Implementation of an electronic identification system in the setting of perioperative autologous cell salvage transfusion: Experience at a university hospital |
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| Institution: | 1. Department of Transfusion Service, Juntendo University Hospital, Tokyo, Japan;2. Department of Anesthesiology and Pain Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan;3. Department of Transfusion Service, Juntendo University Urayasu Hospital, Chiba, Japan;4. Department of Transfusion Medicine and Stem Cell Regulation, Juntendo University Graduate School of Medicine, Tokyo, Japan;1. Nam?k Kemal University Medical School, Department of Internal Medicine, Division of Hematology, Tekirdag, Turkey;2. Memorial Bahcelievler Hospital Adult Hematology and BMT Clinic, Istanbul, Turkey;3. Yuzuncu Y?l University Medical School, Department of Internal Medicine, Division of Hematology, Van, Turkey;4. Sanko University Medical School, Department of Internal Medicine, Division of Hematology, Gaziantep, Turkey;5. Mugla S?tk? Kocman University Medical School, Department of Internal Medicine, Division of Hematology, Mugla, Turkey;6. Ege University Medical School, Department of Internal Medicine, Division of Hematology, Izmir, Turkey;7. Medicalpark Hospital, Hematology and BMT Clinic, Izmir, Turkey;8. Celal Bayar University Medical School, Department of Internal Medicine, Division of Hematology, Manisa, Turkey;9. Erciyes University Medical School, Department of Internal Medicine, Division of Hematology, Kayseri, Turkey;10. Hacettepe University Medical School, Department of Internal Medicine, Division of Hematology, Ankara, Turkey;11. Ondokuz Mayis University Medical School, Department of Internal Medicine, Division of Hematology, Samsun, Turkey;12. Dicle University Medical School, Department of Internal Medicine, Division of Hematology, Diyarbakir, Turkey;13. Dokuz Eylul University Medical School, Department of Internal Medicine, Division of Hematology, Izmir, Turkey;1. Nam?k Kemal University Medical School, Department of Internal Medicine, Hematology and BMT Clinic, Nam?k Kemal Mahallesi Kampus Caddesi, No: 1 59030 Suleymanpasa, Tekirdag, Turkey;2. Memorial Bahcelievler Hospital Adult Hematology and BMT Clinic, Istanbul, Turkey;1. Department of Pediatrics, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey;2. Department of Pediatric Critical Care Medicine, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey;3. Department of Pediatric Gastroenterology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey;4. INTERGEN Genetic and Rare Diseases Diagnosis Research and Application Center, Ankara, Turkey;5. Department of Pediatric Endocrinology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey |
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| Abstract: | Perioperative autologous cell salvage (PACS) is one of the effective strategies in patient blood management (PBM). However, mistransfusion, in which the wrong blood is transfused to the wrong patient, of PACS units has been reported. In this study, we implemented a bar code-based electronic identification system (EIS) for blood transfusion in the setting of PACS transfusion. Between February 2009 and December 2020, a total of 12341 surgical patients (9% of whom received surgical interventions) received blood transfusion, among whom 6595 (54 %) received autologous blood transfusion alone, 2877 (23 %) both autologous and allogeneic blood transfusions, and 2869 (23 %) allogeneic blood transfusion alone. Among autologous blood conservation techniques, PACS units were transfused to 7873 patients (83 %) without a single mistransfusion. Rates of overall compliance with the electronic pre-transfusion check at the bedside for all autologous units and PACS units were 98.8 and 98.5 %, respectively. Our observations suggest that a bar code-based EIS can be successfully applied to PACS transfusion, as well as allogeneic blood transfusion in operating rooms. |
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| Keywords: | Perioperative autologous cell salvage Mistransfusion Electronic pre-transfusion check Bedside |
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