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1.
Transfus Clin Biol ; 15(6): 390-4, 2008 Dec.
Artículo en Francés | MEDLINE | ID: mdl-18930683

RESUMEN

The need to adapt red blood cells concentrates management in surgery blocs and resuscitation to the changes of the legal framework has lead to a collective approach to improve practices. Gathered by the regional hemovigilance coordinators of the Drass Ile-de-France (regional office of health and social actions), representatives of doctors' ordering transfusions and hemovigilance correspondents of the Assistance publique-Hôpitaux de Paris and representatives of the EFS (French blood establishment) Ile-de-France, together with representatives of the Afssaps (French health products safety agency), have coordinated an assessment of local transfusion practices in surgery blocs and resuscitation that have to be compliant. Each hospital then offered local improvement actions, approved by regional and national instances. We present this original and collective approach of assessing practices leading to offers that both respond to a legal framework and improve blood products flows without damaging transfusion security.


Asunto(s)
Transfusión de Eritrocitos/estadística & datos numéricos , Transfusión de Eritrocitos/legislación & jurisprudencia , Transfusión de Eritrocitos/normas , Francia , Humanos , Legislación Médica , Periodo Posoperatorio , Salud Pública , Resucitación , Seguridad
2.
Transfus Clin Biol ; 2(3): 189-99, 1995.
Artículo en Francés | MEDLINE | ID: mdl-7627358

RESUMEN

The results of irregular antibody screening in two successive series of 21485 and 19819 individuals were retrospectively analysed. All the irregular antibody screenings were performed with an autoanalyser according to Rosenfield and Lalezary [1, 2] but red cell antibody identification tests were not the same: conventional manual tests in the first series and gel-test Diamed in the second one. In spite of a bigger number of identification tests performed in the second series, the percentage of patients with irregular antibodies was approximately the same (2.27% and 2.22%) in each series. Analysis of identified specificities shows in the second series the increase of immune antibodies (+ 42.3%) especially antibodies with anti-Rh specificity and the decline of natural antibodies (- 28.9%) essentially of anti-Lewis b and P1 antibodies. The sensitivity of both the gel-test and the autoanalyser screening for identification of immune antibodies are more or less the same. The sensitivity of gel-test probably gives a safer transfusion but increases the workload of both the laboratory and the blood bank delivery service.


Asunto(s)
Autoanálisis/métodos , Tipificación y Pruebas Cruzadas Sanguíneas/métodos , Eritrocitos/inmunología , Isoanticuerpos/sangre , Especificidad de Anticuerpos , Geles , Humanos , Estudios Retrospectivos , Sensibilidad y Especificidad
3.
Transfus Clin Biol ; 19(4-5): 241-3, 2012 Nov.
Artículo en Francés | MEDLINE | ID: mdl-23000214

RESUMEN

In front of increasing organizational difficulties, health institutions opted for a transfusion safety e-learning training. Hindsight of two years, an initial assessment highlights success factors and desirable improvements.


Asunto(s)
Seguridad de la Sangre , Transfusión Sanguínea/normas , Educación en Enfermería/métodos , Instrucción por Computador , Humanos , Internet , Factores de Tiempo
4.
Transfus Clin Biol ; 19(4-5): 187-94, 2012 Nov.
Artículo en Francés | MEDLINE | ID: mdl-22999854

RESUMEN

In order to help the analysis of adverse effects of transfusion, factsheets have been written by working groups of the French agency for the safety of health products ANSM. Each factsheet deals with a blood transfusion side effect and is composed of five parts, including pathophysiological mechanisms, diagnostic criteria, management recommendations, etiologic investigations and rules for filing the notification form to ANSM. Since 2006, 11 factsheets have been published on the French haemovigilance network website. The major characteristics of the two last sheets published "post-transfusion purpura" and "non erythrocyte incompatibility reaction" are presented, followed by the updated card for "allergy". These factsheets give relevant guidelines allowing better evaluation of recipients' adverse reactions, particularly their diagnosis, severity and accountability. They also could initiate studies among European and international haemovigilance networks.


Asunto(s)
Seguridad de la Sangre , Reacción a la Transfusión , Humanos
5.
Transfus Clin Biol ; 17(5-6): 284-90, 2010 Dec.
Artículo en Francés | MEDLINE | ID: mdl-21051260

RESUMEN

Pulmonary oedema after transfusion of blood products may be hydrostatic (transfusion-associated circulatory overload [taco]) or exsudative (transfusion-related acute lung injury [trali]). Both conditions have been recognized as major hazards to transfusion recipients. Risk characterization is necessary to improve safety and to monitor trends in the national blood transfusion system. A collaborative multidisciplinary working group of the French National Hemovigilance Committee has proposed an analysis framework for case definitions and classification. The method relies on internationally used definitions and is adapted to the codification procedures used in the french transfusion incident reports electronic data management.


Asunto(s)
Lesión Pulmonar Aguda/etiología , Edema Pulmonar/etiología , Reacción a la Transfusión , Lesión Pulmonar Aguda/clasificación , Lesión Pulmonar Aguda/diagnóstico , Seguridad de la Sangre , Volumen Sanguíneo , Conferencias de Consenso como Asunto , Árboles de Decisión , Diagnóstico Diferencial , Registros Electrónicos de Salud , Francia , Humanos , Hipertensión/etiología , Hipotensión/etiología , Cooperación Internacional , Edema Pulmonar/clasificación , Edema Pulmonar/diagnóstico , Síndrome de Dificultad Respiratoria/diagnóstico , Índice de Severidad de la Enfermedad
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