Transfusion Errors: Causes and Effects

Transfusion Medicine Reviews

Volumn 8, Issue 3, 1994, Pages 169-183

  Linden, Jeanne V ^a,b   Kaplan, Harold S ^a,b  

^a WADSWORTH CENTER   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BLOOD AUTOTRANSFUSION; BLOOD BANK; BLOOD GROUP INCOMPATIBILITY; BLOOD TRANSFUSION; BLOOD TRANSFUSION REACTION; DISEASE TRANSMISSION; ERROR; HUMAN; QUALITY CONTROL; REVIEW;

EID: 0028318181     PISSN: 08877963     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0887-7963(94)70109-7     Document Type: Article

References (71)

1. Fundamentals of medication error research
2. Incompatible blood transfusions with emphasis on acute renal failure
3. A six year study of incompatible blood transfusions
4. Transfusion reaction: A reappraisal of surgical incidence and significance
5. Hemolytic transfusion reaction, recent experience in a large blood bank
6. A different view of transfusion safety-type and screen, transfusion of Coombs incompatible cells, fatal transfusion-induced graft vs. host disease
7. A report of 104 transfusion errors in NYS
8. Fatalities from blood transfusion
9. Noninfectious transfusion reactions
10. Acute hemolytic transfusion reactions: A fresh look at pathogenesis and considerations regarding therapy
11. Sources of error in a hospital blood bank
12. Errors in blood transfusion
13. Blood banking errors: A two year prospective survey
14. Deceptively low morbidity from failure to practice safe blood transfusion: An analysis of serious blood transfusion errors
15. The mortality from incompatible transfusion
16. Transfusion mortality; with special reference to surgical and intensive care facilities
17. Transfusion-associated fatalities: Review of Bureau of Biologics reports 1976-1978
18. Fatal blood transfusion reactions: An analysis
19. A closer look at fatal transfusion reactions
20. Reports of 355 transfusion-associated deaths: 1976 through 1985
21. Pharmacists not major cause of drug bloopers in hospitals
22. Review of transfusion related fatalities: Many preventable
23. Human error in aviation operations
24. Near misses—An untapped data base to find root causes
25. The Australian incident monitoring study: An analysis of 2,000 incident reports
26. Quality control in the blood bank—A new approach
27. Administering non-restricted medications in hospital: The implications and cost of using two nurses
28. Phlebotomists tag wristband identification errors
29. Wristband identification error reporting in 712 hospitals
30. Kentucky program helps memory-impaired wanderers
31. (Belgium SANGUIS Group) Bedside transfusion errors
32. Medical record analysis can show legal risks
33. Unit placement errors: A potential risk factor for ABO and Rh incompatible blood transfusions
34. Limitations of the immediate spin crossmatch when used for detecting ABO incompatibility
35. Discrepancies in reverse ABO typing due to prozone: How safe is the immediate-spin crossmatch?
36. 2 red cells and patient sera
37. Limitation of polybrene to detect ABO incompatibility
38. Additional limitations of the immediate spin crossmatch to detect ABO incompatibilty
39. Unreliability of the immediate spin crossmatch to detect an ABO incompatibility
40. Electronic verification of donor-recipient compatibility: The computer crossmatch
41. Blood typing errors on US Army identification cards and tags
42. The 1990 comprehensive blood bank surveys of the College of American Pathologists
43. The 1989 comprehensive blood bank survey of the College of American Pathologists
44. Laboratory staff qualifications and accuracy of proficiency test results: A national study
45. (Commentary) Autologous blood transfusion in pediatrics
46. Preoperative autologous blood donation in 612 hospitals
47. Autologous blood donation for elective surgery. Effect on physician transfusion behavior
48. Autologous transfusions for orthopaedic procedures at Children's Hospital
49. A computer system designed for a hospital transfusion service
50. Proficiency testing in immunohaematology in Ontario, Canada 1977-79
51. Quality control and transfusion reactions
52. Bedside blood grouping
53. Improvement in transfusion safety using a new blood unit and patient identification system as part of safe transfusion practice
54. Monitoring transfusionist practices: A strategy for improving transfusion safety
55. Keeping up with transfusion QA
56. Accident analysis of large scale technological disasters applied to an anesthetic complication
57. Continuous improvement as an ideal in health care
58. Automation in transfusion practice: Storage and retrieval of transfusion information
59. Use of bar code labels on collection tubes for specimen management in the clinical laboratory
60. Bar codes ready for labs
61. Putting bar codes to work for improved patient care
62. To err is human…