Enhancing Transfusion Safety: Nurse's Role.

Background: Despite strict clinical measures, there are distinct steps in transfusion process which require acute attention. The nurse is responsible for insuring that the right unit is administered to the right patient. Knowledge of risks is essential to administer and monitor transfusions safely....

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Publicado en:International Journal of Caring Sciences Vol. 4; no. 3; pp. 114 - 120
Autor principal: Vasiliki, Kyriazi
Formato: review Journal Article
Publicado: International Journal of Caring Sciences Sep-Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep-Dec2011
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      pub: International Journal of Caring Sciences
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        atl: Enhancing Transfusion Safety: Nurse's Role.
      aug:
        au: Vasiliki, Kyriazi
        affil: Transfusion Service, "Pammakaristos" General Hospital, Athens, Greece
      sug:
        subj:
          Blood Transfusion Methods
          Patient Safety
          Nursing Role
          Nursing Knowledge
          Blood Transfusion Adverse Effects
          Quality Improvement
          PubMed
          Medline
          Treatment Errors Prevention and Control
          Laboratories
          Infusions, Intravenous
          Infusion Devices
          Treatment Duration
      ab: Background: Despite strict clinical measures, there are distinct steps in transfusion process which require acute attention. The nurse is responsible for insuring that the right unit is administered to the right patient. Knowledge of risks is essential to administer and monitor transfusions safely. Aim: This study summarizes the available data concerning transfusion adverse events and provides theoretical and technical aspects for improving transfusion practice. Methodology: A systematic review in PubMed, MedLine and MDConsult database was conducted. The research limits included English texts, referring to transfusion risks and technological means aiming at transfusion safety. Results: Blood transfusion is a medical intervention that saves lives and improves the quality of life. The regulations for ensuring the availability and assuring the quality of the blood component cannot avoid transfusion errors, placing patients at risk. Most frequent errors are attributed to practitioners involved in the clinical transfusion process. Based on reports to Serious Hazards of Transfusion (SHOT) the risk of transfusion error is estimated at 1:16,500. Over the last years several committees have recommended guidance for enhancing the safety of blood ordering and administration. Moreover, new technology like barcode on patient wristband manages to improve the performance in each step. Conclusion: Safe transfusion process depends on a series of linked processes and nurses should take specific measures referring to pre- and post-transfusion stage. Technological innovations could help patients in need of transfusion therapy.
      pubtype: Academic Journal
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        review
        Journal Article
      ougenre: Article
    language: English
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