Variable pre-transfusion patient identification practices exist in the perioperative setting

Canadian Journal of Anesthesia

Volumn 56, Issue 12, 2009, Pages 901-907

  Burrows, James M ^a   Callum, Jeannie L ^a   Belo, Susan ^a   Etchells, Edward ^a   Leeksma, Alexandra ^a  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ACCURACY; ARTICLE; BLOOD TRANSFUSION; CARDIOVASCULAR PROCEDURES; CLINICAL PRACTICE; EQUIPMENT; GENERAL SURGERY; HOSPITAL POLICY; HUMAN; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MEDICAL RECORD; OPERATING ROOM; OPERATING ROOM PERSONNEL; PATIENT IDENTIFICATION; PATIENT MONITORING; PATIENT POSITIONING; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; SURGICAL PATIENT; SURGICAL TECHNIQUE; VASCULAR ACCESS;

BLOOD TRANSFUSION; HUMANS; INTRAOPERATIVE CARE; MEDICAL ERRORS; ONTARIO; PATIENT IDENTIFICATION SYSTEMS; PROSPECTIVE STUDIES; SURGERY DEPARTMENT, HOSPITAL; SURGICAL PROCEDURES, OPERATIVE;

EID: 73449107116     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s12630-009-9180-0     Document Type: Article

References (26)

