Sources of preventable errors related to transfusion

Authors:
  • SKS. Kumar
    S. Kumar
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Abstract
Background and Objectives: Transfusion errors always remain under‐reported owing to a lack of awareness about transfusion‐related adverse events among the hospital staff and an inadequate feedback system in most of the transfusion centres. This article reports the results obtained from a study carried out to investigate the sources and types of errors in our tertiary care hospital.Materials and Methods: The errors reported by the blood bank staff (i.e. reception counter clerical and technical staff) and the residents in charge of the patient, were studied over a period of 1 year (from May 1998 to April 1999) and classified based on the site of occurrence.Results: A total of 123 errors were detected over the 1‐year study period. Of these 123 errors, 107 (86·99%) occurred outside the blood bank and 16 (13%) in the blood bank.Conclusion: Errors occur most frequently outside the blood bank, and the bedside of the patient is the main location.