OVERALL QUESTIONNAIRE OF TRANSFUSION MEDICINE IN FISCAL 2004-STUDY OF TRANSFUSION MANAGEMENT SYSTEM AND HOSPITAL TRANSFUSION COMMITTEE-

DOI 8 Citations
  • Takahashi Koki
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine and Immunohematology, University of Tokyo Hospital
  • Inaba Shouichi
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Kanagawa Red Cross Blood Center
  • Handa Makoto
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine and Cell Therapy, Keio University Hospital
  • Sakamoto Hisahiro
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Akanekai-Showa Hospital
  • Hiruma Kiyoshi
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Division of Transfusion and Cell Therapy, Tokyo Metropolitan Komagome Hospital
  • Kawahara Kazuo
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Medical Policy, School of Medicine, Tokyo Medical and Dental University
  • Matsuzaki Michio
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Toranomon Hospital
  • Kubota Yoshitsugu
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Kagawa University Hospital
  • Hodohara Keiko
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Shiga University of Medical Science Hospital
  • Imanaka Yuichi
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Medical Economy, Graduate School of Medicine, Faculty of Medicine, Kyoto University
  • Otsuka Setsuko
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Gifu University Hospital
  • Kino Shuichi
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Asahikawa Medical College Hospital
  • Takamatsu Junki
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Transfusion Medicine, Nagoya University Hospital
  • Sagawa Kimitaka
    Study Group of Health and Labor Science “Establishment of Management System for Safety Management, Proper Transfusion Therapy and Blood Administration following New Blood Law” Department of Laboratory Medicine, Kurume University Hospital

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Other Title
  • ２００４年度輸血関連総括アンケート調査報告‐輸血部門の管理体制および輸血療法委員会に関する調査‐
  • STUDY OF TRANSFUSION MANAGEMENT SYSTEM AND HOSPITAL TRANSFUSION COMMITTEE
  • 輸血部門の管理体制および輸血療法委員会に関する調査

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Abstract

In an attempt to clarify the safety and appropriateness of transfusion practice in Japan, a global questionnaire on transfusion medicine, including the establishment of a transfusion management system and a hospital transfusion committee (HTC), was sent to 1, 355 hospitals in fiscal year 2004. Replies were obtained from 829 hospitals (61.2%). Although a unified management system was established in 681 hospitals (82.2%) and a HTC was in 733 (88.7%), doctors responsible for transfusion (transfusionists) with full-time involvement in transfusion were present in only 86 hospitals (10.5%). When the discharge rate of blood components and the fresh frozen plasma (FFP)/red cells (RBCs) transfusion ratio were compared among the five groups of hospitals categorized according to the number of beds and the presence or absence of transfusionists, as shown in Table I, the discard rate of RBCs and FFP and the FFP/RBCs transfusion rate were higher in the group of hospitals with 300 or more beds, where transfusionists were absent, when compared to the other four groups (Tables 6).<br>In conclusion, full-time transfusionists play a crucial role in the organization of the HTC and the establishment of safe and appropriate transfusion practices.

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