching Tien

来源：American Journal of Clinical Pathology, 2011, 136(6): 842-847.

DOI：10.1309/AJCPOQNBKCDXFWU3

• Blood transfusion
• Transfusion reaction
• Transfusion reporting system

Recognizing and reporting a transfusion reaction is important in transfusion practice. However, the actual incidence of transfusion reactions is frequently underestimated. We designed an online transfusion reaction reporting system for nurses who take care of transfusion recipients. The common management before and after transfusion and the 18 most common transfusion reactions were itemized as tick boxes. We found the overall documented incidence of transfusion reaction increased dramatically, from 0.21% to 0.61% per unit of blood, after we started using an online reporting system. Overall, 94% (30/32) of nurses took only 1 week to become familiar with the new system, and 88% (28/32) considered the new system helpful in improving the quality of clinical transfusion care. By using an intranet connection, blood bank physicians can also identify patients who are having a reaction and provide appropriate recommendations immediately. A well-designed online reporting system may improve the ability to estimate the incidence of transfusion reactions and the quality of transfusion care.

• 出版日期2011-12
• 单位中国医科大学