End-to-end electronic control of the hospital transfusion process to increase the safety of blood transfusion: strengths and weaknesses

Transfusion
Amanda DaviesMichael F Murphy

Abstract

Incorrect blood component transfused is a frequent serious incident associated with transfusion and often involves misidentification of the patient and/or the unit of blood. This study extended the evaluation of an electronic system involving bar code technology and handheld computers. Electronic control of collection of blood from blood refrigerators was incorporated into a previously described process for blood sample collection and blood administration. Practice was evaluated before and after its introduction in cardiac surgery. The baseline audits revealed poor practice. Significant improvements were found following the introduction of the electronic system, including from 8 percent to 100 percent in checking that the blood group and unit number on the blood pack matched the compatibility label and the pack was in date (p < or = 0.0001). Similar significant improvements were found in blood sample collection, the collection of blood from blood refrigerators, and the documentation of transfusion. Staff found the system easy to operate and preferred it to standard procedures. A bar code patient identification system improved transfusion practice, although areas for improvement were identified. These results provide support for...Continue Reading

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Citations

Jan 15, 2010·Annual Review of Public Health·Helen I WoodwardAlbert W Wu
Mar 9, 2011·Journal of Pathology Informatics·Kit Fai Wong
Oct 1, 2013·Transfusion Medicine Reviews·Susan CottrellMichael F Murphy
Apr 30, 2013·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·J-Y Py, G Daurat
Jan 21, 2012·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·B Lartigue, E Catillon
Jun 15, 2010·Critical Care Nursing Clinics of North America·Rebecca K AulbachJudy Ong Ho
Dec 22, 2009·Biologicals : Journal of the International Association of Biological Standardization·Marinus van HulstMaarten J Postma
Oct 22, 2008·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·G Daurat
Oct 14, 2008·Transfusion Medicine Reviews·Elizabeth A HennemanPhilip L Henneman
Oct 4, 2008·Best Practice & Research. Clinical Anaesthesiology·Felix BuddebergDonat R Spahn
Apr 26, 2008·Clinics in Laboratory Medicine·Jay P Brooks
Dec 19, 2006·Transfusion Medicine Reviews·Elizabeth A HennemanPhilip L Henneman
Oct 19, 2006·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Martin Schmidt-HieberMichael Notter
Aug 28, 2009·Transfusion Medicine·M F MurphyA C Newland
Sep 17, 2013·British Journal of Haematology·Paula H B Bolton-Maggs, Hannah Cohen
Jul 8, 2011·Transfusion Medicine·C E Butler, E L Dickens
Apr 13, 2015·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Yuk Wah Cheng, Jenny M Wilkinson
Oct 7, 2014·British Journal of Haematology·Paula H B Bolton-MaggsJohanna C Wiersum-Osselton
Apr 2, 2015·Vox Sanguinis·K M SellenM Chignell
Aug 1, 2016·La Presse médicale·Patrick SchoettkerCatherine Heim
Aug 7, 2007·Lancet·Harvey G KleinJeffrey L Carson
Nov 20, 2019·Indian Journal of Hematology & Blood Transfusion : an Official Journal of Indian Society of Hematology and Blood Transfusion·Sang Hyuk ParkSeon-Ho Lee
May 10, 2007·Archives of Pathology & Laboratory Medicine·Anne F Eder, Linda A Chambers

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