Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety.
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfusion (Paris). 2014;54(1):66-73; quiz 65. doi:10.1111/trf.12240.
In this study, the vast majority of transfusion-related patient harm was due to blood products ordered inappropriately outside of hospital guidelines. On the laboratory side, the most serious threat to patient safety was mislabeled blood samples.