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Medical technologists at our institution have performed 24-h transfusion-associated compatibility testing since we introduced a fully automated compatibility testing system, Auto Vue (AV), in December, 2000. A medical technologist on duty at night provides compatibility testing, including ABO, Rh typing, detection of irregular antibody and cross matching. In addition, the technologist is responsible for the receipt and supply of ordered blood components and receipt of unused components from previous orders. During the for investigation period, the mean number of tests was 4 for blood typing and 10 for cross matching per one month. Mean supplied components were 4.28 units per order. There was no discrepancy in results among technologists in the use of the AV. In addition, analysis of results could be done objectively. This, psychological stress on the medical technologist, who is not routinely engaged in blood transfusion-associated testing, is alleviated by using the AV. However, testing with the AV is not suitable for urgent cases and it is necessary to master the manual technique for compatibility testing to confirm results of samples showing equivocal results with the AV.

nihon yuketsu gakkai zasshi/nippon yuketsu gakkai zasshi

THE PRESENT CONDITION AND PROBLEMS OF 24-HOUR TRANSFUSION-ASSOCIATED COMPATIBILITY TESTING AFTER INTRODUCTION OF A FULLY AUTOMATED COMPATIBILITY TESTING SYSTEM