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Transfusion errors - can they be eliminated?
Paula H B Bolton-Maggs1, Alison Watt2
1Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK.
Patient safety in blood transfusions remains compromised by process errors, despite rare infectious risks. Implementing electronic systems and human factors ergonomics (HFE) can significantly reduce these errors and improve patient care.
Area of Science:
- Medical Safety
- Transfusion Medicine
- Patient Care
Background:
- The Serious Hazards of Transfusion (SHOT) scheme has monitored adverse transfusion events for 22 years.
- While infectious transmissions, transfusion-related lung injury, and graft-versus-host disease are rare, over 85% of incidents stem from transfusion process errors.
- Despite guidelines, errors persist, highlighting a gap between protocols and actual practice.
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