Current Status of Management for Transfusion Management Division at Ten Medical Institutions in Korea

Hee-Jeong Youk, Yousun Chung, Hyungsuk Kim, Sang-Hyun Hwang, Heung-Bum Oh, D. Ko
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Abstract

Background: According to the revision of the Blood Management Act in 2020, medical institutions that meet certain conditions are obliged to install a transfusion management division in Korea. Therefore, this study assessed the management status of the transfusion management division at major medical institutions. Methods: From August 7th to August 18th, 2021, a survey questionnaire was given to laboratory physicians of 10 major medical institutions in Korea, and the installation and operation of the transfusion management division were surveyed. Results: The medical institutions that participated in this survey completed a transfusion management division in the first half of the year. Doctors, nurses, and medical technologists were assigned as medical personnel, and all laboratory physicians were leading the work as the head of the transfusion management division. Regarding the tasks performed at the transfusion management division, all medical institutions conducted a transfusion appropriateness assessment, education related to transfusion, and adverse transfusion reactions. Most medical institutions had difficulties because there was an insufficient basis to calculate the workforce and budget in installing and operating the transfusion management division. Conclusion: There are rarely reference materials for the practice and operation of the transfusion management division, which has no precedent in Korea, so it is often difficult for medical institutions to prepare it. This study will be a reference for medical institutions that need to install a transfusion management division in the future. Efforts should be made to legislate transfusion management fees focused on the academic community. (Korean J Blood Transfus 2021;32:174-180)
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韩国10家医疗机构输血管理科管理现状分析
▽背景=根据2020年的《血液管理法》修改案,在韩国,符合一定条件的医疗机构必须设立输血管理科。因此,本研究评估了各大医疗机构输血管理科的管理状况。方法:于2021年8月7日至8月18日,对韩国10家主要医疗机构的实验室医师发放调查问卷,对输血管理科的设置和操作情况进行调查。结果:参与调查的医疗机构上半年完成了1个输血管理科室。医生、护士和医疗技术人员作为医务人员,所有实验室医生作为输血管理科主任领导工作。关于输血管理处执行的任务,所有医疗机构都进行了输血适当性评估、与输血有关的教育和输血不良反应。大多数医疗机构都有困难,因为没有足够的基础来计算安装和操作输血管理处的人力和预算。结论:输血管理科的实践和操作参考资料较少,国内无先例,医疗机构编制往往困难。本研究可为今后需要设置输血管理科室的医疗机构提供参考。应该以学界为中心制定输血管理费立法。(韩国输血杂志2021;32:174-180)
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