Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
권호 표지
DOI QR코드

DOI QR Code

Improving the Performance of Blood Transfusion Management Division

수혈관리실의 역할 수행에 따른 개선 효과

  • Ho-Keun CHOI (Department of Laboratory Medicine, Hallym University Sacred Heart Hospital) ;
  • Kyung-Suk CHOI (Department of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital)
  • 최호근 (한림대학교성심병원 진단검사의학과) ;
  • 최경숙 (한림대학교동탄성심병원 진단검사의학과)
  • Received : 2023.01.12
  • Accepted : 2023.02.19
  • Published : 2023.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

The effect of improvement by keeping the former as the priority was examined through an evaluation of the role of the blood transfusion management (BTM) division. This division manages the status of blood for transfusion, evaluates the adequacy of blood transfusion (EABT), monitors and responds to the occurrence of transfusion-related side effects, and performs other tasks necessary for BTM. Although the establishment and operation of the BTM division can lead to the efficient evaluation of transfusion adequacy, there are disadvantages in that it takes time for EABT and it is difficult for the staff in charge of the BTM division to evaluate the adequacy of all the blood. In the future, it is essential to introduce a BTM division and committee specific to Korean patients to implement safe and appropriate BTM in medical institutions, and to assist medical institutions in training their personnel.

헌혈을 중심으로 하는 혈액 관리보다 혈액의 사용을 적절히 관리하는 것이 중요하다. 수혈용 혈액 현황의 관리, 수혈의 적정성에 대한 평가, 수혈 관련 부작용의 발생 감시 및 대응, 그 밖에 수혈관리에 필요한 업무를 수행하는 수혈관리실의 역할을 통해 개선효과를 살펴보았다. 수혈관리실의 개설·운영을 통해 수혈적정성 평가 업무를 효율적으로 관리할 수 있지만 혈액의 적정성 평가에 시간이 소요되고 수혈관리실 전담인력이 모든 혈액의 적정성을 평가하기에는 어려운 단점도 있다. 앞으로 한국형 환자 혈액관리(patient blood management, PBM)를 도입해 의료기관 내 안전하고 적정한 수혈관리 구현을 위한 수혈관리실과 수혈관리위원회를 정착시키고, 인력을 교육해야 하는 의료기관의 참여가 필수적이다.

Keywords

Acknowledgement

This paper was supported by the Korean Association of Medical Technologists in 2023. And proceeded by support project for thesis submission by member practitioners. Proofreading performed by Park CE.

References

  1. KOrean Statistical Information Service. Blood donation statistics by age in blood information statistics [Internet]. Daejeon: Statistics Korea; 2022 [cited 2023 February 16]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=445&tblId=DT_445001_003&conn_path=I2
  2. The Korean Red Cross Blood Services. Blood retention status [Internet]. Wonju: Korean Red Cross; 2023 [cited 2023 February 23]. Available from: https://www.bloodinfo.net/knrcbs/bi/info/bldHoldSttus.do?mi=1046
  3. Korea Policy Briefing. 1st Basic blood management plan (2021-2025) [Internet]. Sejong: Ministry of Culture, Sports and Tourism; 2020 [cited 2023 February 16]. Available from: https://www.korea.kr/archive/expDocView.do?docId=39331
  4. Korean Law Information Center. Blood management act and implementing rules [Internet]. Sejong: Korea Ministry of Government Legislation; 2022 [cited 2023 February 16]. Available from: https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%ED%98%88%EC%95%A1%EA%B4%80%EB%A6%AC%EB%B2%95#undefined
  5. World Health Organization. Blood safety and availability [Internet]. Geneva: World Health Organization; 2022 [cited 2023 February 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/blood-safety-and-availability
  6. Kim HO, Cha YJ, Park Q, Choi EK, Lim YA, Seo DH, et al. Suggestions for specialization and enhancing capacity in national blood services. Korean J Blood Transfus. 2020;31:5-20. https://doi.org/10.17945/kjbt.2020.31.1.5
  7. National Blood Authority Australia. BloodNet [Internet]. Canberra: NBA; 2023 [cited 2023 February 16]. Available from: https://www.blood.gov.au/bloodnet
  8. NHS Blood and Transplant. Blood stocks management scheme [Internet]. Filton: NHS Blood and Transplant; 2023 [cited 2023 February 16]. Available from: https://www.bloodstocks.co.uk/reporting-and-monitoring/
  9. Choi HK, Choi KS. Status of blood products release at a general hospital in Gyeonggi-do. Korean J Clin Lab Sci. 2022;54:73-77. https://doi.org/10.15324/kjcls.2022.54.1.73
  10. Woo JS, Suslow P, Thorsen R, Ma R, Bakhtary S, Moayeri M, et al. Development and implementation of real-time web-based dashboards in a multisite transfusion service. J Pathol Inform. 2019;10:3. https://doi.org/10.4103/jpi.jpi_36_18
  11. Yang H, Kim YW. The global developments in transfusion replacements and patient blood management. Korean J Blood Transfus. 2017;28:103-112. https://doi.org/10.17945/kjbt.2017.28.2.103
  12. Kwon JA, Cho EJ, Jung AH, Kim DS. Assessing the quality for blood transfusion service since the 1st National Quality Assessment Program in South Korea. Qual Improv Health Care. 2022;28:30-38. https://doi.org/10.14371/QIH.2022.28.2.30
  13. AuBuchon JP, Puca K, Saxena S, Shulman IA, Waters JH. Getting started in patient blood management [Internet]. Bethesda: AABB; [cited 2023 February 16]. Available from: https://www.aabb.org/docs/default-source/default-document-library/resources/112024db.pdf
  14. Youk HJ, Chung Y, Kim H, Hwang SH, Oh HB, Ko DH. Current status of management for transfusion management division at ten medical institutions in Korea. Korean J Blood Transfus. 2021;32:174-180. https://doi.org/10.17945/kjbt.2021.32.3.174