title: A well-designed online transfusion reaction reporting system improves the estimation of transfusion reaction incidence and quality of care in transfusion practice.
abstract: Recognizing and reporting a transfusion reaction is important in transfusion practice. However, the actual incidence of transfusion reactions is frequently underestimated. We designed an online transfusion reaction reporting system for nurses who take care of transfusion recipients. The common management before and after transfusion and the 18 most common transfusion reactions were itemized as tick boxes. We found the overall documented incidence of transfusion reaction increased dramatically, from 0.21% to 0.61% per unit of blood, after we started using an online reporting system. Overall, 94% (30/32) of nurses took only 1 week to become familiar with the new system, and 88% (28/32) considered the new system helpful in improving the quality of clinical transfusion care. By using an intranet connection, blood bank physicians can also identify patients who are having a reaction and provide appropriate recommendations immediately. A well-designed online reporting system may improve the ability to estimate the incidence of transfusion reactions and the quality of transfusion care.
authors.affiliation: Blood Bank, Department of Laboratory Medicine, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Su-Peng
authors.initials: SP
authors.lastname: Yeh
authors.forename: Ci-Wen
authors.initials: CW
authors.lastname: Chang
authors.forename: Ju-Chuan
authors.initials: JC
authors.lastname: Chen
authors.forename: Wan-Chen
authors.initials: WC
authors.lastname: Yeh
authors.forename: Pei-Chi
authors.initials: PC
authors.lastname: Chen
authors.forename: Su-Jung
authors.initials: SJ
authors.lastname: Chuang
authors.forename: Chiou-Ping
authors.initials: CP
authors.lastname: Lin
authors.forename: Ling-Nu
authors.initials: LN
authors.lastname: Hsu
authors.forename: Han-Mih
authors.initials: HM
authors.lastname: Chen
authors.forename: Jang-Jih
authors.initials: JJ
authors.lastname: Lu
authors.forename: Ching-Tien
authors.initials: CT
authors.lastname: Peng
mesh_terms: D001787:Blood Group Incompatibility; D001803:Blood Transfusion / Q000592:standards; D006402:Hematologic Diseases / Q000209:etiology / Q000517:prevention & control*; D006751:Hospital Information Systems; D006801:Humans; D009726:Nurses; D009862:Online Systems; D011787:Quality of Health Care; D058028:Research Report; D012308:Risk Management / Q000379:methods*; D013624:Taiwan; D065227:Transfusion Reaction