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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.

This qualitative study evaluated the processes laboratories use to prevent transfusion of incompatible blood products, which is considered a never event.
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