妇科患者输血错误一例回顾与分析

C. Hornis, R. Vigh, J. Zabo, E. Dierking
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引用次数: 2

摘要

紧急输血(EBT)是一种挽救生命的干预措施,但在发生输血反应时也有很大的伤害风险。我们的章节以一个假设的案例研究开始,一个妇科病人接受了紧急子宫切除术和严重出血,并进行了紧急输血。在积极的复苏过程中,患者无意中输入了已分配给另一名患者的血液制品。通过这篇临床小短文,我们回顾了EBT的操作方面,并确定了输血相关错误的来源。我们强调可以以提高患者安全为目标实施的最佳实践。本章为我们的读者提供了一个简明、实用的EBT回顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transfusion Error in the Gynecology Patient: A Case Review with Analysis
Emergency blood transfusion (EBT) is a life-saving intervention which also carries a significant risk of harm in the event of a transfusion reaction. Our chapter starts with a hypothetical case study of a gynecology patient who underwent emergent hysterectomy with severe hemorrhage managed with an emergency blood transfusion. During the aggressive resuscitation, the patient was inadvertently transfused with blood products that had been allocated for another patient. Through this clinical vignette, we review the operational aspects of an EBT and identify sources of transfusion-related errors. We emphasize best practices that can be implemented with the goal of improved patient safety. This chapter offers a concise, practical review of EBT for our readers.
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