Design: A retrospective analysis of all anesthetic records at our institution over a two-year period was performed. . Operating room cases under balanced anesthesia.
View Article and Find Full Text PDFBackground: Blood product mistransfusions occur when a process error causes transfusion of incompatible blood products. These events are known sources of negative patient outcomes. One such event demonstrated an institutional knowledge gap and an opportunity to reduce this source of transfusion errors.
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