Nearly two decades using the check-type to prevent ABO-incompatible transfusions - One institution's experience

被引:39
作者
Figueroa, Priscilla I.
Ziman, Alyssa
Wheeler, Christine
Gornbein, Jeffrey
Monson, Michael
Calhoun, Loni
机构
[1] Cleveland Clin Fdn, Transfus Med Sect, Dept Pathol, Cleveland, OH 44195 USA
[2] Cleveland Clin Fdn, Dept Lab Med, Cleveland, OH 44195 USA
[3] Univ Calif Los Angeles, Div Transfus Med, Los Angeles, CA 90024 USA
[4] Univ Calif Los Angeles, Dept Biomath, Los Angeles, CA 90024 USA
[5] Univ Calif Irvine, Irvine, CA 92717 USA
关键词
check type; ABO-incompatible transfusion; specimen collection errors; miscollected sample; transfusion errors; sample identification; blood typing;
D O I
10.1309/C6U7VP87GC030WMG
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
To detect miscollected (wrong blood in tube [WBIT]) samples, our institution requires a second independently drawn sample (check-type [CT]) on previously untyped, non-group O patients who are likely to require transfusion. During the 17-year period addressed by this report, 94 WBIT errors were detected: 57% by comparison with a historic blood type, 7% by the CT, and 35% by other means. The CT averted 5 potential ABO-incompatible transfusions. Our corrected WBIT error rate is I in 3,713 for verified samples tested between 2000 and 2003, the period for which actual number of CTs performed was available. The estimated rate of WBIT for the 17-year period is 1 in 2,262 samples. ABO-incompatible transfusions due to WBIT-type errors are avoided by comparison of current blood type results with a historic type, and the CT is an effective way to create a historic type.
引用
收藏
页码:422 / 426
页数:5
相关论文
共 20 条
[1]   Transfusion safety: realigning efforts with risks [J].
AuBuchon, JP ;
Kruskall, MS .
TRANSFUSION, 1997, 37 (11-12) :1211-1216
[2]   A cost-effectiveness analysis of the use of a mechanical barrier system to reduce the risk of mistransfusion [J].
AuBuchon, JP ;
Littenberg, B .
TRANSFUSION, 1996, 36 (03) :222-226
[3]   Reporting of near-miss events for transfusion medicine: improving transfusion safety [J].
Callum, JL ;
Kaplan, HS ;
Merkley, LL ;
Pinkerton, PH ;
Fastman, BR ;
Romans, RA ;
Coovadia, AS ;
Reis, MD .
TRANSFUSION, 2001, 41 (10) :1204-1211
[4]  
Chiaroni I, 2004, TRANSFUSION, V44, P860
[5]   Patient safety and blood transfusion: New solutions [J].
Dzik, WH ;
Corwin, H ;
Goodnough, LT ;
Higgins, M ;
Kaplan, H ;
Murphy, M ;
Ness, P ;
Shulman, IA ;
Yomtovian, R .
TRANSFUSION MEDICINE REVIEWS, 2003, 17 (03) :169-180
[6]   An international study of the performance of sample collection from patients [J].
Dzik, WH ;
Murphy, MF ;
Andreu, G ;
Heddle, N ;
Hogman, C ;
Kekomaki, R ;
Murphy, S ;
Shimizu, M ;
Smit-Sibinga, CT .
VOX SANGUINIS, 2003, 85 (01) :40-47
[7]  
EHRLICH A, 1976, HOSPITALS, V50, P89
[8]  
Ibojie J, 2000, BRIT J HAEMATOL, V108, P458
[9]   An automated system for bedside verification of the match between patient identification and blood unit identification [J].
Jensen, NJ ;
Crosson, JT .
TRANSFUSION, 1996, 36 (03) :216-221
[10]  
Lau FY, 2000, TRANSFUSION MED, V10, P121