シンポジウム S3

輸血過誤防止を目指す検査

椿　　　和　央*1　永　尾　暢　夫*2
　　　　　　　　　　　　　　　　　　　　　　
Examination for Prevent of Blood Transfusion Errors

Kazuo TSUBAKI, MD, PhD*1 and Akio NAGAO, PhD*2

Human error has identified as a major source of ABO incompatibility-related transfusion fatalities. Frequency of ABO-incompatible transfusion has been reported to range from 2.5 to 253 per 100,000 transfusion units. Transfusion error has developed various occasions, for example, wrong specimen and patients, specimen exchange and mistake of ABO compatibility test. In laboratory examination, many errors were occurred during night shift, because it was necessary to established the examination system. We discussed about examination for prevent of blood transfusion errors.
[Rinsho Byori 51 : 146〜149, 2003]

*1Division of Hematology, Department of Internal Medicine, Nara Hospital, Kinki University School of Medicine, Ikoma 630-0293

【Key Words】transfusion error(輸血過誤)，ABO-incompatible transfusion(異型輸血)

*1近畿大学奈良病院血液内科(〒630-0293 生駒市乙田町1248-1)
*2大阪府赤十字血液センター(〒536-8505 大阪市城東区森之宮2-4-43 )

E-mail :tubaki@nara.med.kindai.ac.jp