Blood transfusion administration - One- or two-person checks: Which is the safest method?

Transfusion

Volumn 48, Issue 4, 2008, Pages 783-789

  Watson, Douglas ^a   Murdock, Joanne ^b   Doree, Carolyn ^b   Murphy, Michael ^b   Roberts, Maria ^b   Blest, Andrea ^b   Brunskill, Susan ^b  

^a SCOTTISH NATIONAL BLOOD TRANSFUSION SERVICE   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

BLOOD TRANSFUSION; HEALTH CARE POLICY; HUMAN; MEDICAL PRACTICE; MEDICAL STAFF; NOTE; PATIENT CARE; PATIENT IDENTIFICATION; PRACTICE GUIDELINE;

BLOOD TRANSFUSION; HUMANS; PRACTICE GUIDELINES AS TOPIC;

EID: 41149111617     PISSN: 00411132     EISSN: 15372995     Source Type: Journal    
DOI: 10.1111/j.1537-2995.2007.01605.x     Document Type: Note

References (24)

1. Stainsby D, Jones H, Asher D, Atterbury C, Boncinelli A, Brant L, Chapman CE, Davison K, Gerrard R, Gray A, Knowles S, Love EM, Milkins C, McClelland BL, Norfolk DR, Soldan K, Taylor C, Revill J, Williamson LM, Cohen H SHOT Steering Group. Serious hazards of transfusion: a decade of hemovigilance in the UK. Transfus Med Rev 2006 20 : 273 82.
2. Murphy MF, Atterbury CL, Chapman JF, Lumley JS, McClelland DB, Stockley R, Thomas D, Wilkinson J, Bruce M, Duguid J, Kelsey P, Knowles SM, Murphy MF, Williamson LM British Committee for Standards in Haematology. The administration of blood and blood components and the management of transfused patients. Transfus Med 1999 9 : 227 38.
3. Serious hazards of transfusion annual report 2001/2002. Manchester : Serious Hazards of Transfusion Scheme 2002.
4. Grilli R, Magrini N, Penna A, Mura G, Liberati A. Practice guidelines developed by specialty societies: the need for critical appraisal. Lancet 2000 355 : 103 6.
5. Linden JV, Paul B, Dressler KP. A report of 104 transfusion errors in New York State. Transfusion 1992 32 : 601 6.
6. Linden JV, Kaplan HS. Transfusion errors: causes and effects. Transfus Med Rev 1994 8 : 169 83.
7. Sharma RR, Kumar S, Agnihotri SK. Sources of preventable errors related to transfusion. Vox Sang 2001 81 : 37 41.
8. Atterbury CR, Wilkinson JR. Blood transfusion. Nurs Stand 2000 14 : 47 54.
9. Todd A. Haemovigilance - closing the loop. Vox Sang 2002 83 Suppl 1 : 13 16.
10. Australian and New Zealand Society of Blood Transfusion Inc and Royal College of Nursing Australia. Guidelines for the administration of blood components. Sydney : Australian and New Zealand Society of Blood Transfusion Inc and Royal College of Nursing Australia 2004.
11. The Association of Anaesthetists. Blood transfusion and the anaesthetist: red cell transfusion. London : The Association of Anaesthetists of Great Britain and Ireland 2001 [cited 2006 Dec 03]. Available from: http://www.aagbi.org
12. Royal College of Nursing. Guidance for improving transfusion practice: right blood, right patient, right time. London : Royal College of Nursing 2004 [cited 2006 Dec 03]. Available from: http://www.rcn.org.uk
13. Finnish Medical Association. Blood Transfusion: indications and administration. EBM guidelines. Helsinki : Duodenum Medical Publications Ltd 2006 [cited 2006 Dec 03]. Available from: http://www.ahcpr.gov
14. Shulman IA, Saxena S, Ramer L. Assessing blood administering practices. Arch Pathol Lab Med 1999 123 : 595 8.
15. Lau FY, Wong R, Chui CH, Ng E, Cheng G. Improvement in transfusion safety using a specially designed transfusion wristband. Transfus Med 2000 10 : 121 4.
16. Marconi M, Langeberg AF, Sirchia G, Sandler SG. Improving transfusion safety by electronic identification of patients, blood samples, and blood units. Immunohematology 2000 16 : 82 5.
17. Turner CL, Casbard AC, Murphy MF. Barcode technology: its role in increasing the safety of blood transfusion. Transfusion 2003 43 : 1200 9.
18. Chan JC, Chu RW, Young BW, Chan F, Chow CC, Pang WC, Chan C, Yeung SH, Chow PK, Lau J, Leung PM. Use of an electronic barcode system for patient identification during blood transfusion: 3-year experience in a regional hospital. Hong Kong Med J 2004 10 : 166 71.
19. Novis DA, Miller KA, Howanitz PJ, Renner SW, Walsh MK College of American Pathologists. Audit of transfusion procedures in 660 hospitals. A College of American Pathologists Q-Probes study of patient identification and vital sign monitoring frequencies in 16,494 transfusions. Arch Pathol Lab Med 2003 127 : 541 8.
20. Kruse H, Johnson A, O'Connell D, Clarke T. Administering non-restricted medications in hospital: the implications and cost of using two nurses. Aust Clin Rev 1992 12 : 77 83.
21. Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res 2005 18 : 211 16.
22. Linden JV, Wagner K, Voytovich AE, Sheehan J. Transfusion errors in New York State: an analysis of 10 years' experience. Transfusion 2000 40 : 1207 13.
23. Brison DR, Hooper M, Critchlow JD, Hunter HR, Arneson R, Lloyd A, Horne G. Reducing risk in the IVF laboratory: implementation of a double witnessing system. Clin Risk 2004 10 : 176 80.
24. National Patient Safety Agency. Right patient, right blood. Safer practice notice 14 (9/11/2006). NPSA/2006/14 [cited 2007 July 16]. Available from: http://www.npsa.nhs.uk/health/display?contentID=5298