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Patients' positive identification systems.

Pasqualepaolo Pagliaro1, Rosalia Turdo, Enrico Capuzzo

  • 1U.O. Immunoematologia e Trasfusionale, Policlinico S.Orsola-Malpighi, Bologna, Italy. pasqualepaolo.pagliaro@aosp.bo.it

Blood Transfusion = Trasfusione Del Sangue
|December 17, 2009
PubMed
Summary

Implementing a bar-code matching system for blood transfusions significantly enhances patient safety. This technology prevents errors in patient identification, thereby avoiding dangerous "wrong blood" events and improving overall transfusion chain integrity.

Keywords:
Recipient identificationmistransfusiontransfusion safety

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Area of Science:

  • Transfusion Medicine
  • Patient Safety
  • Health Informatics

Background:

  • Maintaining blood safety is critical throughout the transfusion chain to prevent incorrect blood component transfusions.
  • The estimated risk of an incorrect transfusion is approximately 1 in 10,000 units.
  • Most errors (70%) occur in clinical areas, primarily due to failures in pre-transfusion bedside checking procedures.

Purpose of the Study:

  • To evaluate the effectiveness of the I-TRAC Plus bar-code matching system in preventing transfusion errors.
  • To assess the system's impact on patient identification accuracy at the bedside.
  • To quantify the reduction in "wrong blood" transfusion events.

Main Methods:

  • The I-TRAC Plus system utilizes bar-coded wristbands for patient identification and handheld scanners to match patients with blood bags.
  • Patient and blood bag data are recorded in the blood bank's informatics system (EmoNet INSIEL).
  • Bar-coded labels containing patient ID, unit ID, and product information are applied to blood components; transfusions are administered after bedside scanning verification.

Main Results:

  • Over 5 years, the I-TRAC Plus system was used for 71,400 blood component transfusions to 15,430 patients.
  • The system successfully prevented 12 cases of patient mis-identification during the study period.
  • Specific instances of prevented mis-identification were recorded across the years 2003-2007.

Conclusions:

  • The implementation of a bar-code matching system between patient wristbands and blood bags effectively reduces bedside errors.
  • The I-TRAC Plus system demonstrated significant benefits in preventing patient identification errors over a 5-year period.
  • This technology is crucial for preventing "wrong blood" transfusions and enhancing transfusion safety.