Hong Kong Caritas Hospital inputs the blood accident by mistake to continue: Two laboratory technician's chains of rings make a mistake

Hong Kong Caritas Hospital inputs the blood accident by mistake to continue: Two laboratory technician's chains of rings make a mistake
Hong Kong Caritas Hospital inputs the blood accident by mistake to continue: Two laboratory technician's chains of rings make a mistake
According to Hong Kong bright newspaper Sino-Singaporean network, November 10, Hong Kong Caritas Hospital inputs blood incident by mistake seriously in August, the trouble-making patient still leaves medicine in Kwong Wah Hospital at present, the situation is serious. Caritas Hospital announces the survey report on the 9th, means the incident cause is that two laboratory technician's chains of rings make a mistake, among them a person replaces the test result of blood woman patient and man patient of another Model A blood of the Model B first; While giving to another person and checking, two patients' blood sample is exchanged, make the school think the test result was errorless, cause and input the blood by mistake. The report criticizes two laboratory technicians for not following the procedure, the department is monitored and trained to the staff insufficiently. Woman patient to input by mistake blood suffer from the intersection of lumbar vertebrae and the intersection of pipeline and narrow and the intersection of backbone and the intersection of side and curved disease, arrange to undergo an operation in Caritas Hospital August, the patient needs blood transfusion after surgery, but the patient presents cerebral hemorrhage, must transfer to the treatment of Kwong Wah Hospital after blood transfusion, wide China exposes Caritas Hospital to input the blood by mistake while matching the blood again for her. Caritas Hospital gives the survey report to family on the 9th, and apologize on the incident again, whether unknown family will charge the hospital temporarily. The report points out, the mistake comes from champion's laboratory technician, the mistake measures the result of the Model B blood of the women patient 64 years old first, exchange with another testing result which belong to the man patient of blood of Model A, and fill out the wrong result on the form, the woman patient's blood group is written as the A type. The hospital will generally test blood once more for the patient, drip the blood on test pharmaceutical with patient's serial number. But the question is that runner-up's laboratory technician covers while examining blood group, change two patients' blood group sample wrongly again, in woman the intersection of test and the intersection of pharmaceutical and test tube of patient, obtain two the intersection of blood group and the intersection of test result and identical error reporting each other man drop of blood of patient. The report proposes multiple improvement suggestions, in order to prevent the similar accident from happening, including requiring the staff member to deal with a sample each time, check prudently patients and roll of the laboratory mark the data, and relevant processes are dealt with. The department must appoint the experienced staff member, supervise and offer and train to the staff of blood bank continuously. The hospital should consider introducing and matching blood analysis instrument,etc. automatically. Caritas Hospital say, will follow up, propose school will follow up, wade the intersection of thing and staff by two according to set the intersection of human resources and procedure by every improvement. Medicine is in charge of office's saying, are uniting hospital and Wells hospital and trying to match the blood analyticl system automatically, for referencial use introduce the system, in order to consider in the future. Residential Area organize Peng HongChang, secretary of rights and interests, patient of association, say, medicine is in charge of office's introducing the advanced system and helping to improve the workflow, but the staff should work with the prudent attitude, the hospital should also train the staff, the working principle of forming and attaching most importance to the patient safely, could lower the malpractice risk.


|