Sorry, you need to enable JavaScript to visit this website.
Skip to main content
Commentary

A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change.

Clifford SP, Mick PB, Derhake BM. A Case of Transfusion Error in a Trauma Patient With Subsequent Root Cause Analysis Leading to Institutional Change. J Investig Med High Impact Case Rep. 2016;4(2):2324709616647746. doi:10.1177/2324709616647746

Save
Print
June 15, 2016
Clifford SP, Mick PB, Derhake BM. J Investig Med High Impact Case Rep. 2016;4(2):2324709616647746.
View more articles from the same authors.

Transfusion errors can have serious consequences. This case analysis discusses a wrong-patient transfusion error in a hospital's emergency room and reviews findings of the subsequent root cause analysis, which determined training weaknesses, time pressures, and distractions within the team due to the chaotic nature of trauma care.

Save
Print
Cite
Citation

Clifford SP, Mick PB, Derhake BM. A Case of Transfusion Error in a Trauma Patient With Subsequent Root Cause Analysis Leading to Institutional Change. J Investig Med High Impact Case Rep. 2016;4(2):2324709616647746. doi:10.1177/2324709616647746

Related Resources From the Same Author(s)
Related Resources