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Interventions to reduce wrong blood in tube errors in transfusion: a systematic review
Susan Cottrell1, Douglas Watson, Toby A Eyre
1NHS Dumfries & Galloway, Dumfries & Galloway Royal Infirmary, Dumfries, UK.
Transfusion Medicine Reviews
|October 1, 2013
Summary
Implementing targeted interventions can reduce wrong blood in tube (WBIT) errors during blood transfusions. However, the long-term effectiveness and optimal strategies require further investigation.
Area of Science:
- Transfusion Medicine
- Patient Safety
- Healthcare Quality Improvement
Background:
- Wrong blood in tube (WBIT) is a critical patient safety issue in blood transfusions.
- Reducing WBIT incidence is essential to prevent transfusion errors and adverse events.
Purpose of the Study:
- To systematically review interventions aimed at reducing WBIT in red blood cell transfusions.
- To evaluate the effectiveness of identified interventions in lowering WBIT rates.
Main Methods:
- Comprehensive literature search across multiple databases (Cochrane Library, MEDLINE, EMBASE, etc.) up to April 2013.
- Inclusion of primary intervention and observational studies; exclusion of reviews and animal studies.
- Descriptive analysis of study characteristics, outcomes, and methodological quality.
Main Results:
- Eleven eligible articles, representing 9 independent studies, were included in the review.
- All identified interventions, both single and multiple, demonstrated a reduction in WBIT incidence.
- Specific interventions included changes in blood sample labeling, feedback systems, and electronic transfusion systems.
Conclusions:
- Targeted interventions, whether single or combined, can effectively decrease WBIT.
- The most effective intervention and the sustainability of their impact remain unclear.
- Future research should focus on collecting pre- and post-intervention data and conducting comparative studies.
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