ArticleTransfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie2017
Administration Safety of Blood Products - Lessons Learned from a National Registry for Transfusion and Hemotherapy Practice.
Article in Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Implementation and Evaluation of an Alternative Electronic Health Record Tool for Ordering Blood Products in Pediatric Oncology and Stem Cell Transplantation: Mixed Methods Analysis.JMIR medical informatics · 2026Article
- Exploration of patient blood management metrics for emergency departments: a 4-year retrospective monocenter study.BMC emergency medicine · 2025Article
- Lessons learned from setting up a hospital-based national registry for venous thromboembolic disorders in India.Journal of family medicine and primary care · 2024Article
- [Twentieth anniversary of the German Interdisciplinary Working Group for Clinical Hemotherapy : A reason to commemorate!]Der Anaesthesist · 2022Article
- Using Failure Mode and Effects Analysis in Improving Nursing Blood Sampling at an International Specialized Cancer Center.Asian Pacific journal of cancer prevention : APJCP · 2021Observational
- Implementation and Effectiveness of a Bar Code-Based Transfusion Management System for Transfusion Safety in a Tertiary Hospital: Retrospective Quality Improvement Study.JMIR medical informatics · 2019Article
- After Hour Blood Transfusions: A Transfusion Service Perspective.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2019Article
- Health Services Research.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
backgroundCompared to blood component safety, the administration of blood may not be as safe as intended. The German Interdisciplinary Task Force for Clinical Hemotherapy (IAKH) specialized registry for administration errors of blood products was chosen for a detailed analysis of reports.
methodsVoluntarily submitted critical incident reports (n = 138) from 2009 to 2013 were analyzed.
resultsIncidents occurred in the operation room (34.1%), in the ICU (25.2%), and in the peripheral ward (18.5%). Procedural steps with errors were administration to the patient (27.2%), indication and blood order (17.1%), patient identification (17.1%), and blood sample withdrawal and tube labeling (18.0%). Bedside testing (BST) of blood groups avoided errors in only 2.6%. Associated factors were routine work conditions (66%), communication error (36%), emergency case (26%), night or weekend team (39%), untrained personnel (19%). Recommendations addressed process and quality (n = 479) as well as structure quality (n = 314). In 189 instances, an IT solution would have helped to avoid the error.
conclusionsThe administration process is prone to errors at the patient assessment for the need to transfuse and the application of blood products to patients. BST is only detecting a minority of handling errors. According to the expert recommendations for practice improvement, the potential to improve transfusion safety by a technical solution is considerable.
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