Korean J Blood Transfus.  2017 Aug;28(2):149-154. 10.17945/kjbt.2017.28.2.149.

Experience in Improving ABO Blood Typing Error at the Blood Donation Site

Affiliations
  • 1Nambu Blood Laboratory Center, Korean Red Cross, Busan, Korea. mklee@redcross.or.kr
  • 2Daegu-Gyeongbuk Blood Center, Korean Red Cross, Daegu, Korea.
  • 3Busan Blood Center, Korean Red Cross, Busan, Korea.
  • 4Gyeongnam Blood Center, Korean Red Cross, Changwon, Korea.
  • 5Ulsan Blood Center, Korean Red Cross, Ulsan, Korea.

Abstract

BACKGROUND
In the Korean Red Cross Blood Center, ABO blood typing are routinely performed only via red cell grouping at blood donations sites. However, when an error occurs in this process, it is impossible to issue a blood product contrary to the result of the blood type of the Blood Laboratory Center, thereby resulting in delayed supply. Therefore, efforts are needed to reduce typing errors at blood donation sites.
METHODS
We analyzed 656,786 donor screenings between January 1, 2016 and December 31, 2016;we also analyzed the statistical data of donor ABO typing between 2013 and 2015. To reduce ABO typing error, we notified and trained nurses at Busan, Gyeongnam, Ulsan, and Daegu-Gyeongbuk Blood centers in June, 2016. We tried to confirm the improvement of ABO typing error at blood donation sites by comparing ABO typing before and after training. For data comparison, chi-square test was conducted (95% confidence interval, 0.05 significant level).
RESULTS
The blood typing error rate was significantly lower (P=0.003) four months after training (0.005%) than before training (0.015%), and the blood typing error rate was significantly higher for the first blood donor (P<0.001).
CONCLUSION
Educational training for nurses at blood donation sites may be effective in reducing ABO typing error. Continuous and regular training seems to be needed in future to reduce ABO typing error.

Keyword

ABO blood group; ABO typing error; Blood donation site

MeSH Terms

Blood Donors*
Blood Grouping and Crossmatching*
Busan
Donor Selection
Humans
Red Cross
Tissue Donors
Ulsan
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