Early adopters will receive recognition as innovators from the ASCP and AABB.
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"Rate of ABO incompatibility decreased 4.6-fold, that of AHTR decreased 2-fold and that of DHTR decreased 2.5-fold pre vs post consultation of OLPTH (OnLine the Past Transfusion History, a Quebec-based transfusion history exchange)."
Pierre Robillard, et al.
"Access to a centralized patient database detected 38 percent more ABO typing errors and prevented six mistransfusions, which would not have been prevented at a single institution. Centralization of patient transfusion data should be encouraged."
Duncan MacIvor, et al.
"The regional alloantibody registry prevented potential delayed hemolytic transfusion reactions"
Vicki Schwickerath, et al.
"Since the implementation of this system there has been a significant drop in the frequency of ABO incompatible transfusions, acute hemolytic transfusion reactions and delayed transfusion reactions; hence, safety of the blood system in Québec has been enhanced."
Julie Ditomasso, et al.
"The database provides evidence that sharing transfusion information, within regulatory requirements, tangibly improves patient care."
Meghan Delaney, et al.
“A centralized database can help prevent issuing incompatible RBC units”
Sarah K. Harm, et al.
"Almost two-thirds of records for patients tested at both hospitals had some form of discrepancy, most commonly the failure of one of the facilities to detect an antibody. Such discrepancies are serious since they constitute risk factors for incompatible transfusions and DHTRs (delayed hemolytic transfusion reactions)."
Nisha Unni, et al.
“A national or regional alloantibody database should be a priority.”
Lance Williams, et al.
"Databases for sharing transfusion information between hospitals for enhanced detection of blood type errors and prevention of adverse events are scarce but have a proven positive effect on the prevention of acute and delayed hemolytic transfusions."
Adriaan J. van Gammeren, et al.
"A national transfusion medicine registry could prevent DHTRs by sharing alloantibody records between blood banks."
Ronald 'George' Hauser, et al.
"When taken together, the included studies have highlighted and investigated flaws in transfusion services provided around the world, many of which have the potential to be significantly reduced through the introduction of a National registry."
Zachary Powell, et al.
"This case is an example of how a registry of RBC antibodies is critical to providing good patient care."
Gagan Mathur, et al.
"We call upon policymakers to consider creating a nationwide database of all SCD patients, regardless of where they have received care. This database should include information on patient blood group genotypes, phenotypes, antibodies, and transfusion histories"
Mischa Covington, et al.
By completing the form next to the map, it shows you support the Alloantibody Exchange. We can connect you with more supporters in your area with whom you may share patient data with electronically.
As a non-profit, donation are critical to our success. The donation link is on the top of the page.
It really is free. We are paying for this with grants from Microsoft and Google.
This is a standard form required in the USA by HIPAA. Many hospitals have their own form, but the content is surprisingly similar.
Patient data privacy is primary concern for us as well. It is helpful to remember the scope of this project only includes information relative to providing appropriately matched blood products. Patients with special transfusion requirements generally make up 1% of a health system’s patient population, and the information collected from this 1% includes only alloantibody, antigen, and special transfusion requirements. We do not collection information on a patient simply because they had a type and screen. We do not collect diagnoses, medications, or billing information. Our focus is very narrow.
We have read and annotated the HIPAA regulations line-by-line to ensure we comply fully. Read our documentation here. Sharing patient information is allowed under HIPAA. It does not require informed consent for the treatment of patients. See HIPAA 165.506(c)(2) on page 84, “A covered entity may disclose PHI for treatment activities of a healthcare provider”.
We employ automated procedures developed by a review of health information exchanges to identify patients across systems. We use six patient identifiers: first name, last name, date of birth, birth sex, ABO, and Rh. Although imperfect without a unique national medical identifier, health information exchanges do function successfully in many states. For each patient’s transfusion requirements, we do provide the origin of the information, allowing further dialogue as needed.
Setup depends on the blood bank information system. Clients from participating vendors can participate after a remote update. Others may need to setup a simple program we provide to move the data. We will provide vendor specific instructions, including a video walkthrough, as outlined here for Cerner clients.
President, Founder.
Yale University School of Medicine.
Board member emeritus, Founder.
Emory University School of Medicine.
Board member.
University of California, Los Angeles.
Director of Communications.
University of New Haven.
Board member.
University of Florida.
Board member, Founder.
Yale University School of Medicine.
Director of Special Projects.
Yale University School of Medicine.
Director of Software.
Yale University School of Medicine.
