rravkin@aol.com Posted December 9, 2013 Share Posted December 9, 2013 JUST CURIOUS; AFTER READING THESE POSTS, EXPERIENCING AND KNOWING THE IMPORTANCE OF PATIENT TRANSFUSION, AND ANTIBODY HISTORY; ARE WE ANY CLOSER TO SOME UNIVERSAL SYSTEM WHERE SUCH HISTORY WOULD BE READILY AVAILABLE TO THE MEDICAL COMMUNITY? WE HAVE ISBT AND NOW AN SDS (UNIVERSAL CHEMICAL ID SYSTEM REPLACING THE MSDS) SO IS IT POSSIBLE THAT A UNIVERSAL TRANSFUSION AND AB HISTORY IS IN THE MAKING? Link to comment Share on other sites More sharing options...
Auntie-D Posted December 9, 2013 Share Posted December 9, 2013 JUST CURIOUS; AFTER READING THESE POSTS, EXPERIENCING AND KNOWING THE IMPORTANCE OF PATIENT TRANSFUSION, AND ANTIBODY HISTORY; ARE WE ANY CLOSER TO SOME UNIVERSAL SYSTEM WHERE SUCH HISTORY WOULD BE READILY AVAILABLE TO THE MEDICAL COMMUNITY? WE HAVE ISBT AND NOW AN SDS (UNIVERSAL CHEMICAL ID SYSTEM REPLACING THE MSDS) SO IS IT POSSIBLE THAT A UNIVERSAL TRANSFUSION AND AB HISTORY IS IN THE MAKING?Eek caps In the UK there is now a national scheme using the NHS number - participation is voluntary though Link to comment Share on other sites More sharing options...
Dr. Pepper Posted December 9, 2013 Share Posted December 9, 2013 JUST CURIOUS; AFTER READING THESE POSTS, EXPERIENCING AND KNOWING THE IMPORTANCE OF PATIENT TRANSFUSION, AND ANTIBODY HISTORY; ARE WE ANY CLOSER TO SOME UNIVERSAL SYSTEM WHERE SUCH HISTORY WOULD BE READILY AVAILABLE TO THE MEDICAL COMMUNITY? WE HAVE ISBT AND NOW AN SDS (UNIVERSAL CHEMICAL ID SYSTEM REPLACING THE MSDS) SO IS IT POSSIBLE THAT A UNIVERSAL TRANSFUSION AND AB HISTORY IS IN THE MAKING?It's a great idea. We have talked about this in our area for years. Logistal problems include conflicting computer systems, turf wars as to who would own the system, and the problems of inputing a huge amount of old records. Everyone has their own medical record # system, and, unfortunately, we are all going away from the SS# which is a truely unique identifier (I am not a fan of DOB, a pool of 365.25 of them is hardly unique). Gotta be easier with the countries with more socialized medical care where everyone has their own #. Link to comment Share on other sites More sharing options...
SMILLER Posted December 9, 2013 Share Posted December 9, 2013 This would be an enormous improvement over the present system in the US. We do not enjoy the benefits of a single-payer system yet, however. In the meantime, it does seem like the federal government could do a decent job in arranging access to a database that can be searched on the internet even if it can't be directly interfaced with individual blood-banking systems. Scott Link to comment Share on other sites More sharing options...
goodchild Posted December 9, 2013 Share Posted December 9, 2013 It's a great idea. We have talked about this in our area for years. Logistal problems include conflicting computer systems, turf wars as to who would own the system, and the problems of inputing a huge amount of old records. Everyone has their own medical record # system, and, unfortunately, we are all going away from the SS# which is a truely unique identifier (I am not a fan of DOB, a pool of 365.25 of them is hardly unique). Gotta be easier with the countries with more socialized medical care where everyone has their own #. DOB isn't really as bad as 365.25. Assuming that the oldest living individuals in your MPI are 110 there are 40,177 date of birth buckets to place individuals within (365.25 days in a year * 110 possible years). You're right that it's still not all that great either. I learned how to circumnavigate the master patient index in my quest to prevent mistransfusion of antibody patients due to duplicate medical record numbers. I find that checking by date of birth (using B#MMDDYYYY in Meditech) is the easiest solution. Then you just have to pray that it was entered into the system correctly. Link to comment Share on other sites More sharing options...
sshel55 Posted June 29, 2014 Share Posted June 29, 2014 I have a related question. Let's say you get a new sickle cell patient who has been transfused regularly at another facility. You call the facility and are given a list of antibodies identified and a RBC phenotype. What do you do with the phenotype information? Do you transfuse RH and K matched blood based on this information? Do you "try" to get a RBC phenotype even though patient has been transfused? Do you hypowash? How do you handle these cases? I'm writing a case study and would love to get some data on this. Thanks! Link to comment Share on other sites More sharing options...
Abdulhameed Al-Attas Posted June 30, 2014 Share Posted June 30, 2014 I would rather hypowash and do an extended phenotype of the patient and then transfuse RH and K matched Blood.You always need to verify what is done else where. Link to comment Share on other sites More sharing options...
John C. Staley Posted June 30, 2014 Share Posted June 30, 2014 I would rather hypowash and do an extended phenotype of the patient and then transfuse RH and K matched Blood.You always need to verify what is done else where. Just curious but why do you always need to verify what is done else where? Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted June 30, 2014 Share Posted June 30, 2014 We do it because, at various times, we have come across an allo-anti-I in an adult ii, which another reference laboratory had "diagnosed" as an auto-antibody, a DAU-4 that another reference laboratory had "diagnosed" as a Partial D Category VII, to cite but 2 examples. Our results were verified by the International Blood Group Reference Laboratory. Link to comment Share on other sites More sharing options...
Eoin Posted June 30, 2014 Share Posted June 30, 2014 What happened to National Patient Antibody Register (NPAR) in the USA? I was jealous when I read about it. Did it die an unnatural death>Years ago in Oz, we had the Aust Red Cross with an antibody register, but I don't think that all Abs were reported to it.Lots of people have been pushing for it here in Ireland, Pushing hard - but nobody (with the money control) moving. Let's just have a few more DHTRs due to Fya!!! CheersEoin Malcolm Needs and Sandy L 2 Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted June 30, 2014 Share Posted June 30, 2014 We've got Sp-ICE in NHSBT now, but, again, not every antibody (from years back) is on it; but we are getting there! Link to comment Share on other sites More sharing options...
tricore Posted June 30, 2014 Share Posted June 30, 2014 (edited) What happened to National Patient Antibody Register (NPAR) in the USA? I was jealous when I read about it. Did it die an unnatural death>Years ago in Oz, we had the Aust Red Cross with an antibody register, but I don't think that all Abs were reported to it.Lots of people have been pushing for it here in Ireland, Pushing hard - but nobody (with the money control) moving. Let's just have a few more DHTRs due to Fya!!! CheersEoinNPAR is still alive! Our blood center (Blood Systems - United Blood Servcies, Blood Center of the Pacific, Inland Northwest) just gave a presentation last week. Blood Systems is providing the subscription to all of their full service customers.The hospitals will have to approve of it berfore we implement.https://www.npar.com/ Edited June 30, 2014 by tricore Link to comment Share on other sites More sharing options...
bxcall1 Posted July 7, 2014 Share Posted July 7, 2014 I put it in the patient's history and make a comment that is was identified at another facility.I also listen to patients and call other facilities. AMcCord 1 Link to comment Share on other sites More sharing options...
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