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Busch MP, Kleinman SH, Nemo GJ. JAMA. 2003;289:959-962.
Busch MP ; Kleinman SH ; Nemo GJ.Current and emerging infectious risks of blood transfusions. JAMA. 2003; 289: 959-962
Safety incident reports associated with blood transfusions.
Vossoughi S, Perez G, Whitaker BI, et al. Transfusion. 2019 Jun 29; [Epub ahead of print].
Electronic patient identification for sample labeling reduces wrong blood in tube errors.
Kaufman RM, Dinh A, Cohn CS, et al; BEST Collaborative. Transfusion. 2019;59:972-980.
Transfusion safety: the nature and outcomes of errors in patient registration.
Cohen R, Ning S, Yan MTS, Callum J. Transfus Med Rev. 2019:33:78-83.
Walking Patient, Missing Drain
Brian F. Olkowski, DPT; Mary Ravenel, MSN; and Michael F. Stiefel, MD, PhD
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
MacDougall N, Dong F, Broussard L, Comunale ME. Anesth Analg. 2018;126:247-251.
Preventing blood transfusion failures: FMEA, an effective assessment method.
Najafpour Z, Hasoumi M, Behzadi F, Mohamadi E, Jafary M, Saeedi M. BMC Health Serv Res. 2017;17:453.
SHOT Annual Report 2017.
PHB Bolton-Maggs, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2018. ISBN: 9781999596804.
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.
Root cause analysis of transfusion error: identifying causes to implement changes.
Elhence P, Veena S, Sharma RK, Chaudhary RK. Transfusion. 2010;50:2772-2777.
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.
Enhanced detection of blood bank sample collection errors with a centralized patient database.
MacIvor D, Triulzi DJ, Yazer MH. Transfusion. 2009;49:40-43.
Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005.
Taylor CJC, Murphy MF, Lowe D, Pearson M. Qual Saf Health Care. 2008;17:239-243.
Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005.
Stainsby D, Jones H, Wells AW, Gibson B, Cohen H; for SHOT Steering Group. Br J Haematol. 2008;141:73-79.
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Askeland RW, McGrane S, Levitt JS, et al. Transfusion. 2008;48: 1308-1317.
An interdisciplinary approach to safer blood transfusion.
LaRocco M, Brient K. Patient Safety & Quality Healthcare. March-April 2008;5:22-26.
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.
New technology for transfusion safety.
Dzik WH. Br J Haematol. 2007;136:181-90.
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Quillen K, Murphy K. Arch Pathol Lab Med. 2006;130:1196-1198.
Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry.
Rana R, Afessa B, Keegan MT, et al; Transfusion in the ICU Interest Group. Crit Care Med. 2006;34:1892-1897.
How I minimize mistransfusion risk in my hospital.
AuBuchon JP. Transfusion. 2006;46:1085-1089.
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
National Comparative Audit of Blood Transfusion.
National Blood Service Hospitals.
Reducing adverse events in blood transfusion.
Stainsby D, Russell J, Cohen H, Lilleyman J. Br J Haematol. 2005;131:8-12.
Barcode identification for transfusion safety.
Murphy MF, Kay JD. Curr Opin Hematol. 2004;11:334-338.
Barcode technology: its role in increasing the safety of blood transfusion.
Turner CL, Casbard AC, Murphy MF. Transfusion. 2003;43:1200-1209.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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