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Case Study B4 - Case Discussion - Answer (Question 4)

TraQ Program of the BC PBCO

Home Case Studies B-Level Case B4: Acute Hemolysis During Surgery Case Study B4 - Case Discussion - Answer (Question 4)
Monday, 25 September 2017

Case Study B4 - Case Discussion - Answer (Question 4)

Do most transfusion-related human errors occur inside or outside the transfusion service and what are the implications?

Most transfusion-related human errors occur outside the transfusion service, which suggests that hospital-wide efforts at prevention are required.

For an example of a hospital-wide education program, see this paper:

Clark P, Rennie I, Rawlinson S. Quality improvement report: Effect of a formal education programme on safety of transfusions. Br Med J 2001 Nov 10;323(7321):1118-20.

Last modified on Wednesday, 19 January 2011 11:56