Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | AHRQ Patient Safety Network

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | AHRQ Patient Safety Network

• Study
 
• Published October 2018

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

Hensley NB, Koch CG, Pronovost PJ, et al. Jt Comm J Qual Patient Saf. 2018 Oct 30; [Epub ahead of print].

Following a sentinel wrong-patient event, a multidisciplinary quality improvement team worked to enhance the safety of blood transfusion. The authors report significant improvement in protocol adherence following institution of barcoding and auditing via the electronic health record.

PubMed citationAvailable at

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