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Cases & Commentaries
- Web M&M
Michael Astion, MD, PhD ; December 2006
A man admitted to the hospital for elective surgery has blood drawn. Despite a policy for proper identification, the blood samples were all mislabeled with another patient's name. The error was discovered at the lab, and there was no harm to the patient.
PA-PSRS Patient Saf Advis. September 2006;3:1, 5-10.
This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury.
Journal Article > Commentary
Stainsby D, Russell J, Cohen H, Lilleyman J. Br J Haematol. 2005;131:8-12.
The authors discuss how errors can occur during the process of blood transfusion and advocate for improved safety through reducing incompatible transfusions.