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- Transfusion Complications
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Journal Article > Review
Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.
Dunbar NM, Szczepiorkowski ZM. Curr Opin Hematol. 2014;21:515-520.
Mistakes during blood transfusion can contribute to patient harm. This review discusses the use of health information technology, such as computerized provider order entry and clinical decision support systems, in transfusion medicine to enhance reliability of ordering practices and enable monitoring of adherence.
Journal Article > Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.
The limitations of standard incident reporting systems have been well documented. Although ubiquitous and relatively easy to use, such systems detect only a fraction of adverse events, are underused by physicians, and yield data that often are not analyzed or disseminated promptly. This analysis of data from a commercial, web-based system at an academic hospital confirms some prior concerns, but the authors were able to demonstrate that rapid review of reports resulted in specific system changes to improve workflow and safety. A prior article presented a framework for using incident reporting data to improve patient safety.
Newspaper/Magazine Article
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.
Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors, a mere 8% of hospitals use the system and fewer implement it effectively, according to the Leapfrog Group CPOE evaluation tool.
Journal Article > Study
Enhanced detection of blood bank sample collection errors with a centralized patient database.
MacIvor D, Triulzi DJ, Yazer MH. Transfusion. 2009;49:40-43.
A centralized transfusion service maintains transfusion records for 16 hospitals in the Pittsburgh area. This study found that the centralized system prevented several instances of transfusion errors due to incorrectly collected blood specimens.