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简介 在输血传播疾病日益受到输血医学领域的关注的同时,如何最大限度地减少输血相关差错方面却始终没有明显的改进。有关ABO血型不符的输血事故的文献分析表明,在过去的40年间ABO血型不符的输血事件率没有明显的变化(从1/1万到1/4万输注血液单位),尽管近年来已经采取了包括血液警戒体系在内的大量的检测手段,以防止上述致命的潜在错误,但已经观察到人为差错占输血相关差错的50％。这些差错可能发生在实验室自身的血液标本处理过程,贴标签过程和血型鉴定、血液筛
Introduction While transfusion-transmitted diseases are increasingly receiving attention in the field of transfusion medicine, there has been no apparent improvement in how to minimize transfusion-related errors. A literature analysis of blood transfusion accidents inconsistent with ABO blood type showed that there has been no apparent change in the transfusion rate of ABO blood type in the past 40 years (from 1/10,000 to 1/4 million infusion of blood units), although it has been adopted in recent years. A large number of detection methods, including a blood alert system, are in place to prevent the fatal potential errors described above, but human error has been observed to account for 50% of transfusion-related errors. These errors may occur in the laboratory’s own blood sample processing, labeling process and blood group identification, blood screening