Säfwenberg J, Högman CF, Cassemar B. Computerized delivery control--a useful and safe complement to the type and screen compatibility testing.
Vox Sang 1997;
72:162-8. [PMID:
9145486 DOI:
10.1046/j.1423-0410.1997.7230162.x]
[Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES
Faster and less labor-intensive crossmatching procedures are needed, but they must be as safe as the traditional antiglobulin method. We present twelve years' experience with a procedure involving antibody screening, blood group checks, and computerized delivery control (ABCD test).
METHODS
We use a computer for validation and printing documents and declaring compatibility between patient and blood component, based on screening results and earlier-recorded data about the patient.
RESULTS
Of 257,400 units transfused during the period, 90% were declared compatible through the ABCD procedure, and 10% had to be crossmatched. We observed no hemolytic transfusion complications due to a failure of the procedure to detect red cell alloantibodies. Labor in the testing laboratory was reduced by 65% compared to a previous crossmatching period. Fewer blood units were returned unused.
CONCLUSION
The procedure using a computerized system as a guard against human mistakes has been found to be safe and reliable and is now widely used in Sweden.
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