Transfusion recipient identification.
Recent reports from different haemovigilance systems indicate that errors in the whole-blood transfusion chain - from initial recipient identification to final blood administration - occur with a frequency of approximately 1 in 1000 events. Although mistakes occur also within the blood transfusion service, about two-thirds of errors are associated with incorrect blood recipient identification at the patient's bedside. To prevent the potentially fatal consequences of such mistakes, specific tools have been developed, including patient identification bracelets with barcodes and/or radio frequency identification devices, mechanical or electronic locks preventing access to bags assigned to other patients, and palm computers suitable for transferring blood request and administration data from the patient's bedside to the blood transfusion service information system in real time. The effectiveness of these systems in preventing mistransfusion has been demonstrated in a number of studies.
Pagliaro
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P
Centro Trasfusionale, Ospedale Carlo Poma, Mantua, Italy. simt.mantova@ospedalimantova.it
Rebulla
P
P
D001787:Blood Group Incompatibility / Q000517:prevention & control*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D010355:Patient Identification Systems / Q000379:methods*; D012449:Safety; D065227:Transfusion Reaction