Skip to main content
Study

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

Hensley NB, Koch CG, Pronovost PJ, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Administration. Jt Comm J Qual Patient Saf. 2019;45(3):190-198. doi:10.1016/j.jcjq.2018.08.010

Save
Print
January 9, 2019
Hensley NB, Koch CG, Pronovost PJ, et al. Jt Comm J Qual Patient Saf. 2019;45(3):190-198.

Following a sentinel wrong-patient event, a multidisciplinary quality improvement team worked to enhance the safety of blood transfusion. The authors report significant improvement in protocol adherence following institution of barcoding and auditing via the electronic health record.

Save
Print
Cite
Citation

Hensley NB, Koch CG, Pronovost PJ, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Administration. Jt Comm J Qual Patient Saf. 2019;45(3):190-198. doi:10.1016/j.jcjq.2018.08.010