Error management of emergency transfusions: a surveillance system to detect safety risks in day to day practice.

Transfus Apher Sci

Medizinische Klinik III (Hämatologie, Onkologie und Transfusionsmedizin), Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany.

Published: October 2006

AI Article Synopsis

  • Acute hemolysis from ABO-incompatible blood transfusions is a leading cause of transfusion-related fatalities, highlighting the need for improvements in transfusion safety.
  • A new standardized surveillance system has been created to enhance the quality and safety of emergency red blood cell concentrate (RBCC) supplies, involving basic data transmission and compliance scoring.
  • The most common errors identified in the transfusion process were communication issues and delays in pretransfusion sampling, indicating areas for improvement.

Article Abstract

Acute hemolysis due to AB0-incompatibility caused by transfusion of red blood cell concentrates (RBCC) to the wrong recipient is one of the major causes of transfusion-related death. As part of our policy to improve quality and safety in emergency transfusion, we have developed a standardized surveillance system for supplying RBCC in emergency situations. This surveillance system involves the implementation of a standardized set of basic data transmitted from the requesting unit to the blood bank by phone and a scoring system to check for compliance with guidelines and errors in daily routines. Communication deficiencies and delayed pretransfusion sampling were the most common errors.

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http://dx.doi.org/10.1016/j.transci.2006.06.001DOI Listing

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