Narrow Results Clear All
- Communication Improvement 1
- Error Reporting and Analysis 3
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 1
Search results for "Transfusion Complications"
- Latent Errors
- Transfusion Complications
Journal Article > Review
Cohen R, Ning S, Yan MTS, Callum J. Transfus Med Rev. 2019:33:78-83.
Inaccurate patient registration can result in information gaps that contribute to delay, misunderstandings, and harm. This review discusses registration errors in the blood transfusion process. The authors discuss how problems can occur during various stages in the transfusion process and result in blood-type discrepancies. They suggest improved reporting of identification mistakes and use of photo identification tools as strategies to prevent patient harm associated with registration errors.
Journal Article > Study
Henneman EA, Avrunin GS, Clarke LA, et al. Transfus Med Rev. 2007;21:49-57.
The authors describe the concept of formally defining process and apply it to point-of-care blood transfusion as a method of detecting possible process failures.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
This fact sheet provides information regarding the Centers for Medicare and Medicaid Services' initiative to better understand and minimize never events.
Cases & Commentaries
- Web M&M
Bryan A. Liang, MD, PhD, JD; May 2004
Understanding that she may lose her life without it, a woman severely injured in a collision rejects a blood transfusion for religious reasons. However, her parents persuade the physicians otherwise, and the woman lives.