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Emily Cooley Lecture 2002: transfusion safety in the hospital

2003; Wiley; Volume: 43; Issue: 9 Linguagem: Inglês

10.1046/j.1537-2995.2003.00523.x

1537-2995

Sunny Dzik,

Clinical Laboratory Practices and Quality Control

TransfusionVolume 43, Issue 9 p. 1190-1199 Emily Cooley Lecture 2002: transfusion safety in the hospital Walter H. Dzik MD, Walter H. Dzik MD Blood Transfusion Service JJ-224 Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 e-mail: [email protected]Search for more papers by this author Walter H. Dzik MD, Walter H. Dzik MD Blood Transfusion Service JJ-224 Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 e-mail: [email protected]Search for more papers by this author First published: 15 August 2003 https://doi.org/10.1046/j.1537-2995.2003.00523.xCitations: 108 TRANSFUSION 2003;43:1190-1199. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat REFERENCES 1 Kohn LT, Corrigan JM, Donalson. MS, eds. To err is human: building a safer health system. Washington: National Academy Press, 1999. 2 Klein HG, Lipton KS. Noninfectious serious hazards of transfusion. AABB Bulletin 2001-04. Bethesda, MD: American Association of Blood Banks. 3 Linden JV, Wagner K, Voytovich AE, Sheehan J. Transfusion errors in New York State: an analysis of 10 years' experience. Transfusion 2000; 40: 1207-13. 4 Butch SH. Comparison of seven years of occurrence reports (abstract). Transfusion 2000; 40(Suppl 1):159-S. 5 McClelland DBI, Phillips P. Errors in blood transfusion in Britian: survey in hospital hematology departments. BMJ 1994; 308: 1205-6. 6 Dale JC, Novis DA. Outpatient phlebotomy success and reasons for specimen rejection. Arch Pathol Lab Med 2002; 126: 416-9. 7 Lumadue JA, Boyd JS, Ness PM. Adherence to a strict specimen-labeling policy decreases the incidence of erroneous blood grouping of blood bank specimens. Transfusion 1997; 37: 1169-72. 8 Dzik WH, Murphy MF. An international study of the performance of patient sample collection (abstract). Transfusion 2002; 42(Suppl): 26S. 9 Friedberg RC, Jones BA, Walsh MK. Type and screen completion for scheduled surgical procedures. Arch Pathol Lab Med 2003; 127: 533-40. 10 Stover EP, Siegel LC, Parks R, et al. Variability in transfusion practice guidelines: a 24-institution study. Anesthesiology 1998; 88: 327-33. 11 Surgenor DN, Churchill WH, Wallace EL, et al. The specific hospital significantly affects red cell and component transfusion practice in coronary artery bypass graft surgery: a study of five hospitals. Transfusion 1998; 38: 122-34. 12 Sazama K. Reports of 355 transfusion-associated deaths. 1976 through 1985. Transfusion 1990;30: 583-90. 13 Love EM, Soldan K, The Serious Hazards of Transfusion Steering Group. SHOT Annual Report 2000-2001. London: The Serious Hazards of Transfusion Group, 2002: 1-239. 14 Linden JV, Paul B, Dressler KP. A report of 104 transfusion errors in New York State. Transfusion 1992; 32: 601-6. 15 Robillard P, Itaj NK, Corriveau P. ABO incompatible transfusions, acute and delayed hemolytic transfusion reactions in Quebec hemovigilance system—Year 2000 (abstract). Transfusion 2002; 42: 25S. 16 Andreu G, Morel P, Forestier F, et al. Hemovigilance network in France: organization and analysis of immediate transfusion incident reports from to 1998. Transfusion 1994, 2002; 42: 1356-64. 17 Baele PL, De Bruyere M, Deneys V, et al. Bedside transfusion errors. A prospective survey by the Belgium SAnGUIS group. Vox Sang 1994; 66: 117-21. 18 Shulman IA, Saxena S, Ramer L. Assessing blood administering practices. Arch Pathol Lab Med 1999; 123: 595-8. 19 Zimmermann R, Linhardt C, Weisbach V, et al. An analysis of errors in blood component transfusion records with regard to quality improvement of data acquisition and to the performance of lookback and traceback procedures. Transfusion 1999; 39: 351-6. 20 Miller KA. Transfusion errors. Q Probe09. Q-Probes 2000. Northfield, IL: College of American Pathologists, 2000. 21 Novis DA, Miller KA, Howanitz PJ, et al. Audit of transfusion procedures in 660 hospitals. Arch Pathol Lab Med 2003; 127: 541-8. 22 Toy PTCY. Effectiveness of transfusion audits and practice guidelines. Arch Pathol Lab Med 1994; 118: 435-7. 23 Toy PTCY. Guiding the decision to transfuse: interventions that do and do not work. Arch Pathol Lab Med 1999; 123: 592-4. 24 Eisenstaedt RS. Modifying physicians' transfusion practice. Transf Med Rev 1997; 11: 27-37. 25 Audet AM, Goodnough LT, Parvin CA. Evaluating the appropriateness of red blood cell transfusions: the limitations of retrospective medical record reviews. Int J Quality Health Care 1996; 8: 41-9. 26 Kanter M. The transfusion audit as a tool to improve transfusion practice: a critical appraisal. Transfus Sci 1998; 19: 69-81. 27 Steinbrook R. Nursing in the crossfire. N Engl J Med 2002; 346: 1757-66. Citing Literature Volume43, Issue9September 2003Pages 1190-1199 ReferencesRelatedInformation