Root cause analysis of transfusion error: identifying causes to implement changes.

Priti Elhence; S Veena; Raj Kumar Sharma; R K Chaudhary

Commentary

Root cause analysis of transfusion error: identifying causes to implement changes.

December 22, 2010

Elhence P, Veena S, Sharma RK, et al. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777.

View more articles from the same authors.

This case review discusses how root cause analysis of human and systems failures can identify areas for improvement to prevent clinical adverse events.

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