AHRQ Patient Safety Network

Skip Navigation

The Collection >

Increasing patient safety and efficiency in transfusion therapy using formal process definitions.

Henneman EA, Avrunin GS, Clarke LA, et al. Transfus Med Rev. 2007;21:49-57.

The authors describe the concept of formally defining process and apply it to point-of-care blood transfusion as a method of detecting possible process failures.

PubMed citation

Available at

Related Resources

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.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

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.

CONGRESSIONAL TESTIMONY

Oversight hearing on recent patient safety issues.

Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).

View all related resources...