Preventing mistransfusions: an evaluation of institutional knowledge and a response.
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000000000002443.
Transfusion of incompatible blood products can cause severe patient harm and is considered a never event. Based on findings in this study, researchers suggest that use of a blood product compatibility cognitive aid may improve transfusion safety.

