to promote specific improvements in patient safety
by highlighting problematic areas.The goals and
recommendations are based on evidence- and expertbased solutions, focusing on a systems approach. To
improve the accuracy of patient identification, TJC
NPSG goal number 1 recommends, “the use of two
patient identifiers when administering blood or blood
components; when collecting blood samples or other
specimens for clinical testing.”
4
AABB standards require 2 determinations of ABO type
for recipients of blood where the computer crossmatch
(see sidebar) is used to determine ABO incompatibility
with donor blood. This requirement can be achieved
by determination of ABO on the current sample and
the second, by retesting the same sample, by testing
a second current sample, or by comparison with
previous records.
5
In this article, we describe a process change—requiring
a second sample for patients with no historical blood
type on file to verify patients’ blood type before
transfusion—that increases the ability to detect WBIT,
reduces ABO incompatible transfusions, and raises the
bar for patient identification safety.
to promote specific improvements in patient safety by highlighting problematic areas.The goals and recommendations are based on evidence- and expertbased solutions, focusing on a systems approach. To improve the accuracy of patient identification, TJC NPSG goal number 1 recommends, “the use of two patient identifiers when administering blood or blood components; when collecting blood samples or other specimens for clinical testing.”4AABB standards require 2 determinations of ABO type for recipients of blood where the computer crossmatch (see sidebar) is used to determine ABO incompatibility with donor blood. This requirement can be achieved by determination of ABO on the current sample and the second, by retesting the same sample, by testing a second current sample, or by comparison with previous records.5In this article, we describe a process change—requiring a second sample for patients with no historical blood type on file to verify patients’ blood type before transfusion—that increases the ability to detect WBIT, reduces ABO incompatible transfusions, and raises the bar for patient identification safety.
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