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Transfusion medicine

Standards for blood banks

Standards for blood banks - general


Reviewer: Huy Phu Pham, M.D. (see Reviewers page)
Revised: 4 November 2011, last major update November 2011
Copyright: (c) 2007-2011, PathologyOutlines.com, Inc.

General
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● Responsibility for quality should be instilled into all employees at all levels (Am J Clin Pathol 2005;124:594)
● Specimen labeling errors should be tracked (Arch Pathol Lab Med 2006;130:1196)
● Identification often does not meet accreditation standards (Arch Pathol Lab Med 2003;127:541)
● Patients commonly have similar names, causing errors at registration or bedside (Ann Clin Biochem 2007;44:106)
● “Near miss” events are much more common than adverse events (Vox Sang 2007;92:233)
● Electronic systems with bar codes may improve transfusion practice (Transfusion 2006;46:352)

Methods to independently verify accuracy of patient name whose blood is in tube:
(a) Label all blood samples at time of collection with patient’s first and last name, unique identification number and date of collection (CAP)
     -Use of bar codes or specially trained nursing staff may be helpful
     -Use at least two patient identifiers (neither being the room number) when taking blood samples
(b) Compare ABO typing with historical values (computer systems for intraoperative ordering and delivering have low error rate (Am J Clin Pathol 2005;124:124)
c) For non-group O patients that were previously untyped and likely to require transfusion, independently draw a second tube (Am J Clin Pathol 2006;126:422)
*Note: should have positive identification of transfusion recipients and blood components

End of Transfusion Medicine > Standards for blood banks > Standards for blood banks - general


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