当院における「輸血検査24時間体制」の構築

Abstract

One ABO-incompatible RBC unit was accidentally transfused to a patient in our hospital at midnight on October 22, 2000, at a time when serologic crossmatching for blood transfusion was not available in the Division of Blood Transfusion.We subsequently employed 4 part-time medical technologists at the Division of Blood Transfusion and, in cooperation with Central Clinical Laboratories, started a new system in which serologic crossmatching could be performed at anytime by medical technologists.Under this system, a total of 25 medical technologists are divided into two groups, A and B: Group A works from 5:00p.m, to 9:00p.m. on weekdays and from 8:30a.m. to 5:00p.m. on weekends or holidays; Group B works during the other hours. The duties of Group A are 1) ABO & Rh typing, 2) crossmatching, 3) management of blood components and 4) irradiation of blood components. The duties of Group B are 1) ABO & Rh typing and 2) crossmatching.