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- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Quality Improvement Strategies 1
- Technologic Approaches 2
Search results for "Hematology"
- Identification Errors
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.
Cases & Commentaries
- Web M&M
Jeanne M. Farnan, MD, MHPE; April 2016
A man with a pulmonary embolus was ordered argatroban for anticoagulation. The next day, an intern noticed that the patient in the next room, a woman with a GI bleed, had argatroban hanging on her IV pole, but the label showed the name of the man with the pulmonary embolus. The nurse was notified, the medication was stopped, and the error was disclosed to the patient.
Journal Article > Study
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
McCullough J, McKenna D, Kadidlo D, et al. Blood. 2009:114:1684-1688.
This article describes the process used to detect mismatched umbilical cord blood prior to transplantation. Failure to detect the mismatches would have led to devastating clinical consequences.
Journal Article > Commentary
Dzik WH. Br J Haematol. 2007;136:181-90.
The author discusses three transfusion case studies that highlight three areas where errors are most common and technologies that can be used to prevent errors in these areas.