英国输血延误和美国血液紧缺监测概况与启示  

Overview on haemovigilance about delayed transfusions in the UK and blood shortage in the USA

作　　者：王鸿捷[1,2] 郭永建 WANG Hongjie;GUO Yongjian(Bejing Red Cross Blood Center,Beijing 100088,China;Sub-Committee of Blood Standards,National Committee of Health Standards;Fujian Provincial Blood Centre.)

机构地区：[1]北京市红十字血液中心,北京100088 [2]国家卫生健康标准委员会血液标准专业委员会 [3]福建省血液中心

出　　处：《中国输血杂志》2023年第12期1171-1176,共6页Chinese Journal of Blood Transfusion

摘　　要：英国输血严重伤害监测系统(serious hazard of transfusion,SHOT)开展输血延误监测已有十余年,美国血液安全监测系统也于2022年将“没有血液”(血液紧缺)纳入报告范围。本文介绍了SHOT输血延误和美国血液紧缺监测概况,提出了在卫生行业标准《输血反应分类》或其他血液安全监测文件中增设输血延误或血液紧缺所致输血不足的类目,组织开展专项全国性抽样调查研究,将其列入输血不良反应和血液安全监测范围,以获得输血延误或血液紧缺所致输血不足的真实世界证据,为进一步决策提供证据支持的建议。Serious hazards of transfusion(SHOT)in the United Kingdom has been received reporting of the adverse events of delayed transfusion for more than ten years.Hemovigilance Module Surveillance Protocol in Biovigilance Component in National Healthcare Safety Network in the United States updated the incident codes to include under-transfusion with the creation of a new process code:no blood(NB)and four incident codes in October 2022.This review introduces the monitoring practice of delayed transfusion/under-transfusion in the UK and the USA,makes a suggestion to incorporate delayed transfusion/under-transfusion due to blood shortage into the national health standard on the classification of transfusion reactions and haemovigilance protocol in China,and to do a national survey as well,therefore the real world data and evidences would be obtained and used for further policy making.

关 键 词：输血延误 血液紧缺 血液安全监测 英国 美国 

分 类 号：R457.1[医药卫生—治疗学]