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Search results for "Transfusion Complications"
- Nonsurgical Procedural Complications
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Melissa S. Wong, MD; Angelica Vivero, MD; Ellen B. Klapper, MD; and Kimberly D. Gregory, MD, MPH; July 2019
First admitted to the hospital at 25 weeks of pregnancy for vaginal bleeding, a woman (G5 P2 A2) received 4 units of packed red blood cells and 2 doses of iron injections. She was discharged after 3 days with an improved hemoglobin level. At 35 weeks, she was admitted for an elective cesarean delivery. Intraoperatively, an upper uterine segment incision was made and the newborn was delivered in good condition. Immediately after, a subtotal hysterectomy was performed. The anesthesiologist noted that the patient was hypotensive; blood was transfused. A rash developed surrounding the transfusion site and widespread ecchymosis appeared as she became more unstable. Although physicians attempted to stabilize her with fluids and medications and cardiopulmonary resuscitation was performed for 60 minutes, the patient died.
Journal Article > Study
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.
Incident reporting systems are one mechanism for hospitals to both identify and potentially prevent adverse events, although they have frequently failed to meet those expectations. This study describes findings from a voluntary system that produced a significant increase in reported neonatal events, many of which were associated with patient morbidity.
Journal Article > Commentary
Van Spall HG. Ann Intern Med. 2007;146:893-894.
The physician author recounts the story of her father's death—a death that she feels was preventable and caused, in part, by errors in judgment made during his care.