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Published on: March 14, 2017

[Analysis of errors in transfusion of blood]

M N Gubanova, T G Kopchenko, E B Zhiburt

    Vestnik Khirurgii Imeni I. I. Grekova
    |June 18, 2010
    PubMed

    Insights

    Transfusion errors, including ABO incompatible erythrocyte transfusions, occurred due to blood service defects. In 40% of cases, transfusions were unnecessary, highlighting critical safety issues.

    Area of Science:

    • Hematology
    • Transfusion Medicine
    • Patient Safety

    Context:

    • Review of 17 cases of erythrocyte transfusion complications over 25 years in Stavropol krai.
    • Analysis of systemic failures within the blood transfusion services.

    Purpose:

    • To identify the causes of ABO incompatible erythrocyte transfusion complications.
    • To evaluate the appropriateness of transfusions in complication cases.

    Summary:

    • Complications stemmed from organizational, training, technological, and laboratory errors in blood services.
    • Laboratory investigations were often performed by non-specialists.
    • Transfusion was not indicated in 40% of post-transfusion complication cases.

    Impact:

    • Highlights critical deficiencies in blood transfusion practices.
    • Underscores the need for improved blood service management and personnel training.
    • Emphasizes the importance of appropriate transfusion indications to prevent adverse events.

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