THỰC TRẠNG QUÁ TRÌNH PHÁT MÁU AN TOÀN TẠI KHOA HUYẾT HỌC LÂM SÀNG - TRUYỀN MÁU BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG

Abstract

Background: Safe blood issuance is a critical component in transfusion medicine, requiring strict adherence to procedures to ensure patient safety. Despite the importance of this process, there remains limited data on its implementation in provincial-level hospitals in Vietnam. Objective: To describe the current situation of the safe blood issuance process at the Department of Clinical Hematology – Blood Transfusion, Hai Duong General Hospital in 2024. Methods: A descriptive cross-sectional study was conducted on activities related to the blood issuance process—including sample reception, blood grouping, cross-matching, and component preparation—from November to December, 2024. Results: The distribution of issued blood groups was as follows: O (58.16%), B (22.95%), A (18.10%), and AB (0.79%). The most frequently used component was packed red blood cells (61.81%), with the Department of Clinical Hematology – Blood Transfusion being the primary user (44.81%). The preparation stage was completed satisfactorily in over 95% of cases. Regarding sample reception, 98.11% were acceptable, while 1.89% were rejected due to administrative errors. Blood grouping and cross-matching were fully implemented with proper techniques and conditions. All blood components were thawed and warmed correctly (100%), and administrative steps were generally completed; however, 14.62% of cases contained inaccurately recorded information. Conclusion: The pre-, intra-, and post-blood issuance steps were performed appropriately in the majority of cases, achieving an implementation rate of over 95%. Further improvements are needed in administrative documentation to enhance overall process accuracy.