Avtor/Urednik		Breskvar, Marko; Bricl, Irena; Tasič, Jurij; Meža, Marko; Rožman, Primož
Naslov		Telekonzultacije v transfuzijski službi
Prevedeni naslov		Teleconsultation in the blood transfusion service
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 73, št. Suppl 1
Leto izdaje		2004
Obseg		str. I-105-8
Jezik		slo
Abstrakt		Background. The transfusion services supply hospitals with blood and perform all the necessary pre-transfusion tests for the patient. Since it is a 24-hour service, Slovenia needs to have 10 on duty physicians, specialists in transfusion medicine, or physicians who specialised in other fields of medicine but have completed a post-graduate coarse in transfusion medicine. By using a teleconsultation in the transfusion services, it would be possible to increase a blood safety and assure the possibility of non-stop (24-hours) professional consultations with the aid of modern technology. This may be of particular importance when there is no specialist in transfusion medicine present in the department for transfusion medicine. Methods. The transfusion services in Slovenia is performed at 11 institutions. Technically, it is supported by a suitable information technology, which can be upgraded to include the teleconsulting system, that enable sex change of professional information. The current information system supporting the transfusion services has been upgraded by the teleconsulting system which has already been tested in a pilot study. Results. In the pilot study, blood grouping results were interpreted correctly when a picture of the coded gel card was transmitted to an improvised teleconsulting centre. That was the first telemedical service of its kind in Slovenia. Conclusions. With appropriate organisation and by the virtue of teleconsulting system, it is possible to perform remote professional consultations. In this way telemedicine has found its place also in the field of transfusion medicine.
Izvleček		Izhodišča. Transfuzijska služba izvaja preskrbo bolnišnic s krvjo in opravlja predtransfuzijske preiskave za bolnika. Ker gre za stalno službo, je potrebno v Sloveniji imeti na razpolago vsaj 10 stalno dežurnih zdravnikov s področja transfuzijske medicine oziroma zdravnikov drugih specialnosti s podiplomskim tečajem iz transfuzijske medicine. Z uporabo telekonzultacije v transfuzijski službi želimo povečati varnost in zagotoviti možnost 24-urne strokovne konzultacije z uporabo sodobne tehnologije, še posebno takrat, ko na transfuzijskih oddelkih ni navzoč zdravnik specialist transfuzijske medicine. Metode. Transfuzijsko službo v Sloveniji opravlja 11 ustanov. Podprta je z ustrezno informacijsko tehnologijo, ki jo lahko nadgradimo s sistemom za telekonzultacijo, ki zagotavja izmenjavo strokovnih podatkov. Obstoječi informacijski sistem za podporo transfuzijski službi smo dopolnili s sistemom za telekonzultacijo, ki smo ga preizkusili v pilotni študiji. Rezultati. V pilotskem poskusu smo uspešno interpretirali rezultat določitve krvne skupine na osnovi prenosa slike gelske kartice iz laboratorija v improvizirani telekonzultacijski center. To je bila prva telemedicinska storitev s področja transfuzijske medicine v Sloveniji. Zaključki. Z ustrezno organizacijo transfuzijske službe in uvedbo telemedicine je možno izvajati strokovne konzultacije na daljavo. S tem je telemedicina našla svoje mesto tudi v transfuzijski medicini.
Deskriptorji		BLOOD TRANSFUSION HEALTH SERVICES REMOTE CONSULTATION BLOOD GROUPING AND CROSSMATCHING IMAGE PROCESSING, COMPUTER-ASSISTED