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Transfusion Complications
PATIENT SAFETY PRIMERS
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Transfusion Complications
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STUDY
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
McCullough J, McKenna D, Kadidlo D, et al. Blood. 2009:114:1684-1688.
STUDY
Barcode technology: its role in increasing the safety of blood transfusion.
Turner CL, Casbard AC, Murphy MF. Transfusion. 2003;43:1200-1209.
STUDY
Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland.
Lundy D, Laspina S, Kaplan H, Rabin Fastman B, Lawlor E. Vox Sang. 2007;92:233-241.
STUDY
Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).
Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.
STUDY
Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.
Rice-Townsend S, Hall M, Jenkins KJ, Roberson DW, Rangel SJ. J Pediatr Surg. 2010;45:1126-1136.
STUDY
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.
STUDY
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.
COMMENTARY
Root cause analysis of transfusion error: identifying causes to implement changes.
Elhence P, Veena S, Sharma RK, Chaudhary RK. Transfusion. 2010;50:2772-2777.
MULTI-USE WEBSITE
National Comparative Audit of Blood Transfusion.
National Blood Service Hospitals.
REVIEW
The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.
Kornstein MJ, Byrne SP. Arch Pathol Lab Med. 2007;131:615-618.
FACT SHEET/FAQS
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
COMMENTARY
What Was in Those Platelets?
Yomtovian R. AHRQ WebM&M [serial online]. July 2008.
COMMENTARY
Transfusion "Slip".
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
GLOSSARY
MERS-TM Glossary.
Medical Event Reporting System for Transfusion Medicine (MERS-TM).
STUDY
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.
STUDY
Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry.
Rana R, Afessa B, Keegan MT, et al; Transfusion in the ICU Interest Group. Crit Care Med. 2006;34:1892-1897.
STUDY
Current and emerging infectious risks of blood transfusions.
Busch MP, Kleinman SH, Nemo GJ. JAMA. 2003;289:959-962.
COMMENTARY
No Blood, Please.
Liang BA. AHRQ WebM&M [serial online]. May 2004.
REVIEW
Barcode identification for transfusion safety.
Murphy MF, Kay JD. Curr Opin Hematol. 2004;11:334-338.
STUDY
The attributes of medical event reporting systems.
Battles JB, Kaplan HS, Van der Scaaf TW, Shea CE. Arch Pathol Lab Med. 1998;1222:231-238.
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