1. WH Dzik 2003 Emily Cooley Lecture 2002: transfusion safety in the hospital Transfusion 43 1190 1199 10.1046/j.1537-2995.2003.00523.x 12919420 (Pubitemid 37082678)
2. PD Mintz 2001 Nishot: on target, but there's no magic bullet Am J Clin Pathol 116 802 805 10.1309/FE5H-XYUL-RDWN-GAXN 1:STN:280: DC%2BD38%2Fjsl2quw%3D%3D 11764066 (Pubitemid 33108148)
3. J Ibojie SJ Urbaniak 2000 Comparing near misses with actual mistransfusion events: a more accurate reflection of transfusion errors Br J Haematol 108 458 460 10.1046/j.1365-2141.2000.01876.x 1:STN:280: DC%2BD3c7ls1SrtQ%3D%3D 10691882 (Pubitemid 30143668)
4. P Pagliaro P Rebulla 2006 Transfusion recipient identification Vox Sang 91 97 101 10.1111/j.1423-0410.2006.00783.x 1:STN:280:DC%2BD28vosFektg%3D%3D 16907869 (Pubitemid 44126604)
5. SHOT Steering Committee. Definitions of current SHOT categories and what to report. Revised August 2008. Available from: URL: http://www.shotuk.org/ SHOT%20Categories%202008.pdf (accessed July 2009)
6. K Sazama 1990 Reports of 355 transfusion-associated deaths: 1976 through 1985 Transfusion 30 583 590 10.1046/j.1537-2995.1990.30790385515.x 1:STN:280:DyaK3czosFGitw%3D%3D 2402771
7. Davenport RD. Pathophysiology of hemolytic transfusion reactions. In: Popovsky MA, editor. Transfusion reactions. 3rd ed. Bethesda: AABB Press; 2007. p. 1-55.
8. G Andreu P Morel F Forestier, et al. 2002 Hemovigilance network in France: organization and analysis of immediate transfusion incident reports from 1994 to 1998 Transfusion 42 1356 1364 10.1046/j.1537-2995.2002.00202.x 12423521
9. D Stainsby L Williamson H Jones H Cohen 2004 6 Years of shot reporting-its influence on UK blood safety Transfus Apher Sci 31 123 131 10.1016/j.transci.2004.07.006 15501416 (Pubitemid 40292137)
10. DB McClelland JJ McMenamin HM Moores JA Barbara 1996 Reducing risks in blood transfusion: process and outcome Transfus Med 6 1 10 10.1046/j.1365-3148. 1996.d01-47.x 1:STN:280:DyaK283msFKmtA%3D%3D 8696442
11. American Association of Blood Banks. Standards for blood banks and transfusion services. 23rd ed. Bethesda, Maryland: American Association of Blood Banks; 2005.
12. Canadian Society for Transfusion Medicine. Canadian Standards for Transfusion Medicine (version 2). 2007.
13. D Cummins S Sharp M Vartanian D Dawson S Amin O Halil 2000 The BCSH guideline on addressograph labels: experience at a cardiothoracic unit and findings of a telephone survey Transfus Med 10 117 120 10.1046/j.1365-3148.2000. 00246.x 1:STN:280:DC%2BD3czosVGjtw%3D%3D 10849381 (Pubitemid 30329580)
14. JR Gonzalez-Porras IF Graciani M Alvarez, et al. 2008 Tubes for pretransfusion testing should be collected by blood bank staff and hand labelled until the implementation of new technology for improved sample labelling. Results of a prospective study Vox Sang 95 52 56 10.1111/j.1423-0410.2008.01049. x 1:STN:280:DC%2BD1M%2Fns1Gmtw%3D%3D 18393947 (Pubitemid 351799413)
15. AP Marco D Buchman C Lancz 2003 Influence of form structure on the anesthesia preoperative evaluation J Clin Anesth 15 411 417 10.1016/S0952- 8180(03)00079-5 14652116 (Pubitemid 37491075)
16. KA Janatpour ND Kalmin HM Jensen PV Holland 2008 Clinical outcomes of ABO-incompatible RBC transfusions Am J Clin Pathol 129 276 281 10.1309/VXY1ULAFUY6E6JT3 18208808 (Pubitemid 352029318)
17. SJ Stanworth HA Cockburn H Boralessa M Contreras 2002 Which groups of patients are transfused? A study of red cell usage in London and southeast England Vox Sang 83 352 357 10.1046/j.1423-0410.2002.00237.x 1:STN:280:DC%2BD38nnvFWjsg%3D%3D 12437523 (Pubitemid 35434358)
18. N Sevdalis B Norris C Ranger S Bothwell Wristband Project Team 2009 Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients J Eval Clin Pract 15 311 315 10.1111/j.1365-2753.2008.01004.x 19335490
19. DA Sauer CE McDonald L Boshkov 2001 Errors in transfusion medicine Lab Med 32 205 207 10.1309/WHVV-VUC9-J1VT-W4NL (Pubitemid 33049206)
20. WG Murphy DB McClelland 1989 Deceptively low morbidity from failure to practice safe blood transfusion: an analysis of serious blood transfusion errors Vox Sang 57 59 62 10.1111/j.1423-0410.1989.tb04985.x 1:STN:280: DyaK3c%2FitFektg%3D%3D 2800468
21. SC Beyea C Majewski 2003 Blood transfusion in the OR-are you practicing safely? AORN J 78 1007 1010 10.1016/S0001-2092(06)60592-9 14692672
22. D Liu T Grundgeiger PM Sanderson SA Jenkins TA Leane 2009 Interruptions and blood transfusion checks: lessons from the simulated operating room Anesth Analg 108 219 222 10.1213/ane.0b013e31818e841a 19095853
23. S Dzik 2007 Radio frequency identification for prevention of bedside errors Transfusion 47 125S 129S 10.1111/j.1537-2995.2007.01367.x 17651335 (Pubitemid 47094134)
24. RW Askeland S McGrane JS Levitt, et al. 2008 Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors Transfusion 48 1308 1317 10.1111/j.1537-2995.2008.01668.x 1:STN:280:DC%2BD1cvntVKjsg%3D%3D 18346018
25. FY Lau R Wong CH Chui E Ng G Cheng 2000 Improvement in transfusion safety using a specially designed transfusion wristband Transfus Med 10 121 124 10.1046/j.1365-3148.2000.00241.x 1:STN:280:DC%2BD3czosVGjtA%3D%3D 10849382 (Pubitemid 30329581)
26. SHOT. The serious hazards of transfusion (SHOT): first annual report. Commun Dis Rep 1998; 8: 105-12.